Submitted by admin on Fri, 03/09/2018 - 11:13 Name * Address * City * State * Zip * E-mail * Home Phone * Work Phone Cell Phone Do you have a valid drivers license? * Yes No Are you a student * Yes No Date of birth Are you employed? * Yes No Retired Employment Type Full Time Part Time Other Job Skills How did you hear about the Effingham Co. Humane Society? Why are you interested in volunteering for our organization? Previous Volunteer Experience Have you previously worked with animals? Have you ever been convicted of a crime involving cruelty to animals? * No Yes Are you allergic to animals? * Yes No What types? How many animals do you own? - None -12345More than 5 What types? Interests, skills, hobbies What types of volunteer work would you like to do? With dogs/puppies Office Adoption Counseling/Outreach With cats/kittens Fundraising/Donations Special Events Crafts Cleaning/Laundry Presentations Baking Sewing I give permission to the Effingham Co. Humane Society to verify the information above * Yes No Leave this field blank Submit