Wildlife Driver Volunteer Application

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

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

Were you referred to us by an individual or organization? If yes, please identify the person or organization responsible.

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 have any health concerns that might impact your ability to volunteer?

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 at home? If so, please list their names, breeds, ages, and the dates of their last vaccinations.

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

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

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

I want to: I want to: Transport wildlife in my own vehicle Transport wildlife in the shelter vehicle Have both options available when transporting wildlife

Do you have any phobias related to wildlife?

Do you have a clean driving record and are you willing to provide a driver’s abstract? (the OMHS cannot reimburse this cost) Do you have a clean driving record and are you willing to provide a driver’s abstract? (the OMHS cannot reimburse this cost) Yes No

Do you have a valid Ontario G driver’s license? Do you have a valid Ontario G driver’s license? Yes No

Which destination(s) are you willing to drive to? Which destination(s) are you willing to drive to? Toronto Grimsby Newmarket Jarvis

Which of the following shifts are you available for: Which of the following shifts are you available for: Sunday Mornings Sunday Afternoons Monday Mornings Monday Afternoons Tuesday Mornings Tuesday Afternoons Wednesday Mornings Wednesday Afternoons Thursday Mornings Thursday Afternoons Friday Mornings Friday Afternoons Saturday Mornings Saturday Afternoon

Why do you want to volunteer?

What makes you a great fit for the role you are applying for?

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

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