Name Address Town State Zip Phone Email Cell Phone Date of Birth Employer/School May We Contact You at Work? Yes No Work Phone Previous Volunteer Experience Reason(s) for Volunteering
Please check the volunteer opportunities that you are interested in (check all that apply):
Helping at events Socializing dogs Socializing cats Cleaning cat cages Front desk General cleaning
Days and hours available for volunteer work (check all that apply):
Not available on a regular basis Monday am Monday pm Tuesday am Tuesday pm Wednesday am Wednesday pm Thursday am Thursday pm Friday am Friday pm Saturday am Saturday pm Sunday am Special Skills, Interests, or Hobbies Do you own a pet(s) Yes No What kind(s) Do you have any allergies that may be affected by your work here? In case of emergency, notify Phone
If under 18 years of age: I hereby give permission for my child, to volunteer at Windham County Humane Society. Parent/Guardian Signature
Volunteers must be 16 years old or older.
