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Volunteer Application
Individuals interested in volunteering with the Columbiana County Humane Society should submit this form.  You will be contacted as soon as possible to complete required Volunteer Training. Thank you!
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Email *
Date of Application *
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Name (First and Last) *
Address (including City, State, Zip) *
Phone Number *
Email Address *
What is the best way to reach you? *
Required
What is the best time to reach you? *
Required
Emergency Contact (Name, Number, Relationship) *
Reference #1 (Name, Number, Relationship) *
Reference #2 (Name, Number, Relationship) *
Criminal Record: Note any criminal history (convicted of felony, required to register with law enforcement in Ohio or another state, on probation or parole). This will not automatically disqualify you as a volunteer.  Please note type of conviction and when. *
Medical History: Do you have any allergies, asthma, or any other conditions that you would like us to know about? *
How did you hear about the Columbiana County Humane Society Volunteer Program? *
What do you hope to gain from your experience with the Columbiana County Humane Society? *
Describe present and previous volunteer positions. *
Skills, training, or hobbies you would like to share with us (dog training, farm animal handling, public speaking, fundraising, grant writing). *
Are you presently: *
Required
Are you volunteering for: *
Required
Volunteer Areas of Interest: Please check all that apply *
Required
When are you available to volunteer? Please note your best days/times and include days/times you are NOT available. *
I understand and agree that submitting this application form does not automatically register me as a Columbiana County Humane Society volunteer.  There may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures, before I may begin volunteering.   By submitting this form, I attest that the information I have provided on the form is true and accurate.  Please accept my typed name as an electronic signature. *
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