Volunteer Application

First name *
Middle Name *
Last name *
Birth Date *
Address *
City *
State *
Zip *
Email *
Cell phone *
Home phone
Who can we notify in case of emergency (include name and phone number):
Are you over 16 years old?
If under 16 years of age, name of parent or guardian. Volunteers under the age of 16 must be accompanied by an adult.
Do you have any pets? If so, how many and what kind?
Why do you want to volunteer with us?
Do you have any physical restrictions, medical limitations or allergies?
Do you have any special training or skills that you would like to use at the shetler?
Volunteer Needs: The following is a list of opportunities. Please check which assignments you would be interested in:
What day(s) of the week are you frequently available for volunteering?
Comments & Additional Information Is there in additional information you would like us to know?
Signature: *
Parent/Guardian Signature if under 18:
Date you can start volunteering:
Thank you for your interest…remember your efforts really do make a difference in the lives of our homeless animals. We appreciate whatever time you have to volunteer. In the event that I become a member of the Community Humane Shelter of Steuben County Volunteer Program, I agree to abide by all present and subsequently issued rules of the Community Humane Shelter of Steuben County. The Community Humane Shelter of Steuben County reserves the right to decline any volunteer application for any reason.