RCHS Volunteer Application
Thank you for your offer to help the homeless pets of the Riley County Humane Society. Please complete the application below. We will send you an autoreply with more information and a copy of your application- be sure to check your spam folder if you don't see it. Please be sure to respond to the autoreply so we can make arrangements for you to attend a volunteer orientation. You will need to do this before we are able to add you to our volunteer listserv.

Please note that RCHS is not affiliated with Manhattan's animal shelter, the T. Russell Reitz Regional Animal Shelter.

Liability Release and Waiver *
I understand that my participation with the Riley County Humane Society is strictly on a volunteer basis. I understand that there are inherent risks associated with my volunteer activities, including the risk of personal injury resulting from animal bites and other animal behavior, and with such understanding, I hereby waive, release and forever discharge RCHS and its officers, agents or volunteers, from any and all claims (whether present or future) arising out of my participation in RCHS’s Volunteer program. I understand that I am waiving any and all claims of liability including, but not limited to, claims of negligence and/or injury to me, against the Riley County Humane Society, its officers, agents and volunteers, arising out of my participation in the Riley County Humane Society’s Volunteer Program.
Required
Your Name *
First and Last
Your answer
Street Address, City, State & Zip *
Your answer
Email Address *
Your answer
Cell Phone Number
Your answer
Home Phone Number *
Your answer
If we can contact you at work, please provide your work phone number.
Your answer
Emergency Contact Information *
(Name, Relationship, Day phone, Evening phone, Email)
Your answer
If you will be volunteering with a child between 14 and 18 years of age, please provide the following:
Child's Name, Age, Your Relationship to the Child, Child's emergency contact if different from above.
Your answer
If not an RCHS member, how did you hear about our organization?
Your answer
Please check all the volunteer areas in which you have an interest. *
Required
Please tell us of knowledge and skills you posses relevant to the volunteer areas checked above. *
For example, Animal Foster Care - Your Animal Experience; Administrative Duties - Your Office Skills.
Your answer
Do you have any experience as a volunteer? If yes, with what organization(s)? *
Your answer
Your Age *
Please indicate day(s) you will be available.
Time Availability
Are there times when you will not be available?
For instance, during summer, winter, or spring school breaks.
Your answer
Do you have any limitations? *
If you answered 'Yes', please explain your limitations in more detail.
(heavy lifting, limited walking, allergies, etc.)
Your answer
If you are a parent or guardian applying with a minor, you agree to the following:
I give permission for my child to participate in the volunteer program at the Riley County Humane Society. I release and hold harmless the Riley County Humane Society, its officers, its agents, and volunteers 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.
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