Full Legal Name Required

Your Birth Date Required

Phone Number Required

Email

What is your primary and preferred method of communications? Required EmailPhone

Majority of communication from ICHS is done by email. Please list the best email for this communication.

How did you hear about us? Required

Have you volunteered with Iowa County Humane Society in the past? Required YesNo

If yes, what did you previously do?

Have you worked or volunteered at any other animal rescue or humane society? Required YesNo

If so, please tell us about your experience working or volunteering at another humane society or animal rescue. What is the organization, what did you do and when did you help them?

Do any of the above have any physical limitations or allergies that could affect your ability to perform certain tasks? Required YesNo

If yes, please explain:

Which of these animals do you have experience with? Required CatsDogsBothNone of the above

Are you retired? Required YesNoPartially

Is this application to fulfill "School Community Service" community service? Required YesNo

Have you ever been convicted of a misdemeanor or felony? Required YesNo

Is this application to fulfill "Court Ordered" community service? Required YesNo

Please select every position you are interested in: Required

Out of these selections, what is your 1st choice: Required Feline Friend - Cat Socialization PM ShiftsCanine Companion - Dog Training, must be 18 years old Animal Support Crew - Daily cleaning starts at 9AMShelter Support Crew - Office tasks AM/PM shiftsGardening & Maintenance - AM/PM ShiftsFundraising Assistant - Various timesFlexi-teer - Special tasksDriver - Must be 18 years old

Out of these selections, what is your 2nd choice: Feline Friend - Cat Socialization PM ShiftsCanine Companion - Dog Training, must be 18 years oldAnimal Support Crew - Daily cleaning starts at 9AMShelter Support Crew - Office tasks AM/PM shiftsGardening & Maintenance - AM/PM ShiftsFundraising Assistant - Various timesFlexi-teer - Special tasksDriver - Must be 18 years old

Out of these selections, what is your 3rd choice: Feline Friend - Cat Socialization PM ShiftsCanine Companion - Dog Training, must be 18 years oldAnimal Support Crew - Daily cleaning starts at 9AMShelter Support Crew - Office tasks AM/PM shiftsGardening & Maintenance - AM/PM ShiftsFundraising Assistant - Various timesFlexi-teer - Special tasksDriver - Must be 18 years old

If we cannot offer you one of the position choices you have just identified, can we place you in a position where the need for help is greatest? Required YesNo

Day Available - 1st Choice Required MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Time Available - 1st Choice Required 9AM-11AM11AM-1PM1PM-3PM3PM-5PM

Day Available - 2nd Choice MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Time Available - 2nd Choice 9AM-11AM11AM-1PM1PM-3PM3PM-5PM

Day Available - 3rd Choice MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Time Available - 3rd Choice 9AM-11AM11AM-1PM1PM-3PM3PM-5PM

Is there anything else you think we should know?

Please check each box after reading: Required

By typing my name, I certify that the information I have given is true and I have not misrepresented my interests. Required

Date