Volunteer Application Form

Volunteer Application
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency Contact and Relationship*
Names, Relationships, and Phone Numbers of Two References*
Note any criminal history (convicted of a felony, required to register with law enforcement in Ohio or another state, on probation or parole). This will not automatically disqualify you as a volunteer. N/A if this does not apply.
Let us know if you have any allergies, asthma, or any other condition that you would like for us to know about.
How did you hear about us?*
Describe present and previous volunteer positions.*
List skills, training, or hobbies you would like to share with us.*
List days and times you are available, and how much time you wish to dedicate to volunteering each week.*
In what areas would you like to volunteer?*

Community EventsFundraising/Special EventsPhotographyBehavior TrainingCat CareDog CareFoster CareSocial Media/WebsiteDonation/Supply Pick UpGrant WritingTransportationOfficePhysical Care of PremisesOther
I understand and agree that submitting this application form does not automatically register me as a Columbiana County Humane Society volunteer. There may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures,beforeI may begin volunteering.

By submitting this form, I attest that the information I have provided on the form is true and accurate.
I agreeI disagree
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