CHA Volunteer Application

CHA Volunteer Application
ALL VOLUNTEERS MUST BE 18 OR ACCOMPANIED BY A GUARDIAN AT ALL TIMES. If you are under 18, please have your guardian fill out the application.

Thank you for your interest in volunteering with the Chippewa Humane Association! Volunteers play a vital role within our organization. Without your support, we would not be able to assist nearly the number of animals who need help in our community. Please allow one week after you submit your application for a staff member to reach out to you to discuss the next step!
Volunteer Information
Name

First Name Last Name
Date of Birth

Month Day Year
Date
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Occupation
Employer
Are you applying for:

Yourself As a guardian
Please list any skills or experience that may be useful to the shelter
Tell Us More About Yourself
Why do you want to volunteer at CHA?
What experience do you have working with animals?
Do you have a pet now?
Is your pet spayed/neutered?
How would you discipline your pet if he/she misbehaved?
Are you allergic to cats or dogs?
Can you commit to 4 hours a month in scheduled two-hour shifts?
Is there any other information you would like to share with us?
I certify that the statements made on this application are true and have been given voluntarily. I understand that this information may be disclosed to other parties, including for such purposes as criminal background checks, and I release CHA from any liability whatsoever for supplying such information. I fully understand and agree that filling out this volunteer application does not obligate the CHA to accept my request.
Signature

Clear
Date

Month Day Year
Date
Should be Empty:

CHA Volunteer Application

Volunteer Information

Tell Us More About Yourself