The Dodge County Humane Society, Inc.
210 Stoddart St. * Beaver Dam, WI 53916
Tel: (920) 887-7447 * Fax: (920) 887-7947
www.dodgecountyhumanesociety.org
email: info@dodgecounthumanesociety.org
a 501(c) (3) not for profit organization
VOLUNTEER APPLICATION
Full NameOther Names/Aliases
Address:City/State/Zip
Home Phone:Work Phone:
Email Address:Employer:
Occupation:Employer Address/Telephone:
Are you over the age of 21?0 YES0 NO
Ages 13 and under must be accompanied by a parent/guardian.
Ages 14 and over may volunteer alone with a parental consent form on file.
Have you volunteered with us before? 0 YES 0 NO
Are you a Humane Society Member? 0 YES 0 NO
Have you volunteered with another animal organization In the past? 0 YES0 NO
Please list which organizations:
VOLUNTEER INTERESTS
0 Walking Dogs
(on leash, outside the building)0 Office/Clerical
(mailings, stuffing envelopes, writing thank you cards, filing)0 Fundraising & Events
(making phone calls, presentations, advertising)
0 Cat Socializing
(playing with cats, holding)0 Housekeeping
(cleaning office areas, vacuuming)0 Laundry
(cleaning blankets, towels)
0 Dog Training
(teaching basic obedience)0 Clean Dog Kennels
0 Clean Cat Kennels
0 Facility & Grounds
(mowing, planting, painting, etc.)0 Adoption Assistance
(tour guide, counseling)
AVAILABILITY
Mornings (8am – noon) SUN MON TUES WED THURS FRI SAT
Afternoons (noon – 3pm) SUN MON TUES WED THURS FRI SAT
Afternoons (3pm – 6pm) SUN MON TUES WED THURS FRI SAT
Evenings (6pm – 9pm) SUN MON TUES WED THURS FRI SAT
What animals do you have in your home?
Have you any formal education in animal welfare? 0 YES0 NO
Please list any training or experience that you have had that might help in your volunteer assignment:
Do you have any allergies? 0 YES0 NOIf Yes, please explain:
Are you pregnant? 0 YES0 NO
Do you have any physical or emotional conditions that might hinder your volunteer service or require us to provide extra assistance or supervision?0 YES0 NO
If yes, please explain:
Have you ever been charged or convicted of a felony or state crime?0 YES0 NO
PERSONAL REFERENCES
Give three references (not relatives, fellow employees, or school teachers):
Name and AddressHome PhoneWork PhoneOccupationTimes to Call
EMERGENCY CONTACT INFORMATION
Name
AddressHome PhoneOther Phone
Relationship
Name
Address
Home PhoneOther Phone
Relationship
Doctor:AddressPhone:
VOLUNTEER AGREEMENT
In signing this agreement, I understand and agree to the following:
I agree to attend a Volunteer orientation session.
I agree to be supervised by the Volunteer Coordinator or a designated staff person, and I will take direction and criticism directly to the Volunteer Coordinator or a staff person.
I will wear a name tag while volunteering.
I will come appropriately dressed, wearing closed-toed shoes and clothing appropriate for my position. I will not were excessively tight, short or revealing clothing.
I will be on time and I will call the Volunteer Coordinator or the shelter if I am going to be late or absent. Two (2) unexcused absences will expel me from the program.
I will not leave my work site during my shift without notifying my supervisor.
I agree not to interfere with any euthanasia decisions and/or procedures.
I will allow the Humane Society to use any photographs taken of me for use in public relations.
I will treat all animals, people and property I come in contact with at the Humane Society with respect. I will refrain from using profanity and I will conduct myself with courtesy at all times.
I agree to maintain confidentiality and refuse to disclose any information that is private or confidential.
I authorize the Humane Society to seek emergency medical treatment for me in case of an accident, injury or illness and to hold the Humane Society harmless in such an event. I understand that as a volunteer I am NOT covered by any worker’s compensation policies of the Humane Society. s
I waive all claims against the Dodge County Humane Society and/or their directors, employees and volunteers for all personal injury and property damages resulting from volunteer work with the Dodge County Humane Society.
SignatureDate
Parent/Guardian (signature if under 18)Date
*Humane Society Use Only*
0 Accepted0 Declinedby: Date:
Assigned to:
2006-09-18 10:51:27
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answer #1
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answered by Anonymous
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The Dodge County Humane Society, Inc.
210 Stoddart St. * Beaver Dam, WI 53916
Tel: (920) 887-7447 * Fax: (920) 887-7947
www.dodgecountyhumanesociety.org
email: info@dodgecounthumanesociety.org
a 501(c) (3) not for profit organization
VOLUNTEER APPLICATION
Full NameOther Names/Aliases
Address:City/State/Zip
Home Phone:Work Phone:
Email Address:Employer:
Occupation:Employer Address/Telephone:
Are you over the age of 21?0 YES0 NO
Ages 13 and under must be accompanied by a parent/guardian.
