HIGHLANDS COUNTY DIVISION OF
EMERGENCY MANAGEMENT 6850 West George
Blvd. Sebring, FL 33875 863-385-1112
HIGHLANDS COUNTY
PET SHELTER
VOLUNTEER
REGISTRATION
If you are physically able and are experienced around pet(s),willing and able to work under stressful situations, and have the love in your heart to help care for animals during our community’s time of need, PLEASE volunteer to be an emergency helper at our Pet Shelter. You will need to fill out a short questionnaire, and also pre-register as a "Disaster Volunteer"
Please contact:
Bill Nichols at bnichols@hceoc.org
PET SHELTER
VOLUNTEER REGISTRATION FORM
Last
name: _____________________________________ First name: _______________________
Address:
________________________________________________________________________
City:
__________________________ State: ______________________Zip: _________________
Telephone:
(_______)_______________________ Cell:
(________)________________________
Employer
name: __________________________________________________________________
Employer
telephone: (______)_______________________
Years employed _________________
Reference
#1 name: _________________________________ Phone: (______)________________
Reference
#2 name: _________________________________ Phone: (______)________________
Explain
you experience or work history with animals:
____________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________