subject_line
HSGKC Volunteer Profile
First Name
*
Last Name
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Home/Cell Phone
*
Email Address
*
Confirm Email Address
*
Employer
*
Position
*
Work Phone
Date of Birth listed as MM/DD/YYYY. (Volunteers under the age of 18 must have parental consent to volunteer. A parent or guardian must accompany volunteers under the age of 16.)
*
+
If under the age of 18 please list Parent or Guardian's name
Emergency Contact
*
Relationship
*
Phone
*
Alternate Phone
Personal Information
Excluding traffic violations, have you ever been convicted of any criminal offense?
*
No
If Yes, please explain:
If Yes, please explain:
Please list any other organizations for which you are a volunteer
*
0/500 characters
Do you have experience working with animals?
*
No
If Yes, please describe:
If Yes, please describe:
Do you have pets?
*
Yes
No
Please provide the following info about your current pets:
Pet's Name
Type/Breed
Current on vaccinations?
Spayed or neutered?
Pet 1
Pet's Name
Type/Breed
Current on vaccinations?
Spayed or neutered?
Pet 2
Pet's Name
Type/Breed
Current on vaccinations?
Spayed or neutered?
Pet 3
Pet's Name
Type/Breed
Current on vaccinations?
Spayed or neutered?
Pet 4
Pet's Name
Type/Breed
Current on vaccinations?
Spayed or neutered?
Pet 5
Pet's Name
Type/Breed
Current on vaccinations?
Spayed or neutered?
Pet 6
Pet's Name
Type/Breed
Current on vaccinations?
Spayed or neutered?
Do you understand that due to certain circumstances we do occasionally have to perform humane euthanasia (putting animals to sleep)?
*
Yes
No
Do you have any medical conditions/allergies that the Humane Society should be aware about?
*
No
If Yes, please explain:
If Yes, please explain:
How did you hear about this volunteer opportunity?
*
Preferences
Do you have a particular skill or talent that you would like to use in your volunteer work for the shelter?
*
0/500 characters
Mon
Tues
Wed
Thurs
Fri
Sat
Days and times that you are available to volunteer:
Mon
Tues
Wed
Thurs
Fri
Sat
How many hours per week/month do you desire?
*
Are you interested in fostering pets for The Humane Society of Greater KC?
*
Yes
No
Are you willing to transport animals as part of volunteering?
*
Yes
No
If yes, is the car you would be driving covered by liability insurance?
*
No
N/A
If Yes, list the name of insurance carrier
If Yes, list the name of insurance carrier
References
Please supply two references who are not family members:
*
Name
Relationship
Phone
Reference 1
Name
Relationship
Phone
Reference 2
Name
Relationship
Phone
Other Information
I agree to my photograph being published on The Humane Society of Greater Kansas City’s website and/or any other publications or newspaper submissions to further HSGKC’s activities.
*
Yes
No
Additional information or comments
0/500 characters
I verify that the above information is accurate to my knowledge, and I understand that the completion of this profile does not guarantee me a volunteer position with the Humane Society of Greater Kansas City. Volunteer profiles must be filled out completely to be considered for a volunteer position. Volunteers under 16 years of age must be accompanied by a parent or legal guardian at all times while volunteering at HSGKC.
*
I agree
Powered by
Report abuse