Volunteer Application & Waiver
Wow!  It's GREAT that you want to volunteer to help us!

Please be sure to add Info@bhumane.org and SomersetPCHSwebmaster@gmail.com to your contacts, so that you don't miss any of our emails!
Sign in to Google to save your progress. Learn more
Email *
I understand that by applying to volunteer for SPCHS, my contact information will be added to the Somerset-PCHS email list so that I can stay up to date on Somerset-Pulaski County Humane Society events and programs.
Clear selection
What is your first name? *
... and your last name is?
Your Address *
 (Please Include House Number, Street, City, State & Zip Code)
Preferred Communication Method *
Call me
Text me
Might work, might not
Home phone
Cell Phone
Approximately how many hours per month can you volunteer?
(We are just looking for an estimate, not necessarily a commitment for every month.  We understand that your personal life and its requirements may change from month to month.)  Please let us know if there is a difference between the amount of support you can give from home vs. events.
Which days are you available?
(please check all that apply)
What time of day are you usually available?
What else can you tell us about your availability?
(For instance, do you work a flexible schedule, and not know your availability much in advance.)
If you use social media (Facebook, Instagram, Twitter, Linkedin, Google+), what is/are the internet address(es) of your social media page(s)?
If you don't use social media, please enter "None".  Thanks!
What tools do you have?
(None required, we just need to know what is available to you so we can determine how you can best help. Please check all that apply - if "other" please describe.)
Which software products/applications are you comfortable with?
(You don't have to know how to use any software or apps, it just helps us to know if you do, and if so which products you are comfortable with.)
Is there a particular area of interest in which you would like to help?
(All of our animals are in foster homes, so here isn't a lot of opportunity to work directly with them.)
Are you more comfortable around dogs or cats?
Do you want to help with our youth volunteers?
Clear selection
Sometimes we have events that only require a little bit of support.  Would you be willing/able to help with any of the following?
Help with event setup/break down?
Transport stuff to events
Work events but for only a couple hours
Pick up cans or ink/toner cartridges from donors?
Run an occasional transport to Lexington?
Help promote SPCHS in contests?
Through your work, church or club memberships, would you...
Be able to print small quantities of flyers?
Promote our recycling program?
Promote special programs?
Facilitate a fundraiser (like "Taco Tuesday")?
Do you have any physical limitations we need to be aware of?
This question is NOT to discriminate, but rather, to not waste your time bothering you with requests for help with things you can't or would rather not do.  We also want to be able to include you if at all possible.  For instance, if you want to work events, but are heat intolerant, we wouldn't want to bother you to ask if you could work an outdoor event in August; or if you shouldn't lift more than 10 lbs, we wouldn't want to put you in an uncomfortable situation by asking you to help with event set-up or breakdown.)
Do you have any ideas you'd like to share or any additional information we should know about you, including ideas for other ways you might want to be involved?
Are you at least 21 years of age? *
You don't have to be over 21 to volunteer, we just need to know! If you are under 16 years old, a parent or guardian must be present at all times while you are volunteering.
If you are not yet 21 years old, please provide date of birth:
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy