Please fill out the following completely and accurately.  

The applicant email permits the FAHS to verify all information contained in this application.  
You must supply a valid email address!** 
You must be at least 14 years old to volunteer at the Fairfield Area Humane Society.
**Your email address will be used only for verification purposes.  We DO NOT give away our clients email addresses for any reason if you have further questions regarding our privacy policy click here to read more about it.


Volunteer Profile Sheet

Name     Age   
Address  City   
Zip code Home Phone #   Social Security # 
Occupation 
Education Level  Driver's License # 
Length of Time at Current Employment   Work # 
Emergency contact & phone # 
Name & Phone # of 2 References who can speak to your knowledge of animals
Have you ever been convicted of a felony?  Yes (please explain below)
 
Areas of Interest: (check all that apply)
Working with Animals General Cleaning Adoption Counselor
Clerical Education Fund Raising
Building Maintenance Pet Therapy Art Work
Do you have a pets?  Yes  No                 Are they spayed or neutered? Yes  No    If not, why? 
Previous volunteer experience:
Experience with animals:
Are you a member of the Humane Society?  Yes  No  

How did you hear about the Volunteer Program?
Do you have any allergies, physical disability, or other limitations that may restrict volunteer experience or require special accommodation?
Are there any duties you would prefer not to perform?
Special skills or hobbies:
Availability:   
         Monday     Tuesday     Wednesday    Thursday   Friday    Saturday    Sunday
         Mornings (9:00 - 12:00)  Afternoons (12:00 - 3:00) 
Besides a love for animals, what would you like to get out of volunteering with us?

I attest that the information provided is true and accurate to the best of my knowledge. Any intentional misstatements will be grounds for denial of approval.
Email address:        Today's Date:


Adopt A Pet  |  Services  |  Calendar  |  About Us  |  Contact Us
©2007 Fairfield Area Humane Society   All Rights Reserved.
website maintenance donated by: WebChick.com
website hosting donated by: GreenApple.com