Volunteer Application Name * First Name Last Name Date of Birth * MM DD YYYY Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Alternate Phone (###) ### #### Email * Emergency Contact Name First Name Last Name Emergency Contact Phone (###) ### #### What volunteer role are you interested in? Please check Dog walking/enrichment Cat enrichment Thrift Store - Cashier Thrift Store - Sorting/Pricing Fundraising/Special Events Maintenance Please tell us about your volunteer/work experience: Please tell us about your experience with/around animals: Please list any restrictions you have (i.e. no heavy lifting, allergies, no large dogs): Availability Monday Morning Afternoon Full Day Tuesday Morning Afternoon Full Day Wednesday Morning Afternoon Full Day Thursday Morning Afternoon Full Day Friday Morning Afternoon Full Day Saturday Morning Afternoon Full Day Sunday Morning Afternoon Full Day A member of the NHS team will contact you to discuss your application further. Please indicate your preferred method of contact: * Phone Call Email Text Message Signature *Please type your name Thank you for submitting your Volunteer Application and for supporting the Northumberland Humane Society.
