Community Service Volunteer Application
If you have questions about this application, please contact the Volunteer & Community Programs Coordinator at julia@uvhs.org or call 603-448-6888.
Sign in to Google to save your progress. Learn more
Full Name *
Date of Birth (if under 18)
MM
/
DD
/
YYYY
Phone Number (include area code) *
Email Address *
Mailing Address *
If under 18, please list the full name, email address and phone number of the accompanying parent or guardian. *
Do you have a previous relationship with UVHS? If yes, please explain. *
Please tell us why you are doing community service (if court-mandated please indication offense), how many hours you need to fulfill and the deadline for completion of hours. *
Will you require a letter confirming your completed community service? If yes, to whom should it be addressed? *
What skills, talents, certifications, degrees, or experience would you like to offer UVHS? *
Do you have any special accommodations, requirements, or allergies? If yes, please describe. Please be advised that UVHS uses products that contain peanuts, tree nuts and other allergens. Peanut butter is often used for enrichment activities and may be present throughout the facility.
Community service volunteers are restricted to general cleaning opportunities, such as laundry, sweeping/mopping, dishes, and other small projects. These duties can be conducted any day of the week between the hours of 9am and 4pm but must be scheduled in advance with the supervisor who will be assigned to you. Volunteers must be 14 years or older. 14 to 16-year-olds must have a work permit and constant adult supervision from a parent/guardian who is also a trained volunteer. Do you understand? *
Please indicate days and times you are available to volunteer. *
List the full name, address and relationship of your emergency contact person. *
List the phone number and email of your emergency contact person. *
By typing your full name and today's date, you authorize its use as your digital signature for this community service volunteer application to the Upper Valley Humane Society. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Upper Valley Humane Society. Report Abuse
Google Forms