Dekalb Humane Society Online Applications

DeKalb Humane Society Volunteer Application

5730 County Road 11A

Auburn, IN 46706

260.868.2409

Please fill out all fields marked with an asterisk (*) to complete the form. Form will not be valid if it's incomplete.

Applicant Information:
First name *
Last name *
Date of Birth *
Street address *
City *
State *
Zip code *
Phone number *
Cell Phone
Email address *
Emergency Contact *
Emergency Contract Phone *

Volunteer Work Preference:
	Clean Dog Areas
	Clean Cat Areas
	Dog Walking
	Cat Socializing
	Clerical
	Laundry
	Fundraising
	Educational Programs
Other

When are you able to volunteer?
Please list the kinds of animals you own or have owned:

Volunteer Liability Release Agreement
*If under 16 years of age, applicant must be accompanied by a parent or guardian who agrees to the terms of this agreement:
I understand this volunteer position may involve contact with animals.
I realize that this volunteer position may involve exposure to shelter hazards, such as animal waste, cleaning agents, microbes, scratches, bites.
I realize that the DHS will take all reasonable care to minimize risks to all volunteers.
I further agree to hold DHS, its Board of Directors, officers, management, employees, and other volunteers faultless for any injury or loss that may occur.
Signature (Please use your finger,stylus or mouse.) Use finger, stylus or mouse.
Date *
Please list any additional information you feel is important for us to know.

After you submit your application, please feel free to visit us any time during operating hours.
Please just check in with our front desk and sign our liability form upon entry.