Volunteer Application How did you learn about volunteering with Winnebago County Animal Services?*Select OneA Friend / ReferralWebsiteSocial MediaAdoption EventOnline ResourcePrior AdoptionPet StoreOtherName of Friend or Referral Contact InformationName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Primary Phone*Primary Phone Type* Home Mobile Secondary PhoneSecondary Phone Type Home Mobile Personal InformationAge*18–2526–3536–4546–5556 or olderEmployed* Yes No Name of Employer* Job Title* Have you ever been convicted of a felony?* Yes No Do you have any cats or dogs currently in your care?* Yes No List all pets currently in your care. (One per line)Volunteer InterestI’m interested in (Check all that apply)* Select All Volunteering with dogs at the shelter Volunteering with cats at the shelter Photographing adoptable animals Special events Fundraising Please indicate your availability for volunteering.*What most interests you about volunteering with Winnebago County Animal Services?*By signing below, I certify that the statements made in this volunteer application are true and have been given voluntarily. I understand that this information may be disclosed to any party with legal interest, and I release the agency from any liability whatsoever for supplying such information. I also understand that I will not be paid for my services as a volunteer. In consideration of Winnebago County Animal Services and its Auxiliary accepting my application for participation in Winnebago County Animal Services & its Auxiliary’s programs, I agree to release and hold harmless Winnebago County Animal Services and it’s Auxiliary from and against any and all loss, damage, claims, liability, costs and expenses of any nature whatsoever, including without limitation, attorney’s fees and disbursements, arising from or occasioned by my participation in Winnebago County Animal Services and its Auxiliary’s programs. I understand there are certain risks inherent in handling animals and I accept these risks. I agree that Winnebago County Animal Services and its Auxiliary may photograph my participation in this program, and I hereby release any such photographs to Winnebago County Animal Services and its Auxiliary for use in its programs, publications, and purpose. I understand that Winnebago County Animal Services reserves the right to refuse my application or dismiss me if I violate Winnebago County, Volunteer or Auxiliary policy and procedures.SignatureNameThis field is for validation purposes and should be left unchanged.
