Volunteer Application First Name Last Name Address Line 1 Address Line 2 City State/Province/Region Zip Code Email Phone Number Current Employer May we contact you at work? Yes No Emergency Contact Name Emergency Contact Phone Do you have any physical limitation or health restrictions of which HSMC should be aware? Having a physical limitation or disability will not disqualify you as a volunteer. The information will help us match you to the right volunteer service. Yes No Explain your imitation. Why are you interested in becoming a volunteer at the shelter? List any special skills you have that would be valuable to the shelter. What experience do you have with animals? What pets do you currently own or have owned in the past? Have you ever had an animal complaint filed against you? Y/N If yes, please explain Yes No Explain the complaint.