Volunteer Application

First name

Last name

Email

Cell Phone

Home Phone

Work Phone

How many hours a week would you be able to volunteer?

Have you ever volunteered or worked with an animal rescue group? If you please give name and location:

Are you involved in any other animal related activities or organizations? If yes please give name and location:

Please tell us briefly why you are interested in becoming a volunteer at the Humane Society:

Describe any previous experience you have working with animals:

Do you have a history of charges made against you of animal cruelty or neglect?

Yes

No

Please list present and previous volunteer jobs:

Please list two personal references (do not include relatives): Names and Phone Numbers

Logan County Humane Society