Adult Volunteer Application

Volunteer meetings for new and current volunteers are held at the
shelter at 7:00pm on the first Wednesday of every month.

Talbot Humane Society
P.O. Box 1143 / 7894 Ocean Gateway, Easton, MD 21601
Phone: (410) 822-0107     Fax: (410 822-7619

Applicants must be at least 18 years of age.

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Step 1 Applicant Information

Full Name of Applicant:    Today's Date:

Street Address:    City:    State:    Zip:

Mailing Address (if different from above):

Home Phone:   Cell Phone:   Work Phone:

Email Address:       May we contact you at work? ----- Yes No

Emergency contact:    Phone number:

Driver's License #:    Date of birth:

Besides your love for animals, what makes you want to volunteer at the shelter?

What experience do you have with animals?

Do you have pets? ----- Yes No     Are they spayed or neutered? ----- Yes No I don't have pets

If no, do you plan to have them altered? ----- Yes No Not Applicable

If no, have you or do you plan to breed them? ----- Yes No Not Applicable

List any of your skills, training or hobbies that you feel may assist the shelter.

Please indicate the animals with which you feel comfortable working: Small/Medium Dogs      Medium/Large Dogs      Cats/Kittens Pocket Pets (hamsters, guinea pigs, etc.)      Reptiles

Have you ever received a warning or citation from a humane organization or animal control agency? ----- Yes No If yes, please explain:

Days and times available to volunteer: Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Please check all volunteer opportunities in which you would like to participate: Front desk receptionist Greeter Data entry Cat adoption assistant Dog adoption assistant Animal socializer Adoption assistant Committee member Community events Fundraising Animal transport SPECIALIZED TRAINING is provided for all available volunteer positions. Please check ANY and ALL of the above positions that may interest you!

Optional Additional Notes

Use this space to write additional notes.

By clicking "Accept and Submit" below, I certify that that all information provided on this form is true and correct. I give the employees of the Talbot Humane Society permission to verify all information. I understand that any misrepresentations or omissions of fact may result in the cancellation of my application.       Thank you for your interest in helping the shelter! We hope to see you on the first Wednesday of the month!