Animal Ambassador Team 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?

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 which might be a factor in an animal shelter setting?

Do you have any health concerns or limitations which might impact your ability to work at the shelter? If yes, please explain.

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

Are you willing to provide references? Are you willing to provide references? Yes No

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 for yourself and your dog to get to/from the shelter and/or special events in Oakville and Milton? Do you have access to reliable transportation for yourself and your dog to get to/from the shelter and/or special events in Oakville and Milton? Yes No

What days and times are you available to volunteer? What days and times are you available to volunteer? Monday mornings Monday afternoons Tuesday mornings Tuesday afternoons Wednesday mornings Wednesday afternoons Thursday mornings Thursday afternoons Friday mornings Friday afternoons Saturday mornings Saturday afternoons Sunday mornings Sunday afternoons

Why do you want to volunteer for OMHS?

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

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

Volunteer Application Form

What is your dog's name, age and breed?

Who is your dog's veterinarian?

Is your dog spayed/neutered? Is your dog spayed/neutered? Yes No

Does your dog have a history of biting? Does your dog have a history of biting? Yes No

Is your dog house-trained? Is your dog house-trained? Yes No

Does your dog jump up on people or vocalize when they get excited or meet new people? Does your dog jump up on people or vocalize when they get excited or meet new people? Yes No

If your dog licensed? If your dog licensed? Yes No

Is your dog up to date on their rabies vaccination? Is your dog up to date on their rabies vaccination? Yes No

Are you willing to provide proof of rabies vaccination (i.e., rabies certificate)? Are you willing to provide proof of rabies vaccination (i.e., rabies certificate)? Yes No

Is your dog up to date on their DHPP or DAPP vaccination? Is your dog up to date on their DHPP or DAPP vaccination? Yes No

Is your dog comfortable around other dogs? Please explain.

Is your dog comfortable around children? Strangers? Men? Please explain.

Is your dog okay in noisy and crowded environments? Please explain.

How does your dog react to touch?

What equipment does your dog wear (collar type, leash type, other special equipment)?

What training methods have you used with your dog?

Are you willing to schedule an assessment for your ambassador team (you and your dog) to see if you are the right fit for OMHS? Are you willing to schedule an assessment for your ambassador team (you and your dog) to see if you are the right fit for OMHS? Yes No

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