Volunteer

Name

First Last

Date of Birth

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home phone

Cell phone

Email

Employer/Occupation

Work Phone

May we call you there?

Does your employer make donations based on your volunteer hours?

In case of emergency, notify

Home phone

Work phone

Relation to applicant

Indicate the types of volunteer work you would be interested in. Training is provided. Adoption Center General Help

How many pets do you have in your home?

Cats?

Dogs?

Please list any qualifications you have that could be helpful to LNH.

Please list any constraints or restrictions that may affect your ability to volunteer.

I hereby agree to accept a position as a volunteer for the Lake Norman Humane, and in doing, I agree to comply with all of the Lake Norman Humane’s rules and policies and I understand that a failure to do so may result in my immediate termination as a volunteer. By clicking submit you agree to the terms and conditions.

Waiver and Release: I release Lake Norman Humane, and all of its employees, agents, and board members, from any liability of any nature, whether or not the basis of such liability is presently known to either party. It is understood by the parties to this agreement that I/we will not bring suit or any charges against the Lake Norman Humane, its employees, agents, board members, or pet owners. This agreement shall be binding on all parties, their heirs and assigns. By clicking submit I agree to the terms and conditions.

Date

Volunteer Application