2) Contact Information

Name (first) (last)

Street Address

City State Alabama Alaska Alberta Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip

Home Phone Work Phone

Email Address

Age Date of Birth

Employer / Occupation

Drivers License Number

3) Availability

How many hours are you available each month?

During which hours are you available for volunteer assignments?

Mornings Afternoons Evenings

Weekdays Weekends

Only on the following days:

Mon Tue Wed Thu Fri Sat Sun

Are you volunteering through any other agency (e.g., school, court, community center)? Yes No

If yes:

Agency Name:

Contact Person:

Number of hours required to volunteer:

 

4) Special Skills or Qualifications

Summarize special skills (e.g., PC, software, graphic designer) and qualifications (e.g., teacher, event planner) you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.

5) Previous Volunteer Experience

Summarize any previous volunteer experience.

6) Interests

Tell us in which areas you are interested in volunteering (check all that apply)

Marketing / Fundraising

Fund Raising Marketing Events Grants Lead generation
Programs to improve adoption rates Surveys/feedback

Technical Skills

Web - Facebook - Petfinder Newsletter Production Database Development
Digital Photography Writer Statistics reports Training

Animal / Inventory

Adoption Counselor Foster Care Coordinator - Cats Foster Care Coordinator - Dogs
Petsmart cage cleaning Organize and Inventory physical donations Assist Spay/neuter/rabies clinics

Leadership roles

Legal - Govt. Affairs Public Relations Volunteer coordinator/Education
General Operations - Purchasing Marketing/Fund Raising Foster Care program Finance

7) Convictions

Have you been convicted of a felony or misdemeanor associated with animal abuse
or neglect within the last seven (7) years? Yes No
Explain:

8) Person to Notify in Case of Emergency

Name

Street Address

City State Alabama Alaska Alberta Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip

Home Phone Work Phone

Email Address

9) Agreement and Digital Signature

By selecting 'I Agree' below I hereby agree to accept a position as a volunteer worker for the Humane Association of the Lowcountry (HAL), and in so doing, I agree to comply with all the rules and regulations established by HAL, and I understand that failure to do so may result in my immediate termination as a volunteer. As a volunteer, I agree to do my best to represent HAL to the public in an accurate and professional manner and I will support and advocate all of HAL's policies. I acknowledge that as a volunteer I have not been given the authority to speak on behalf of HAL, and will not, unless I have been given that authority by an authorized representative of HAL.

I acknowledge that my services are provided strictly on a volunteer basis, without any pay or compensation of any kind.

I assume the risks of being bitten, scratched, injured, or frightened by puppies, dogs, cats, and/or kittens in connection with my volunteer work for HAL. HAL is not liable to me for any injury, damages, liabilities, losses, judgments, costs, or expenses whatsoever that I might suffer or sustain in connection with the performance of my duties with HAL. I will indemnify and hold HAL harmless from any claims, lawsuits, injuries, damages, losses, costs, or expense whatsoever sustained by any animal or person in connection with my misconduct or grossly negligent performance of volunteer activities for HAL or any breach of HAL's rules, regulations, policies or programs.

I understand that public relations are an important part of volunteering and I hereby allow HAL to use any photograph or likeness of me in any and all public relations efforts.

I have accurately and truthfully completed this application and agree to the above.

Date:

I Agree I Do Not Agree

your application