Name
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First Name
Last Name
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
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Phone
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(###)
###
####
Date of Birth
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MM
DD
YYYY
Employment Status
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I am employed full time.
I am employed part time.
I am not working at this time.
Realistically, how many hours can you volunteer each week?
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Less than 5
6-10
More than 10
Do you have health insurance?
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Yes
No
What company provides your health insurance?
If you do not have health insurance coverage, do you understand that expenses from possible injury will be paid by you personally and not by Paws Squad Organization of Logan County, West Virginia?
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Yes
No
Not applicable. I have health insurance.
Have you ever been investigated by Animal Control for any reason?
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Yes
No
Have you worked/volunteered with a humane society, shelter, or in animal care?
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Yes
No
If yes, please list the organizations.
Are you currently involved with any of these organizations? Which ones?
Do you have a valid driver's license?
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Yes
No
Do you have valid car insurance?
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Yes
No
Why do you want to volunteer with The Paws Squad?
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If I am accepted into the volunteer program, I agree to adhere to our procedures and policies, and all rules and regulations of Logan County Dog Pound. Please initial here:
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I also understand that the behavior of domestic animals is at times unpredictable and that some domestic animals are capable of inflicting property damage, serious personal injury, and even death. I am well aware of the risks of handling domestic animals, and with such understanding, I hereby waive, release and forever discharge Paws Squad organization and the government and sheriff’s office of Logan County, West Virginia, its employees, agents or trainers, from any and all claims (whether present or future) arising out of the my participation in the Volunteer Program. Please initial here:
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I also understand that if I am a foster I will be subject to a home visit at any time. Please initial here:
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Please check all areas in which you are interested in volunteering your time:
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