Ages 14 and over may volunteer alone with a parental consent form on file.
Have you volunteered with us before? 0 YES 0 NO
Are you a Humane Society Member? 0 YES 0 NO
Have you volunteered with another animal organization In the past? 0 YES0 NO
Please list which organizations:
VOLUNTEER INTERESTS
0 Walking Dogs
(on leash, outside the building)0 Office/Clerical
(mailings, stuffing envelopes, writing thank you cards, filing)0 Fundraising & Events
(making phone calls, presentations, advertising)
0 Cat Socializing
(playing with cats, holding)0 Housekeeping
(cleaning office areas, vacuuming)0 Laundry
(cleaning blankets, towels)
0 Dog Training
(teaching basic obedience)0 Clean Dog Kennels
0 Clean Cat Kennels
0 Facility & Grounds
(mowing, planting, painting, etc.)0 Adoption Assistance
(tour guide, counseling)
AVAILABILITY
Mornings (8am – noon) SUN MON TUES WED THURS FRI SAT
Afternoons (noon – 3pm) SUN MON TUES WED THURS FRI SAT
Afternoons (3pm – 6pm) SUN MON TUES WED THURS FRI SAT
Evenings (6pm – 9pm) SUN MON TUES WED THURS FRI SAT
What animals do you have in your home?
Have you any formal education in animal welfare? 0 YES0 NO
Please list any training or experience that you have had that might help in your volunteer assignment:
Do you have any allergies? 0 YES0 NOIf Yes, please explain:
Are you pregnant? 0 YES0 NO
Do you have any physical or emotional conditions that might hinder your volunteer service or require us to provide extra assistance or supervision?0 YES0 NO
If yes, please explain:
Have you ever been charged or convicted of a felony or state crime?0 YES0 NO
PERSONAL REFERENCES
Give three references (not relatives, fellow employees, or school teachers):
Name and AddressHome PhoneWork PhoneOccupationTimes to Call
EMERGENCY CONTACT INFORMATION
Name
AddressHome PhoneOther Phone
Relationship
Name
Address
Home PhoneOther Phone
Relationship
Doctor:AddressPhone:
VOLUNTEER AGREEMENT
In signing this agreement, I understand and agree to the following:
I agree to attend a Volunteer orientation session.
I agree to be supervised by the Volunteer Coordinator or a designated staff person, and I will take direction and criticism directly to the Volunteer Coordinator or a staff person.
I will wear a name tag while volunteering.
I will come appropriately dressed, wearing closed-toed shoes and clothing appropriate for my position. I will not were excessively tight, short or revealing clothing.
I will be on time and I will call the Volunteer Coordinator or the shelter if I am going to be late or absent. Two (2) unexcused absences will expel me from the program.
I will not leave my work site during my shift without notifying my supervisor.
I agree not to interfere with any euthanasia decisions and/or procedures.
I will allow the Humane Society to use any photographs taken of me for use in public relations.
I will treat all animals, people and property I come in contact with at the Humane Society with respect. I will refrain from using profanity and I will conduct myself with courtesy at all times.
I agree to maintain confidentiality and refuse to disclose any information that is private or confidential.
I authorize the Humane Society to seek emergency medical treatment for me in case of an accident, injury or illness and to hold the Humane Society harmless in such an event. I understand that as a volunteer I am NOT covered by any worker’s compensation policies of the Humane Society. s
I waive all claims against the Dodge County Humane Society and/or their directors, employees and volunteers for all personal injury and property damages resulting from volunteer work with the Dodge County Humane Society.
SignatureDate
Parent/Guardian (signature if under 18)Date
*Humane Society Use Only*
0 Accepted0 Declinedby: Date:
Assigned to:
2006-09-18 10:54:40
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answer #2
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answered by friend60402 4
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Did you try finding this in the phone book and giving them a call? Just a thought. I applaud your desire to volunteer with the humane society. Best wishes.
2006-09-18 10:51:48
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answer #3
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answered by Rhonda 7
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Its not working
2006-09-18 10:56:39
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answer #4
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answered by Brian S 2
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in the beginning, incorrect class Secondly, provoke her with the aid of somewhat speaking to her in guy or woman and doing variety issues for her, do no longer chatter your self interior the path of the internet, that's in simple terms lame.
2016-10-15 03:35:36
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answer #5
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answered by mcfee 4
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post the link again
it's not working
2006-09-18 10:50:58
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answer #6
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answered by Diana_84 3
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