Volunteer Application

Thank you for offering your time, once submitted you will be contacted by email with your next steps.

I am over 18 Years old If you are not 18 or over please do not continue. We cannot accept volunteers under 18 for liability reasons. Please reach out to us with other ways to volunteer!	NoYes
Date of Birth
Name - First
Name - Last
Preferred Name
Pronouns
Address
City
State
ZIP
Do you Rent?	NoYes
If you rent, Do you have permission from your landlord to foster?	NoYes
Phone
Email
Preferred Form of Communication	Text, E-mail, Phone Call
Driver's License #.
Do you have current vehicle insurance as required by law?	NoYes
Do you have reliable transportation?	NoYes
Do your current pets have a vet? If yes please include their name and phone number
If yes do you consent to us checking with your current vet as a reference?	NoYes
Emergency contact name
Emergency contact number
How did you hear of HH&S?
How are you interested in volunteering?	Transport Foster Care-Short Term Foster Care-Long Term Fundraising Educational Events Transportation Family-Pet Visitation Supervision Data Entry
Which Animals are you interested in providing care for?	Rabbits Rats Hamsters/Gerbils/Mice Lizards Snakes Turtles/Tortoises Insects Fish Birds- Large (i.e. Cockatoo, Macaw, etc.) Birds- Small (i.e. Parakeet, finch, etc.) Birds-Outdoor (chicken, duck, goose, etc.) Other
How many hours are you willing to commit to as a volunteer?
Please explain what you hope to contribute as a volunteer?
Please explain what you hope to gain through you experience volunteering?
Please list any relevant animal care/volunteer experience.
Do you understand we work with at-risk populations?: *	NoYes
Are you willing to undergo training on working with at risk populations? *	NoYes
Do you have a criminal conviction in the last 10 years?	NoYes
Do you consent to a background check prior to caring for an animal or interacting with families?	NoYes
Please provide 2 references, please include name, relationship, phone number and email address
Any other information you would like to share with us?
Declaration Hoppy, Healthy & Safe reserves the right to accept or decline volunteers based on the information gathered. For reasons of confidentiality, HH&S will not share this information or reasons for denial with any applicant. By entering my name below I certify that the information I have supplied is correct to the best of my knowledge. I give permission to contact the references provided, conduct a background check and a release of my motor vehicle records.	Clear
Date