Family Volunteer Application - Oshkosh Area Humane Society

Parent/Guardian Name

First

Last

Address

City

State/Province

Zip/Postal

Country

Phone

Date of Birth:

Emergency Contact Name and Number:

Employer:

Youth Name (Age 12-15)

First

Last

If address is different than above, please list it here:

School:

Emergency Contact Name & Number:

Do you or your child have any physical or psychological limitations or disabilities that might make some aspects of volunteering more difficult? (such as back injury, epilepsy, allergies, phobias, etc.)?

Yes

If yes, please explain:

Are you working with an agency or job coach to gain job skills through volunteering?

Yes

SKILLS & EXPERIENCE: Why do you want to volunteer? What do you hope to contribute? What do you hope to gain from your volunteer experience?

Please list any skills or hobbies that you have that may be helpful to OAHS (such as sewing, photography, computer skills, teaching ability, etc.):

Training is provided for all positions. Successful completion of training is required for your volunteer application to be approved. I am interested in beginning my hands-on volunteering experience with:

Cat Socialization – Play with the cats, pet / socialize / brush, scoop litter boxes

Dog Socialization – Walk and exercise dogs, conduct basic manners training, read and relax

Small Mammal Socialization – Exercise small mammals, socialize, provide enrichment

OtherOther

Would you be willing to commit to a regular scheduled shift/shifts?

Yes

Are you willing to commit to at least 6 hours per month?

Yes

Are you willing to commit to at least 4 months of volunteering?

Yes

Are you able to work independently without staff support?

Yes

Additional comments:

If you are human, leave this field blank.

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