Humane Educational Society

"Striving to improve the lives of those who cannot speak for themselves"

Volunteer Application

Feel free to fill out this application online and submit it to us or, if you prefer, you may print the application to fill out, fax, mail or drop by the shelter! Please Do Not press the enter key until you are ready to submit your information.  Use the tab key to navigate to each question.

Name			Date
Street			Home Phone
Street 2			Work Phone
City			Mobile Phone
Zip Code			Email Addresss
			Birthdate
What is the best way to contact you? (check all that apply)		Email  Home phone   Work Phone Mobile Phone   Other (please tell us below)
Driver's License Number
Emergency Contact Information
	Name
	Phone Number
	Alternate Phone Number
	Relationship to you
Please list two (2) references
Name			Phone
Name			Phone
Briefly explain why you would like to become a volunteer at HES
Please list  previous volunteer experiences you have had
Have you previously volunteered at an animal shelter or related field?				Yes      No
	If Yes, where
Are you a current member of HES or any other animal-welfare rights organizations?
	Yes      No
	If yes, which ones?
Volunteering at HES is not only directly with the animals.  It may, at times, involve contact with
the public.  What are your feelings about interacting with the public?
Which volunteer opportunities are you interested in?
What activities would you like never to be asked to do as a volunteer?
Do you have any physical , medical or psychological limitations, disabilities or allergies?
	Yes      No	If yes, please briefly explain
Please check any of the following that may apply to you
	Pregnant
	Afraid of certain types of animals
	Have an immune system deficiency
	Had spleen removed
Have you ever been convicted of a felony?		Yes      No
Please list days and times you are available to volunteer

212 N. Highland Park Ave., Chattanooga, TN 37404 |  Phone: 423-624-5302 |  Fax: 423-624-5017 | Contact Us

Copyright © 2004-2007  Humane Educational Society, Chattanooga, TN