Espanola Valley Humane Society Donate
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Upcoming Events

PetBowl 2012, Saturday February 4, 10:30 AM, to Sunday 5 February, 05:00 PM, Espanola

Petsmart Love-Fest, Saturday February 11, 10:00 AM, to Sunday 12 February, 04:00 PM, Santa Fe

More Events >

Volunteer Application

* Required fields

*First name:  
*Last name:  
Name of child (if applying with a child under 18):  
*E-mail:  
*Address line 1:  
Address line 2:  
*City:  
*State:  
*Zip:  
*Home phone:  
Work phone:  
*Is it OK to contact you at work?  
*Date of birth (MM/DD/YYYY):  
Date of birth of child applying:  
*Emergency contact:  
*Emergency phone:  
*Current occupation:  
*Employer name:  
*Education background:  
*Previous volunteer experience:  
*What is the reason you want to volunteer?
*Are you willing to make at least a six month commitment to the volunteer program?
*Do you understand that you will be placed according to the need of the animals and to match your skill set?
*Summarize your experience with animals
*What do you hope to gain from your volunteer commitment at the Espanola Valley Humane Society?
*Do you have any limitations (heavy lifting, limited walking, allergies, etc.)?
If yes, please explain:
Do you enjoy working alone or with others?
*Which volunteering opportunities interest you the most?
When will you be available to volunteer? (Please check all that apply.)
*Have you been convicted of a misdemeanor or felony in the last seven years?
If yes, please explain:
(Conviction may not necessarily disqualify you from volunteering. We may conduct a background check, and if you do not provide complete and truthful information, you could be rejected or terminated.)
*Safety is our number one priority for animals, staff and volunteers. Due to certain risks inherent in handling animals, personal health insurance coverage is required to volunteer at the Espanola Valley Humane Society. Do you have personal health coverage?
How did you hear about us?
Any additional comments?
In consideration of EVHS accepting my application for participation in EVHS programs, I agree to release and hold harmless EVHS 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 EVHS' programs. I understand there are certain risks inherent in handling animals and I accept those risks. I understand if an accident or injury should occur, no matter how minor, that I will complete a Volunteer Injury Report form and seek any necessary medical attention utilizing my own medical insurance.

I agree that EVHS may photograph my participation in this program, and I hereby release any such photographs to EVHS for use in its programs, publications and purposes.
If you are a parent or guardian applying for a minor, you agree to the following: I give permission for my child to participate in the volunteer program at the Espanola Valley Humane Society. I release and hold harmless the Espanola Valley Humane Society, its agents, and employees from responsibility or liability arising out of my child's participation. I understand there are certain risks inherent in dealing with animals. I certify that my child is covered under my health insurance policy should injury take place while volunteering or participating and I will be responsible for his/her medical bills.