Volunteer Application                                        Caroline County Humane Society
Anyone interested in becoming a CCHS volunteer must receive an interview and training prior to working in the shelter. Information will be given to you on our policies and philosophies so that you can better support our efforts. This form will help us to find the most satisfying and appropriate volunteer tasks for you.
Email *
Applicant Information
Applicant Name *
Applicant Date Of Birth *
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Home Phone *
Work Phone
Cell Phone
Email Address
Address *
City *
State *
Zip *
County
Drivers License Number
Drivers License State
Emergency Contact Name *
Emergency Contact Phone *
Any Convictions? *
Have you ever been convicted of a felony or misdemeanor of which a sentence of more than one year may have been imposed?
Conviction Explanation
If you have been convicted of a felony or misdemeanor of which a sentence of more than one year may have been imposed, please give the date, nature of the offense, and disposition.
Volunteer Information
Time Available *
Time(s) available to volunteer.
Required
Hours Available *
Number of hours available to volunteer each day.
Days Available *
Required
Availability Restrictions
Restrictions that could affect your availability for volunteer work (family, work schedule, etc.).
Limitations
Any medical, physical, or other limitations on the type of volunteer work you can perform.
Have Volunteer Experience *
Volunteer Experience Description
If you've had previous volunteer experience, please explain where and when.
Volunteer Reason *
Why are you interested in volunteering at the Humane Society?
Companion Animals
Do you have companion animals of your own? If so, please describe each.
Animal Status
If you have any companion animals of your own, are they spayed/neutered AND up to date on shots?
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Talents Or Skills
Do you have any special talents or skills that you feel you could lend to our program?
Volunteer Tasks *
What type of volunteer tasks are you interested in?
Required
Use Of Hours *
Please indicate if you will be applying your volunteer hours towards anything specific.
Volunteer When Done *
Once you have met your Community Service / Service Learning Hour requirements (if applicable), would you like to continue to volunteer?
Agreement/Signature
You must be 14 years or older to participate in a volunteer area involving direct contact with animals. Any person under the age of 14 years must be accompanied by an adult who has met our volunteer requirements, including orientation or any appropriate training. Junior volunteers (ages 10-18) may attend specially designed shelter events without an adult to allow for proper supervision by staff.

Thank you for filling out this application. We will contact you to schedule an interview or for orientation. Training may be required for some of our programs.

THANK YOU FOR WANTING TO HELP OUR ANIMALS!!!

I understand that misrepresentation or omission of the facts requested is cause for non-appointment as a volunteer. If appointed as a volunteer, I agree to abide by the philosophies of the Caroline County Humane Society and to fulfill the volunteer responsibilities to the best of my ability.

Applicant Digital Signature *
Please type your name, indicating your acceptance of the above agreement.
Applicant Signature Date *
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A copy of your responses will be emailed to .
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