Community Service Application
Thank you for your interest in completing your Community Service hours with the Sioux Falls Area Humane Society. This application is strictly for use by those seeking to fulfill Court Ordered Community Service with SFAHS. Submission of this application does not indicate acceptance as a court ordered volunteer. Please complete this application form to the best of your ability.
Personal Information
Name
*
First Name
Last Name
Preferred Name (If you have one)
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Driver's License Number (Put N/A if you do not have one)
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Birthday
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Must be 16+ to come alone. Those under 16 will need to come with a parent/guardian.
Parental/Guardian Information-For Those Under 16 Years of Age
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Emergency Contact Information
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Relationship Type
*
Service/Case Details
Please provide details regarding your conviction AND the charge of which you were accused. Please add any additional information you'd like to include.
*
What city and county were you charged in?
*
Court Name
*
Court Case Number
*
Court Contact Name
Court Contact Phone Number
Hours Needed
*
Date Deadline
*
Please include any additional pending or completed charges you have on your record here. If you omit information, it could disqualify you from the program. Put N/A if there's no others pending or completed charges.
*
Schedules/Roles of Interest
Days that I am available:
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Availability during the day, scheduling is for two hours a day:
*
7-9 am
8-10 am
9-11 am
10-12 am/pm
11-1 am/pm
12-2 pm
1-3 pm
2-4 pm
3-5 pm
4-6 pm
Areas of Interest--This does NOT guarantee placement in these areas.
*
Laundry
Garage (Dishes, etc)
Yard Work
Kennel Cleaning
Organization
Policies and Agreements
I understand that, as a court-ordered community service participant, I will not be permitted to handle animals directly. I will instead assist with other duties that support the care and well-being of the animals, as assigned by shelter staff.
*
Yes
I understand that I am expected to maintain strict confidentiality regarding matters related to the Sioux Falls Area Humane Society (SFAHS). This includes not speaking with any media outlets, other rescue organizations, or animal care facilities, and refraining from posting on social media on behalf of SFAHS without prior approval from the Executive Director. Any breach of confidentiality is considered a serious violation of SFAHS policy and will result in immediate termination from the program.
*
Yes
I understand that I am not allowed to bring others who are not registered volunteers unless otherwise approved. This policy includes friends, children, and relatives.
*
Yes
I understand that my volunteer service may involve exposure to various work conditions and potential risks. I acknowledge and assume responsibility for the risks of injury or illness that may arise from or be related to my volunteer services at the Sioux Falls Area Humane Society. I understand that volunteers are not covered by workers’ compensation or disability benefits through the Sioux Falls Area Humane Society. To the extent permitted by law, I release and hold harmless the Sioux Falls Area Humane Society, its officers, directors, employees, and staff from claims for damages arising from injuries or illnesses I may sustain in connection with my volunteer services.
*
Yes
I understand that I am applying for court-ordered community service at the SFAHS, however that this application does NOT guarantee approval.
*
Yes
I agree to follow all shelter rules, policies, and instructions from shelter staff.
*
Yes
I understand that I must arrive on time for my scheduled service hours and remain for the entire scheduled shift.
*
Yes
I understand that only hours approved by shelter staff will be documented.
*
Yes
I agree to notify the shelter as soon as possible if I am unable to attend a scheduled shift. I understand that no showing will result in termination from the program.
*
Yes
I agree to follow all cleaning, sanitation, and safety instructions.
*
Yes
I agree to treat all animals, staff, volunteers, and members of the public with respect.
*
Yes
I understand that inappropriate, unsafe, or disruptive behavior will result in termination of my community service placement.
*
Yes
I understand that I am responsible for meeting all requirements and deadlines established by the court or supervising agency.
*
Yes
I understand that the shelter will verify only the community service hours I actually complete.
*
Yes
I understand that the Sioux Falls Area Humane Society can terminate this agreement at any time for any reason.
*
Yes
By signing my name, I certify that the information I have provided in this application is true and accurate.
*
Please verify that you are human
*
Submit
Should be Empty: