Volunteer Application

Nelson SPCA

Humane Society/SPCA of Nelson County Volunteer Program

We’re thrilled that you’re interested in joining our team of dedicated volunteers. Our mission is to improve the lives of animals in our community, and volunteers like you play a vital role in achieving this goal. Whether you want to work directly with animals, assist with events, or help behind the scenes, there are many ways to contribute.

Please complete the form below to tell us more about yourself and how you’d like to help. We look forward to working with you to make a positive impact on the lives of animals in our community.

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Full Name *

Are you under the age of 18? *

Name of your parent or guardian *

Date of Birth *

Mobile Number *

Email *

Address *

Address Line 1

City

State

Zip Code

Emergency Contact

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Mobile Number *

Contact Email *

Address *

Address Line 1

City

State

Zip Code

Availability

Please indicate whether you are interested in seasonal or year-round volunteer opportunities.

Seasonal
Year-round

Days Available *

Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Times Available *

Morning
Afternoon
Evening

Are you able to commit to a minimum number of volunteer hours per month?

How many hours per month can you commit to? *

Skills and Experience

Do you have any previous volunteer experience? *

Please describe your volunteer experience. *

Do you have any experience working with animals? *

Please describe your experience working with animals. *

Do you have any specific skills or certifications that may be relevant to volunteering with us? *

For example, veterinary skills, dog training, etc.

Please tell us what your skills or certifications are. *

Are you comfortable working with all types of animals?

Please specify what animals you are comfortable working with.

For example, I prefer to work with just cats, or just dogs.

Do you have any allergies or physical conditions that might affect your volunteer work? *

What allergies or physical limitations do you have that might affect your volunteer work? *

Interests and Preferences

Which volunteer activities are you most interested in? *

Dog socialization
Leash training or walking
Cat socialization
Grooming
Training
Foster care
Veterinary services
Cleaning and maintenance
Yard work or building maintenance
Transport driver
Administrative tasks
Event assistance
Social Media
Fundraising
Board Member
Other

Please specify what volunteer activities you are interested in. *

Health and Safety

Do you have any allergies or medical conditions that may affect your volunteer work? *

Please describe what the allergies or medical conditions are. *

Are you physically able to perform the tasks associated with the volunteer position you are applying for? *

Background Information

Have you ever been convicted of a crime? *

You indicated that you’ve been convicted of a crime. Please explain. *

Are you currently employed? *

Please provide your occupation and employer's name. *

Do you have a valid driver's license? *

References

Are you willing to provide references? *

Add your references below

Full name *

Phone number *

Relationship *

Additional Information

How did you hear about our volunteer opportunities?

Is there anything else you would like us to know about you?

Have Please name.

Volunteer Hold Harmless Agreement

Terms and Agreement *

I fully understand and agree to assume all risk involved in any and all duties that I perform as a volunteer or foster care provider for the Humane Society/SPCA of Nelson County, and I agree to hold the Humane Society/SPCA of Nelson County harmless for any injuries or damages that I might sustain during the course of such activities, wherever they may occur.

This waiver does include myself, all of my family members and descendants forever from seeking any legal action whatsoever against the Humane Society/SPCA of Nelson County, owners and operators of Almost Home Pet Adoption Center, and its officers, directors, employees, or representatives.

I have read and understand the terms and agree to comply with the Nelson SPCA's Volunteer Hold Harmless Agreement.

Animal Cruelty Affidavit

Terms and Agreement *

I affirm that I have never been convicted in any court of law of any offense involving animal cruelty, neglect, and/or abandonment. For the purposes of this Affadavit “animal” is defined as any non-human vertebrate species except fish. I understand that making false statements can result in prosecution.

I acknowledge that I have read and fully understand the terms and conditions of the Animal Cruelty Affidavit.

Applicant Name *

First

Middle

Last

Applicant Signature

Clear Signature

Parent/Guardian Name *

First

Middle

Last

Parent/Guardian Signature

Clear Signature

Today's Date *

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Volunteer Application

Humane Society/SPCA of Nelson County Volunteer Program

Emergency Contact

Availability

Skills and Experience

Interests and Preferences

Health and Safety

Background Information

References

Add your references below

Additional Information

Volunteer Hold Harmless Agreement

Animal Cruelty Affidavit

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