Volunteer Application

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Please complete the form below. Upon receiving your application, a Harmony House volunteer will call or e-mail you with more details on your areas of interest. At your volunteer orientation and shelter tour, you will be asked to complete a Waiver of Responsibility form. All volunteers are required to uphold Harmony House guidelines when representing Harmony House to the public.

	*Denotes required field

	*A. CONTACTING YOU*



			*First Name
						*Last Name

	Street Address Line 1*
	Street Address Line 1*

	Street Address Line 2
	Street Address Line 2

	*City
	*City

	*State
	*State

	*ZIP
	*ZIP

	E-Mail
	E-Mail

	Daytime Phone (w/ area code)
	Daytime Phone (w/ area code)

	Evening Phone (w/ area code)*
	Evening Phone (w/ area code)*

	Best time to reach you
	Best time to reach you

	Occupation
	Occupation

	Employer
	Employer

B. AREAS OF INTEREST

Which volunteer areas interest you most? (Check all that apply.)

	Socialization Program
	Socialization Program

	Special Events
	Special Events

	Outreach
	Outreach

	*C. EXPERIENCE*


	*Are you 18 years or older?		Yes


			No

	Do you have cats?

	Do you have dogs?
	Do you have dogs?

	Please list any other pets.
	Please list any other pets.

	Do you have prior experience working with animals or volunteering for not-for-profit groups?		Yes

			No
			No

	If you answered "Yes," please describe:

	*D. AVAILABILITY*

	What days/times are best for you to volunteer?

	Weekdays
	Weekdays

	Weekday Evenings
	Weekday Evenings

	Weekends
	Weekends

	How did you hear of Harmony House?