Ined.
 
 

Become a Volunteer!
 
 

Support Monthly Now!
 
 

Shelter Building Campaign
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
Volunteer Online Application  
   
Today's date
Date able to start volunteering
How did you hear about HSMC?
Craigslist Posting Newspaper
Media Story HSMC site
Flyer Other

Tell us about you!

Name
Address
City   State    Zip
Daytime Phone   Evening Phone
Email
Are you under 18?
Yes No  

Days that I am available to volunteer

Monday mornings afternoons
Tuesday mornings afternoons
Wednesday mornings afternoons
Thursday mornings afternoons
Friday mornings afternoons
Saturday mornings afternoons
Sunday mornings afternoons
I may also be available in the evenings for special events or projects
Work information
Full time Part time Retired Homemaker currently unemployed
Employer   Type of business
Address   Phone
Your title/position
Past Volunteer Experience
Name of organization   Phone
Volunteer duties   Length of service
Have you ever been convicted of any crime (other than a vehicle infraction?)
Yes No  
If yes, please explain
For volunteers who will be using their cars for transport
Do you have a valid driver’s license? Yes   No
Type of vehicle Car  Van   Truck
EMERGENCY CONTACT
Name   Address
Day phone   Evening phone
Relation
Health Insurance information
In the event of an emergency, what medical facility should you be brought to, and what are the necessary ID#s to provide?
Facility
ID
What do you hope to get from your volunteer experience with The Humane Society of Mason County?

Areas that I can help volunteer in:

* Please check off the positions you are interested in.
* Please indicate which location you would be available to volunteer at as you complete this application!

Fostering:
* An additional application, available on the website, is also required.
      Cats    Dogs    Kittens    Puppies Other    Please Specify:
Mobile Adoptions:
Adoption Coordinator
      Cats    Dogs
Mobile Adoption Assistant
      Cats    Dogs
Foster Family Coordinator
      Foster parent/potential adopter screening
      Data management
      Vet Tech ( If you have experience.)
Foster Family Assistant
      Foster parent/potential adopter screening
      Data management
      Vet Tech if you have experience)
Fundraising, Grant Writing and Special Events Assistant:
Fundraising
Special Events:
Plan Events    Help at events
     Grant Writing
General Office Assistant:
   Please list any special skills or experience:
Transporter:
Adoption Days / Foster Care    Veterinary Appointments   Long Trips
     Other:
Website and Multimedia Presentation Assistant
At Home    In-office
Other Skills, Talents, Resources that I can offer

Thank you for your time in completing this application and for your concern for
companion animals in need.
 
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