Volunteer Application Name* First Last Email* Best Contact Phone*Your Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Your Age*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Please check all areas of interest: Select All Animal care (feeding, walking) Adoption events (greeting, set-up, leash holders, product sales) Special events (set up, break down) Fundraising/sponsorship development Pet Food Pantry Transport fosters to veterinarians School pet education program Projects that require lifting/fixing/building Dog and cat photography (weekly) Creating newsletters/ PowerPoint presentations Vet Taxi: transporting fosters to veterinarian appointments Any other special skills (please describe)How often are you interested in participating?* Daily Weekly Monthly Weekends Occasionally Are you volunteering to fulfill a school obligation or other activity that requires volunteer hours?* Yes No Position Agreement* AGREE I hereby agree to accept a position as a volunteer worker for the Humane Society of Union County, and in so doing, I agree to comply with all of the rules and I understand that failure to do so may result in my immediate termination as a volunteer. By agreeing to volunteer, I am agreeing to receive emails and texts from the Humane Society of Union County and the Monroe Low Cost Spay/Neuter Clinic. Waiver and Release* I agree to the Waiver and ReleaseI release the Humane Society of Union County 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 claims against the Humane Society, its employees, agents, board members, or pet owners. This agreement shall be binding on all parties, their heirs, and assigns. By signing this waiver, I am agreeing to the Humane Society of Union County's use of my photo or video that includes me.Today's Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920If younger than 16 years old, name of parent or guardian First Last Phone number of parent or guardianIn place of a signature, please type your first and last names below.* First Last In place of a signature, please type your first and last names below. PhoneThis field is for validation purposes and should be left unchanged. THE HUMANE SOCIETY OF UNION COUNTY 704-283-9126 HSUCinfo@gmail.com Mail: 4015 Waxhaw Hwy., Monroe NC 28112 FollowFollowFollow MONROE LOW COST SPAY/NEUTER CLINIC 704-292-7729 Monroespayneuter@gmail.com FAX: 704-292-1007 Hours & Appointments - Click Here 1404 E Franklin St., Monroe, NC 28112 Guidestar Seal of Transparency [/db_pb_signup]
