Volunteer Application

"*" indicates required fields

Thank you for your interest in volunteering with the Brown County Humane Society (BCHS)! BCHS is a 501c3 nonprofit organization and relies heavily on dedicated volunteers to help us provide animals with compassionate care, safety, socialization, and enrichment while in our care. Please complete this application entirely and drop off to one of our locations above, or email to manager@bchsohio.org.

Your Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Alternate Phone

Email*

Are you at least 18 years old?*

If no, how old are you?*

Type N/A if you're over 18. For volunteers under 18 a parent or guardian must also complete the bottom section of this form.

If under 18, a parent or legal guardian must sign the general release/waiver on last page of this application.

Please check all areas of interest:*

Cleaning

Walking/Playing with Dogs

Bathing/Grooming Dogs

Socializing Cats/Kittens

Fostering Cats/Kittens

Fostering Dogs/Puppies

Fostering Horse/Livestock

Fundraising

Off-site Adoption Events

BCHS Special Events (ex: annual banquet, fair booth)

Transporting (ex: to vet appts, rescues)

Landscape/Facility Maintenance

Office Help (ex: paperwork, organizing)

Other

How often are you available to volunteer?*

Almost anytime

My schedule varies weekly

Please indicate what times you are available to volunteer:

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Our volunteer program is very flexible. Volunteers can show up to our shelters anytime during open hours to spend time with the animals. However, it is helpful for staff to know ahead of time when volunteers are coming so we can plan accordingly. Would you like to commit to a certain day/time each week to volunteer?*

Help us get to know you!

What pets do you currently have?*

Type N/A if you do not have any pets.

Describe any animal handling experience you have:*

Why are you interested volunteering with BCHS?*

Describe other volunteer experience, if applicable:

Do you have any experience with planning/coordinating events?*

Do you have any experience with volunteer coordination?*

Do you have any fundraising experience?*

Other skills/traits you would like to mention that could be used to benefit BCHS (ex: photography, grooming, graphic design, computer tech support, etc.)

If interested in volunteering with dogs, please check all that you have experience with and are comfortable handling:*

Dogs <30 lbs

Dogs 30-60 lbs

Dogs > 60 lbs

High energy dogs

Strong pulling dogs

Fearful dogs

Young puppies

How did you hear about our volunteer program?*

From a current BCHS volunteer/foster

Facebook

Website

At Shelter

Friend/Relative

Other

Emergency Contact:

Name*

First Last

Relationship*

Phone*

In order to volunteer in any BCHS program or activity, the following release must be signed.

I hereby apply to volunteer for the BCHS to work on activities designated by BCHS and/or Shelter staff. I UNDERSTAND THAT WORKING WITH ANIMALS CAN BE A HAZARDOUS ACTIVITY AND THAT I AM VOLUNTARILY PARTICIPATING IN THIS ACTIVITY WITH THE KNOWLEDGE OF THE DANGERS INVOLVED. I recognize that I may be directly handling animals from or in the BCHS animal shelter and that animals by their nature are unpredictable and that contact with same can cause serious injury and death. As herein provided, I agree that BCHS is not liable for any accidents/injuries which occur during participation as a volunteer for BCHS. On behalf of myself, my children, my legal charges, personal representatives, and assignees, I hereby release and discharge BCHS, its Agents, Managers, Directors, Employees, and Assigns from any and all liability for any injury and/or property damage which may occur while participating as a volunteer. I agree to indemnify and hold harmless BCHS from any and all costs, damages, expenses or other amounts it may be caused to pay on account of any injury I might suffer. I waive these rights knowingly and voluntarily.

I hereby authorize BCHS to use any photographs of me in their possession for public relations purposes. BCHS will use reasonable efforts to give me advanced notice of such use, but notification is not a condition of this waiver.

I understand that ANY mistreatment of animals will result in criminal charges being filed.

Volunteer Signature*

Date*

FOR VOLUNTEER UNDER 18 YEARS OF AGE

Parent/Guardian Name (Print)

First Last

Relationship to minor volunteer

Parent/Guardian Signature

Date

Please Note: Dog Volunteers must attend a Volunteer Orientation at the Dog Shelter before participating in volunteer activities. For dog volunteers under the age of 18, a parent or legal guardian must attend the orientation as well as accompany the minor during any subsequent volunteer activity.