Before You Begin

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KHS Volunteer Application

Hello! It's nice to meet you! Can we start with your name?

Name

Title

Preferred Name or Nickname (What should we call you?)

Thank you for considering the Kalamazoo Humane Society for volunteering! The Kalamazoo Humane Society has been improving the lives of animals since 1897, and our volunteers are a critical part of our ability to continue helping animals and their owners.

Our primary focus is on pet overpopulation prevention and veterinary healthcare which is accomplished through low-cost spay/neuter surgeries and access to full service non-emergency veterinary care, outreach in the community, and partnerships with other animal organizations. We also participate in community events, offer a pet food bank, provide shelter and straw for outdoor dogs seasonally, among other services and programs all designed to help people and animals in our communities. Our primary focus is on pet overpopulation prevention and veterinary healthcare which is accomplished through low-cost spay/neuter surgeries and access to full service non-emergency veterinary care, outreach in the community, and partnerships with other animal organizations. We also participate in community events, offer a pet food bank, provide shelter and straw for outdoor dogs seasonally, among other services and programs all designed to help people and animals.

Before you apply to volunteer at KHS, we want to make sure you understand that we do not have adoptable animals at our office. KHS is not a shelter or a pet rescue. While we do have animals on-site during the day, those animals are here for spay/neuter services or other types of veterinary care. As part of our partnership with KCASE, we do direct those wishing to work directly with the animals to assist at the shelter. Those volunteer positions are hands-on with animals, and happen at the shelter location and not at KHS. Those wishing to work at the shelter will need to call them at 383-8775 asking for the date and times of the next shelter volunteer orientation. We do offer a number of important volunteer opportunities at our office, however they are generally not hands-on with animals.

After you submit your volunteer application, we will be in touch to schedule an interview with you, or to invite you to a group orientation. We look forward to meeting you and getting you involved in KHS programs and services!

I understand that KHS is not a shelter or a pet rescue, and does not have adoptable animals on-site.

Due to the time and resources we invest in our volunteers, we ask each volunteer to commit to a minimum of 4 hours each month, and at least 48 hours total. We have a wide range of available opportunities, and your 4 monthly hours could be completed in just one volunteer session. Please consider your own schedule and time restrictions before applying to volunteer.

I am at least 16 years old

I agree to provide a minimum commitment of 48 hours of service, with a minimum of 4 hours per month to remain active. (Exceptions may be made for those volunteering as part of a work or school community service project.)

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Basic Information

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KHS Volunteer Application

Before we get in to what your volunteer goals are, let's get some basic information.

Your Address

Primary Phone Number

Secondary Phone Number

Email

Please select your preferred method(s) of contact:

Select all that apply

Phone Call

Email

Text Message

Other:

We will need a copy of your State ID, Drivers License or other government issued ID on file.

I can upload my ID now

I cannot upload my ID now, but I will bring it with me to my first volunteer orientation/interview.

I do not have any form of government issued identification

Upload Your ID

Delete all uploads

Choose files or drag here

For liability purposes, we can only accept volunteers with a valid government issued ID. A passport, military ID or any other form of ID issued by any governmental agency will be accepted. If you do not have any ID we can keep on file, we will not be able to assign you any volunteer responsibilities. Please do not proceed with this application if you do not have any form of governement ID available.

Your Birthday

MM

/

DD

/

YYYY

Select one:

Please choose one:

My preferred pronouns are:

Please describe any physical or medical limitations that may require special accommodations for your participation in our programs

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Emergency Contact

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KHS Volunteer Application

We hope we never need it, but please let us know who to contact in the event of an emergency.

Name of Emergency Contact

Relationship to you

Where does your emergency contact live?

Same as my address

Different address; I will specify below

Emergency Contact Address

Emergency Primary Phone Number

Emergency Secondary Phone Number

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Additional Family/Household Members

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KHS Volunteer Application

Does anyone else in your same household wish to apply to volunteer?

Yes! I'll add them now!

No, it's just me for now!

Include up to 5 additional members of your household interested on this application

All volunteers must be at least 16 years old

Name

Birthday

MM

/

DD

/

YYYY

Select one:

Phone

Email

Please choose one:

Preferred pronouns are:

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Opportunities & Activities

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KHS Volunteer Application

Regular Volunteer Activities

Which volunteer programs are you interested in volunteering for?

