Northwoods Humane Society
                                                      
PO Box 82, Hayward, WI  54843  (715)634-5394

                                                         JUNIOR VOLUNTEER APPLICATION


Name_________________________________ Date_______________________

Address ________________________________ City_______________________

State _________ Zip__________ Phone __________________________________

EDUCATION              1 2 3 4 5 6 7 8        9 10 11 12         Age  __________
Do you have any previous experience working with animals? _____________________________________
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AREAS OF INTEREST

__ Office and Reception
__  Fund Raising
__ Data Entry
__ Facilities & Maintenance
__ Creative Writing
__ Special Projects & Events
__ Dog Kennel Cleaning
__ Foster Care
__ Cat Socialization
__ Dog Socialization
__ Cat Kennel Cleaning
__ Pet Therapy/Outreach
__ Grooming and Bathing
__ Pet obedience & Behavior
__ Dog Walking
__ Pet bereavement Counseling
__ Thrift Shop Sales Person
__ Thrift Shop Donation Sorting
__ Pet Education
__Yard Care


AVAILABILITY FOR VOLUNTEERING
__ Monday                        What Hours?_____________________________________
__ Tuesday                        What Hours?_____________________________________
__ Wednesday                   What Hours?_____________________________________
__Thursday                        What Hours?_____________________________________
__ Friday                            What Hours?_____________________________________
__ Saturday                        What Hours?_____________________________________

In a brief paragraph, please describe below your reasons for wanting to volunteer. ___________________
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My child has my permission to participate in the NHS JV Program and I understand that NHS will not be held
liable for any injuries or accidents incurred while volunteering.
Parent/Guardian Signature_________________________________________ Date__________________
I understand that as a NHS Junior Volunteer that I would be required to follow the guidelines and procedures
set by NHS. JV Signature__________________________________ Date ________________