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KCHS BOARD

KCHS depends on our Volunteer support to keep our pets happy and healthy. You don't need to be retired, you just need to have a love of animals. Our volunteers are just regular folks like you, all ages, all shapes, all sizes. If you can help out just one or two hours per week we have lots of ways for you to help. Our volunteers contribute to the welfare of all of our animals by keeping kennels clean and water replenished, walking or exercising animals, socializing pets. Prefer cats? We have cats and kittens to cuddle. Do you have social media or IT skills? We don't, so we need your help! Foster a pet. Organize a fund raiser or help us with a special event. Whatever you choose, you will make a huge difference in so many lives. To become part of the KCHS Team, just complete and submit the application below and we'll get started. (Must be 16 or over)

First Name*

Last Name*

Street Address*

City*

State*

Zip Code*

Home Phone/Cell Phone*

E-mail Address*

Birth Date*

Employer (N/A if unemployed)*

Title/Position

Have you volunteered for other agenices/organizations? If yes, please explain*

Emergency Contact First Name*

Emergency Contact Last Name*

Your Relationship with Emergency Contact*

Emergency Contact Home/Cell Phone Number*

What are your skills? Check all that apply*

Animal handling Art/Design Customer Service/Telephone Education Grooming Information Technology Cleaning & Maintenace Medical Office/Admin Organization Photography/Video Research Public Speaking Fundraising Other

If other, please explain

Please include any additional information about your skills, background and experience you think may be relevant. *

Do you have any physical or psychological limitations (i.e. back injuries, heart condition, allergies) that might require an accommodation or prevent your participation in any volunteer opportunities *

Are you a member of any animal welfare organization? If yes, please list:*

Availability-Shelter volunteer hours are flexible, but generally every day ~8:00 am-1:00 pm, and ~4:30 pm. Additional hours may be requested during special events or on an as-needed basis.*

Mornings - weekdays Mornings - weekends Middays - weekdays Evenings - weekdays Evenings - weekends Any day as needed

Which Animals do you prefer working with?*

Dogs Cats Other

If other, please specify

Do you have pets now? *

Have you ever adopted from KCHS? *

Are your pets current on their vaccinations? *

Do you enjoy working alone, with others, or no preference? *

Alone With others No Preference

What motivated you to volunteer for KCHS?*

Have you ever been convicted of a felony? (Conviction does not necessarily disqualify you from volunteering.) If you have not provided truthful info, your application may be rejected.*

If Yes, Please explain

Date*

Signed*

Reference Name

Reference Phone Number

Website was made possible by a grant from the Petco Foundation.

QUESTIONS OR COMMENTS?

SEND US AN EMAIL

811 East C Ave

P.O. Box 103

Kingman, KS 67068

316-542-1812

kchs@kingmancountyhumanesociety.org

HOURS

Monday - 10:00AM-12:00PM & 1:00PM-4:00PM

Tuesday - 10:00AM-12:00PM & 1:00PM-4:00PM

Wednesday - 10:00AM-12:00PM

Thursday - 10:00AM-12:00PM & 1:00PM-4:00PM

Friday - 10:00AM-12:00PM & 1:00PM-4:00PM

Saturday - 10:00AM-12:00PM

Sunday - CLOSED OR BY APPT

Name*

Email*

Question / Comment*

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