Volunteer – Humane Society of Rome

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Volunteer Status*

New HSR Applicant
Current HSR Volunteer

I am interested in volunteering for the following. Please check your top 3 choices.*

Pet Therapy
Fundraising & Special Event Planning
Offsite Activities

Pet Therapy Rating*

First Choice
Second Choice
Third Choice

Fundraising & Special Event Planning Rating*

First Choice
Second Choice
Third Choice

Offsite Activities Rating*

First Choice
Second Choice
Third Choice

Previous volunteer or shelter experience?*

Yes
No

Are you 16 years of age or over? Please note: if under 16, your parent or guardian must sign below and must accompany you while you volunteer.*

Yes
No

Please tell us why you wish to volunteer at the Humane Society of Rome.*

The Humane Society of Rome is released from all liability for any injury or damage to person and/or property which may occur. The HSR is not a veterinary hospital and cannot guarantee the temperament, disposition, behavior, or health of the animals. Therefore, there is potential for minor injuries and exposure to zoonotic diseases. Volunteers under 16 must be accompanied by an adult. This is a volunteer position and there will be no compensation for the services provided. All volunteers are required to attend a one time volunteer meeting and sign a volunteer agreement prior to any volunteer hours scheduled. By signing below you agree that you have read and understood the above information.

Signature*

Under 16 applicants:

As a parent or legal guardian of the above named Volunteer, I hereby give my consent to allow my (child, ward) to volunteer services for HSR as described within.

Signature of Parent/Guardian*

Relationship to Volunteer*

Parent/Guardian Name*

Parent/Guardian Phone*

Parent/Guardian Email*

By checking this box, I acknowledge the above statements and agree to their content:*

Interested in Volunteering?