The Humane Society of Louisiana

VOLUNTEER PROFILE FORM
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Home Phone:
Cell Phone:
Emai Address:
Are you interested in:
yes	Visiting the New Orleans/Tylertown area, to volunteer on specific dates (If so, please indicate the dates in question:
	Date available:
yes	Volunteering regularly, because I live in the area.
What areas of volunteer service interest you:
yes	Hands-on animal care
yes	Adoption Days
yes	Animal transport
yes	Special events
yes	Fundraising
yes	Clerical and administrative support
	Veterinary, graphic design, construction/carpentry, legal or other professional skills: (Please describe: )
yes	Foster homes for pets seeking adoption* (If so, what kind of animals would you be willing and able to keep and for how long?)
yes	Do you have any experience working with animal protection agencies or animal care?
yes	Do you have any special skills or talents, which you would like to contribute as a volunteer? (Please describe: )
yes	Can you lift 50lbs easily?
yes	Do you have any physical limitations? If yes, what?
yes	Do you have any allergies to animals or medications?
yes	Do you have reliable transportation?
yes	Do you have a current driver's license?
Emergency Contact Information:
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Home Phone:
Cell Phone:
Emai Address: