Volunteer Application Volunteer ApplicationName(Required) First Last Cell Phone(Required)PhoneYour Email Address(Required) Your Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Permanent Resident Yes No Are you at least 18 years old? Yes No Employment Status(Required) Employed Retired Part Time ResidentIf not full time – when are you here?Name of employerMedical condition of limitations of which we should be aware?Leave blank if noneEmergency contact name and phone number(Required)Please list any past or present voluneer experienceBriefly explain why you are interested in volunteering for HSBR(Required)Which day are you available Monday Tuesday Wednesday Thursday Friday Saturday Sunday What area are you interested in volunteering in? Adoption Center- Cat Care Adoption Center- Dog Care/ Walker – applicant must be 18 years of age & meet all requirements & training sessions Adoption Center- Animal Foster Adoption Center- Memorial Garden Lawn Care Thrift Store- Sorting & Pricing Donations, Assisting Customers and Customer Checkout. Thrift Store- Delivery & Pickups of Furniture General Handyman for repairs at both locations Δ