Northumberland Humane Society

NHS Volunteer Application

Information gathered herein is intended to assist the Northumberland Humane Society in making the best possible use of your experience, skills and interests while attempting to meet ongoing NHS requirements. All information will be kept confidential and will not be distributed to any organization, business or member of the public. Thank you for considering NHS as the grateful recipient of your valuable time and assistance.

First Name *

Last Name *

Street Address *

City

State/Province

ZIP / Postal Code

Phone *

Email Address *

Year Of Birth

Volunteer Experience and Skills

Restrictions (ie: no heavy lifting, no large dogs, allergies, etc.)

Volunteer Interests

Cat EnrichmentDog WalkingDriving/DistributionMaintenance: grass cutting, snow shovellingFundraising/Special EventsThrift Shop Volunteer(please indicate with check marks)

Availability (please check)