Animal Care Dogs Volunteer Application

Have you read the animal care (dogs) volunteer post? Please do not complete this application if you have not. Have you read the animal care (dogs) volunteer post? Please do not complete this application if you have not. Yes No

Are you aware this is primarily a cleaning role where you will have some interaction with dogs? Are you aware this is primarily a cleaning role where you will have some interaction with dogs? Yes No

Preferred Pronouns (she/her, he/him, they/them, etc.)

First Name

Last Name

Email

Address

City

Postal Code

Phone Number (Primary)

Are you 18 years of age or older? Are you 18 years of age or older? Yes No

Are you able to commit to at least 6 months of volunteering? Are you able to commit to at least 6 months of volunteering? Yes No

How long do you intend to stay as a volunteer at OMHS?

Do you wish to volunteer because you are required to for court ordered community service hours? Do you wish to volunteer because you are required to for court ordered community service hours? Yes No

Do you wish to volunteer because you are required to for school? How many hours are needed?

Were you referred to us by any individual or organization? Please identify the person or organization responsible for making the referral.

Do you have any allergies that would affect your ability to work around dogs?

Do you have any health concerns that might impact your ability to volunteer in an animal shelter?

Have you had a tetanus booster in the last 10 years? Have you had a tetanus booster in the last 10 years? Yes No Unsure

Have you had a pre-exposure rabies vaccine? (note: not required to volunteer) Have you had a pre-exposure rabies vaccine? (note: not required to volunteer) Yes No Unsure

Do you have any pets? Please list by name, breed, age, and date of last vaccinations.

Are you willing to obtain a police background check? Are you willing to obtain a police background check? Yes No

Are you willing to complete Accessibility for Ontarians with Disabilities Act (AODA) training? Are you willing to complete Accessibility for Ontarians with Disabilities Act (AODA) training? Yes No

Do you have access to reliable transportation to/from the shelter? Do you have access to reliable transportation to/from the shelter? Yes No

Are you aware this is primarily a cleaning role where you will have limited interaction with dogs? Are you aware this is primarily a cleaning role where you will have limited interaction with dogs? Yes No

Why do you want to volunteer as an animal care attendant?

Are you physically able to lift/carry up to 30lbs? Are you physically able to lift/carry up to 30lbs? Yes No

Can you perform physical duties including repetitive bending, twisting, standing, walking, reaching and crouching? Can you perform physical duties including repetitive bending, twisting, standing, walking, reaching and crouching? Yes No

Do you have any physical limitations that would affect your ability to grasp, hold or manipulate objects? Do you have any physical limitations that would affect your ability to grasp, hold or manipulate objects? Yes No

Are you comfortable around all sizes and breeds of dogs? Are you comfortable around all sizes and breeds of dogs? Yes No

Do you have a strong understanding of canine body language? Please explain.

Are you comfortable working in a noisy environment where dogs are barking? Are you comfortable working in a noisy environment where dogs are barking? Yes No

Are you sensitive to unpleasant smells? Are you sensitive to unpleasant smells? Yes No

How do you feel about working as part of a team?

Are you willing and able to: Are you willing and able to: Clean and sanitize dog kennels Dispose of dog poop Sweep and mop the floor Assist with laundry Assist with cleaning dishes Assist with restocking supplies

Please select which animal care shifts you can be available for: Please select which animal care shifts you can be available for: Monday Mornings: 8:30 – 10:30 am Tuesday Mornings: 8:30 – 10:30 am Wednesday Mornings: 8:30 – 10:30 am Thursday Mornings: 8:30 – 10:30 am Friday Mornings: 8:30 – 10:30 am Saturday Mornings: 8:30 – 10:30 am Sunday Mornings: 8:30 – 10:30 am

Please let us know if there is any additional information you would like to share with us.

I give permission for the Oakville & Milton Humane Society to contact me. I give permission for the Oakville & Milton Humane Society to contact me. Yes No