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Adams County Humane Society Volunteer Program Application
Thank you for your interest in volunteering with the Adams County Humane Society! All potential volunteers must submit a completed application and attend an orientation. Questions: 608-399-6700 or
[email protected]
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Indicates required field
Name
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First
Last
Phone Number
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Email
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Date of Birth
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Are you 18 years old or older?
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Yes
No
All volunteers must be 13 years of age or older. Volunteers under 18 years of age must have a parent co-sign the Volunteer Waiver of Liability that is attached to the volunteer application. If you are 16+ years you may volunteer without an adult present. If you are 13 - 15 years old you MUST be accompanied by a parent or guardian at all times at the shelter or at events held at other locations.
Driver's License #
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State Issued In/ Expiration Date
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Occupation
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Highest Level of Education
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Emergency Contact Name, Relationship & Phone #
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Are You A Student Volunteer
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Yes
No
If Yes, Name of School
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Will you receive academic crdit for your volunteer work?
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Yes
No
Have you been convicted of a misdemeanor or a felony in the last 5 years?
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Yes
No
If yes, the year and what for?
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+ Answering “yes” will not automatically disqualify you from volunteering with our organization. +
Have you volunteered for ACHS before?
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Yes
No
If yes, when?
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Do you have any allergies or conditions that may affect your ability to do certain tasks?
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Yes
No
How did you hear about volunteer opportunities at ACHS?
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Why do you want to volunteer at ACHS?
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What personal goals do you want to fulfill through your volunteer work at ACHS?
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SCHEDULING & AVAILABILITY- Please check the days & times of the week you are available to volunteer.
Choose all that apply.
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Monday AM
Monday PM
Tuesday AM
Tuesday PM
Wednesday AM
Wednesday PM
Thursday AM
Thursday PM
Friday AM
Friday PM
Saturday AM
Saturday PM
Sunday AM
Sunday PM
.Most ACHS volunteer positions require a minimum six-month time commitment. Are you able to commit to at least six months?
Choose One
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Yes
No
Depending on your position shifts are usually scheduled between 1-4 hours, however this commitment can be flexible.
Would you be willing to commit to a regular schedule?
Choose One
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Yes
No
Do you prefer to work
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Alone
Mostly With Animals
Mostly With People
With Animals & People
Group Projects
All
INTERESTS: Please check the volunteer opportunities you are interested in.
Choose Any
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Cleaning/Kennel Assistant/Attendant: washing and drying kennels, litter pans, food dishes, and laundry. This requires some animal handling, a fair amount of hard work and you may get dirty. This position is most important to the care and well-being of the animals at the shelter.
Dog Walking: Walk dogs around the walking trails and spend time supervising and playing with dogs out in one of the large play yards. Once trained for dog walking, dog walkers can also take dogs off shelter grounds to approved locations. *Important* Dog Walkers must attend an additional training session prior to working with dogs.
Cat Cuddling/Socialization: Spend time socializing with cats and kittens in the shelter. Play with cats, brush them, and record information about their traits, demeanor and activity levels. Help potential adopters become acquainted with adoptable felines. Some additional training is required.
Front Desk/Data Entry: Help office staff by answering phones, greeting the public, performing data entry, and filing. Some additional training is required.
Transportation: Transport crated animals to and from vet clinics and other various destinations. At times we also are in need of transporting items such as donations, event supplies, etc.
Animal Ambassador: Taking animals outside of the facility to nursing homes/assisted living homes for pet therapy.
Foster Homes: Providing cares to animals in your own home, usually moms with kittens, un-weaned kittens and animals with special needs. We provide the supplies; you provide the loving home. Separate application and waiver is required to foster & must be completed. Must meet specific requirements & some training may be required.
Landscaping and Maintenance Work: Various grounds keeping and general building maintenance.
Community Outreach/Education: Visit businesses, schools and other places in the Adams county area and give educational presentations about ACHS or pet safety, bite prevention, etc. ACHS has materials and information for your use. Some training is required.
Fundraising Events: Help raise awareness and funds at special events. Put up signs and posters, set-up/take down at events, staff tables, solicit silent auction items, and other tasks involved in a specific event. Or create, organize and facilitate your own small fundraising events. There are endless possibilities such as: bake sales, donation drives, car washes, cookout, or any other ideas you can think up! Creativity is encouraged!
ACHS Board of Directors: We are currently looking for a vice president and several director positions.
Please share any special skills that we should know about (i.e., professional groomer or trainer, computer skills, etc.)?
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In consideration of the Adams County Humane Society accepting my application for participation in the Volunteer Program, I agree to release and hold harmless the Adams County Humane Society, its Directors, Officers, Agents, and Employees from and against any and all loss, damage, claims, liability, costs and expenses of any nature whatsoever, including without limitations, attorney’s fees and disbursements, arising from or occasioned by my participation in the Adams County Humane Society Volunteer Program.
I understand there are certain risks of personal injury, death, disease and property damage in handling the animals and other volunteer activities on behalf of the Adams County Humane Society, and I accept those risks.
I agree that the Adams County Humane Society may photograph my participation in the program and I hereby release any such photographs to the Adams County Humane Society for use in its programs, publications, and purposes.
I agree that my status as partially approved does not mean I am approved to volunteer at Adams County Humane Society. I understand that I am fully approved to volunteer at Adams County Humane Society once a background check has been approved and the required orientation has been completed. I have read and fully understand the terms and conditions of the Volunteer Agreement and Waiver of Liability and I willingly comply with all its conditions.
> Signing this application will be done when you come to the shelter for your volunteer orientation appointment. <
SIGNATURE _________________________________________________________________ Date ____________________________
ACHS Representative _________________________________________________________ Date ____________________________
Parent’s Signature ____________________________________________________________ Date ____________________________
Submit
Home
Adopt
Adoptable Animals
Adoption Process
Adoption Fees
Pet adjustment process
Volunteer/Foster
Volunteer
Foster
Donate
Amazon & Chewy Wishlists
Faith's Fund
Legacy Giving
Vehicle Donation
Other ways to support
About ACHS
About Us
Events