Check all that apply

Spay & Neuter Client Check-In (Monday-Thursday from 7:15-9am)

Spay & Neuter Client Check-Out (Wednesday & Thursday from 3-5pm)

Surgical Team Assistant (Helps in Prep, Recovery & Clean-Up Monday-Thursday)

Pet Food Bank Assistant (Monday-Friday 9am -1pm and/or 1-5pm)

Community Events & Outreach (Varies)

Educational Programs (Day Camps / Classroom & Library Visits / Scouts; varies)

Office Volunteer - Document Scanning (Monday - Friday 9-5))

Other Volunteer Activities

What other activities might you be interested in?

Check all that apply

Baking

Craft Making

Pick-Up/Delivery of Supplies

Animal Transport

Gardening/Outdoor Maintenance

Written Contributions to our Website, Blog or Newsletter

Team Leadership or Training of New Volunteers

Odd Jobs & Errands (As Needed)

Seasonal/Holiday Decorating

Other:

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Getting to Know You

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KHS Volunteer Application

Current Employment Status

Prefer not to say

Unemployed Student

Employed Student

Employed Part-Time

Employed Full-Time

Unemployed/Retired

Where are you enrolled?

Where are you employed?

Are you volunteering as part of a work, school or other affiliation that requires community service?

Yes

No

What is the name of the worplace, school or other affiliation that you are doing community service for?

How many hours do you need to complete?

Please describe your availability and any conflicts or limitations you will need to work around in your school/work schedule.

Are you able to communicate in sign language/ASL?

Yes

No

What languages can you speak fluently?

English

Spanish

Chinese

French

Vietnamese

Korean

German

Tagalog/Filipino

Russian

Other:

Do you have any professional/technical veterinary or animal handling training or experience?

Yes

No

Describe any special skills, training or talents that may be helpful to KHS, including any certifications or special licenses.

What do you hope to gain from your volunteer experience?

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Criminal History

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KHS Volunteer Application

Have you ever been convicted of a felony?

Yes

No

If yes, please describe the felony conviction

Would you consent to a criminal background check if it were necessary for the type of activity you wish to volunteer for?

Yes

No

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Waivers & Agreements

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KHS Volunteer Application

These waivers apply to yourself and any additional individuals you have included on this application.

I accept and understand the Kalamazoo Humane Society Volunteer Waiver and Agreement.

Photographic, Video, Audio and Web Consent and Release

The Kalamazoo Humane Society uses photographs, slides, films and other images or recordings of participants for educational, programmatic, public relations, marketing and accountability purposes. Such photographs or other illustrative material may be used in newsletters, media presentations, on web or social media platforms, or publications produced and maintained by the Kalamazoo Humane Society or agencies/organizations that partner with the Kalamazoo Humane Society. Neither individual addresses nor telephone numbers will be published within these materials.This form allows you, as a volunteer, to choose whether you wish to appear in any print, digital or other media that the Kalamazoo Humane Society or other agencies/organizations that partner with the Kalamazoo Humane Society may use, publish and/or distribute publicly or internally.

Yes, I give permission to the Kalamazoo Humane Society or agencies/organizationsthat partner with the Kalamazoo Humane Society to make photographs, slides, audio, video other recordings, or written text of me. Further, I authorize their use, for Kalamazoo Humane Society purposes, without inspecting or approving the finished product or its specific use. I hereby release to the Kalamazoo Humane Society or agencies/organizations that partner with the Kalamazoo Humane Society all rights to exhibit this work publicly or privately, including posting to the Kalamazoo Humane Society web site. I waive any rights I may have to receive compensation or additional consideration.

No, I do not give permission for the creation or use of photographs, slides, audio, video, other recordings, or written text of me by the Kalamazoo Humane Society or agencies/organizations that partner with the Kalamazoo Humane Society.

How did you hear about us?

Select all that apply

KHS Newsletter

KHS Website

KHS Social Media

KHS Event or Booth

Friend or Relative

Magazine or Advertisment

Web Search

Kalamazoo County Animal Services (KCASE)

Other Source

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