Volunteer Application

 

General Information

1. Personal Information:

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Name:

 

 

   

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City/State/ZIP:

 

    

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Date of Birth:

 


 

Campus Selection

Note: If you are willing to volunteer at more than one campus or do not have a location preference, please choose “Any” in the Campus Selection field and a representative from WHS will follow up with you. 

*2.


 

Children (if applying with a child under 18):

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4.
Question - Not Required - Child's date of birth:




 

Employment and Education

*5.

(Maximum response 255 chars, approx. 5 rows of text)

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(Maximum response 255 chars, approx. 5 rows of text)

 

Conviction may not necessarily disqualify you from volunteering.  We may conduct a background check, and if you do not provide complete and truthful information, you could be rejected or terminated.

*10.


 

Tell Us About Yourself

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(Maximum response 255 chars, approx. 5 rows of text)

*15.

(Maximum response 255 chars, approx. 5 rows of text)

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(Maximum response 255 chars, approx. 5 rows of text)

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(Maximum response 255 chars, approx. 5 rows of text)

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(Maximum response 255 chars, approx. 5 rows of text)

*20.


 

Volunteer Interest

 

Which volunteering opportunities are you interested in?

21.
Question - Not Required - Customer Service:

22.
Question - Not Required - Domestic Animals:

23.
Question - Not Required - Wildlife:

24.
Question - Not Required - Children's Programs:

25.
Question - Not Required - Additional Positions:

*26.
Question - Required - When will you be available to volunteer? (Please check all that apply.)
Please make between 1 and 5 selections from the choices below.

 

Volunteer Requirements

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Emergency Contact

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*35.  


 

In consideration of WHS accepting my application for participation in WHS programs, I agree to release and hold harmless WHS from and against any and all loss, damage, claims, liability, costs, and expenses, of any nature whatsoever, including without limitation attorney's fees and disbursements, arising from or occasioned by my participation in WHS' programs. I understand there are certain risks inherent in handling animals and I accept those risks. I understand if an accident or injury should occur, no matter how minor, that I will complete a Volunteer Injury Report form and seek any necessary medical attention utilizing my own medical insurance. 

I agree that WHS may photograph my participation in this program, and I hereby release any such photographs to WHS for use in its programs, publications and purposes.

*36.


 

If you are a parent or guardian applying for a minor, you agree to the following: I give permission for my child to participate in the volunteer program at the Wisconsin Humane Society. I release and hold harmless the Wisconsin Humane Society, its agents, and employees from responsibility or liability arising out of my child’s participation. I understand there are certain risks inherent in dealing with animals. I certify that my child is covered under my health insurance policy should injury take place while volunteering or participating and I will be responsible for his/her medical bills.

37.


   Please leave this field empty