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New Volunteer Application |
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Date_________________ Name___________________________Nickname___________________
Address__________________________________________________________________________
City_________________________________ State__________ Zip _______________-________
Home Phone ______________________________ Fax __________________________________
Work Phone ______________________________ e-Mail ________________________________
How did you hear about GHS _______________________________________________________
Special Skills you could contribute to GHS? ___________________________________________ _____________________________________________________________________________
What prompts you to want to volunteer with GHS? _______________________________________ _____________________________________________________________________________
Indicate below your area of preference for volunteering:
____ Adoption Days/Placement
____ Education Committee
____Fundraising
____ Foster Home
____ Newsletter/Newsletter Distribution
____ Pat-A-Pet Program
____ Phone Lines
____ Prevent-A-Litter campaign (annual)
____ Special Events (community appearances)
____ Publications
Do you wish to volunteer on a routine (weekly, monthly) basis? ______________________________
Number of hours you would like to volunteer with GHS _________________/ __________________
Are you required to complete a certain amount of volunteer hours for a school, church, or other organization?______________________ If so, how many hours?____________________________
Please list the names of any friends or relatives working or volunteering with GHS. Also list their relationship to you. ______________________________________________ ________________________________________________________________________
Do you have any physical or mental limitations that may hinder you from participating in any part of the program? Yes______No______ If Yes please explain _____________________________________ ______________________________________________________________________________
Please list any Illnesses, Allergies, or Disabilities that may hinder you? (ie. Heart condition, diabetes, back injuries, epilepsy). ________________________________________________________________ ______________________________________________________________________________
What is your experience with Animal Care, Training, and Handling?___________________________ ______________________________________________________________________________ ______________________________________________________________________________
What pets do you currently have in your home? (Name, type, age) ____________________________ ______________________________________________________________________________ ______________________________________________________________________________
Where do your pets live? __________________________________________________________
Are your pets spayed/neutered? _____________________________________________________
What happened to your past pets? ___________________________________________________
Can you provide a foster home for a dog ____________________or a cat ____________________
Where would the foster animal stay? _________________________________________________
Please explain your philosophies regarding the following areas:
Have you ever adopted an animal from this group or another rescue group or shelter? ______________
If so, from whom? _________________When?___________________________________________
In case of emergency:
Notify _____________________________________ Phone ________________________________
Signature ________________________________________________________________________
Under 19 years old, Guardian Signature _________________________________________________
If you are under 19 years of age your parent is required to volunteer with you. Please reference our Junior Volunteer Policies and Requirements. Thank you for your interest in volunteering.
Please return your completed application to:
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Gwinnett
Humane Society
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Volunteer
Coordinator
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P.O.
Box 750 Lawrenceville, GA 30046
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770-798-7711
Line 6 |