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Personal Information

* First name

* Last name

* Email

* Email confirmation

Home phone

Cell number

* Current Address

Current Address 2

* Zip

* City

Country

*State/Province

Date of Birth

* Month

* Day

* Year

Safety Information

If you are 13 years old or younger and expect to be regularly escorted by the same parent or guardian, please use someone else as your emergency contact, someone that would not be on the premises with you.

First and Last Name of Emergency Contact

What is a good phone number to reach them at in case of an emergency?

Due to Covid, Do you agree to carefully monitor your symptoms and agree to not come to our shelter, if you have been experiencing symptoms within the past 2 weeks?

(Fever, Cough, Shortness of Breath, Vomiting, Fatigue, or Diarrhea?)

YesNo

Are you 14 years or older?

If you are a minor, this does not exclude you from volunteering, but we do require you have a parent or guardian on the premises with you while you volunteer and may limit you from certain activities.

YesNo

Are you willing to social distance, frequently hand wash, wear a mask, and practice other safety and cleanliness protocols as needed and as directed by the staff?

YesNo

Do you have any health conditions or concerns you would like us to be aware of that may affect your ability to volunteer at times or in certain capacities?

For speed during emergency we recommend providing the following information. Providing this is completely VOLUNTARY.
Name of Insurance Company
Policy Number
Group Number
Physician’s Name
Physician’s phone Number

Volunteer Commitments

At the SPCA, we are intent on a culture of safety, education, and compassion. Is this a culture that you would be personally dedicated to?

YesNo

Would you be willing to participate in free educational training/resources in relation to the quality of your volunteer service, when recommended by staff?

YesNo

Do you have the ability to make and keep regular volunteer appointments according to your schedule? (avoiding unnecessary, excessive cancelations)

Please call 207 - 667 - 8088, (SPCA Main Line) should you need to cancel your appointment because of emergencies or other unforeseen circumstances.

YesNo

Please describe why you wish to volunteer here at the SPCA:

Do you give the SPCA of Hancock County permission to take,
edit, alter, copy, exhibit, publish, distribute and make use of any and all pictures or video taken of you for use within the company, promotional materials, or third party organizations?

YesNo

Volunteer Interest

Which of the following best describes your experience with animals?

I have professional experience with animals. (such as at a groomers, veterinarian, shelter, etc)I have many years of personal experience around Cats and Dogs.I have no experience around animals yet.

Let us know what kind of work/tasks you are interested in helping us with, or learning more about:

(check all that apply)

Kitten/Cat SocializationDog Walking/SocializationKennel Cleaning & Sanitization (does include animal interaction)General Shelter Organization (such as laundry, etc)General Shelter Maintenance (carpentry, plumbing, electrical, etc)Outdoor Grounds MaintenanceDriving/ Pickup Services (Miles reimbursed)Lobby Hostess (Welcoming the public, and other helpful tasks)Secretarial/ Administrative Assistance (paperwork, data entry, phone calls)Social Media Influencers/ Content CreatorsMarket Expansion/ Networking (email marketing, sales calls, other networking)Events PlanningBottle Redemption Program (Miles reimbursed - truck recommended)

Please list any specific interests or notes that you think important:

Personal

Do you require community service hours?

YesNo

Would you agree to have a background or fingerprint check if necessary?

YesNo

Do you agree to release, discharge, indemnify and hold the SPCA of Hancock County harmless for any and all injuries and damages to yourself and/or your personal property while performing as a volunteer in any and all duties for the SPCAHC?

YesNo

Do you certify that you/your child have never been convicted of animal cruelty or neglect?

YesNo

Signature

By signing below, you hereby give your consent to offer volunteer services for the SPCA of Hancock County. You agree that, if signed digitally, your electronic signature is the legal equivalent of your manual signature.

Signature

Date

Signature of Guardian or Parent

Required if applicant is under the age of 18. If signed digitally, you agree that your electronic signature is the legal equivalent of your manual signature.

Date Signed by Guardian or Parent

I have read and agree to the terms and conditions. By checking this box I am confirming that I am 13 years of age or older.

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Volunteer Application

Personal Information

Safety Information

Volunteer Commitments

Volunteer Interest

Personal

Signature