431 E. Chestnut Street Dunkirk, NY 14048 Volunteer Application Facebook.com/Lakeshore Humane Phone Number: (716) 672-1991 PLEASE NOTE: Individuals under 18 must have a parent or legal guardian with them while volunteering at the center. Contact Information Name Street Address City ST ZIP Code Home/Cell Phone Work Phone E-Mail Address Medical Insurance Provider Date of last tetanus shot You must 18 to CATS DOGS work with the Days Available Check AM or PM Morning Days Available dogs. 16 18 – Evening Morning Evening years of age must have a Monday parent with Monday Tuesday them. Tuesday Wednesday Wednesday Thursday Under 18 must Thursday have a parent Friday Friday with them to Saturday work with cats. Saturday Sunday Sunday Other Available time: ______________________________________________________________________________________________________ Please list two references Name Relationship Phone Number _______________________________________________________________________________________________ Name Relationship Phone Number
Volunteer Application 431 E. Chestnut Street Dunkirk, NY 14048 Facebook.com/Lakeshore Humane Phone Number: (716) 672-1991 PLEASE NOTE: Individuals under 18 must have a parent or legal guardian with them while volunteering at the center. Contact Information Name Street Address City ST ZIP Code Home/Cell Phone Work Phone E-Mail Address Medical Insurance Provider Date of last tetanus shot CATS Days Available Check AM or PM Morning Evening Monday Tuesday Wednesday Thursday Friday Saturday Sunday DOGS Days Available Morning Evening Monday Tuesday Wednesday Thursday Friday Saturday Sunday You must 18 to work with the dogs. 16 – 18 years of age must have a parent with them. Under 18 must have a parent with them to work with cats. Other Available time: ______________________________________________________________________________________________________ Please list two references Name Relationship Phone Number _______________________________________________________________________________________________ Name Relationship Phone Number