HSSI Volunteer Application
Today's Date
*
Contact Information
First Name
*
Last Name
*
Home Phone
This should be the primary phone we should use to contact you if needed.
Cell Phone
Work Phone
Email
*
Address
*
Please enter your current postal mailing address.
City
*
State
*
Zip Code
*
What is your work status?
*
Employed
Unemployed
Retired
High School Student
College Student
I am over the age of 18
*
No
Yes
Emergency Contact Name
*
Emergency Contact Relationship
*
Emergency Contact Phone
*
What volunteer activities interest you?
*
Shelter Cleaning
Animal Enrichment
Dog Walking at Shelter
Hiking with Dogs Off-Site
Data Entry
Social Media
Other Technology Support
Special Events
Fundraising Events
Transportation
Name and Address of School or Employer
Why are you interested in becoming a volunteer for HSSI?
Describe any Previous Volunteer Experience
Describe Experience Working with Animals
Please share other skills or training we should know about.
What is your schedule or availability for volunteering?
Do you have your own transportation?
No
Yes
Your Signature indicates you agree to HSSI verifying information you've supplied on this form
*
Clear
Humane Society of Southern Illinois | 95 Humane Road, Murphysboro, IL 62966 | 618-457-2362