New Volunteer Application

New Volunteers:

HSSM uses an online database to maintain our volunteer program. Please fill out our volunteer application.


Still have questions? Please contact HSSM’s Volunteer Coordinator at 228-863-3354 ext. 116 or

First Name
Last Name
Address 2
Zip Code
Phone Number
Email Address
Date of Birth
Emergency Contact
Emergency Contact Phone Number
Emergency Contact Relationship
example - spouse, mother, sibling, friend, etc.
Are you volunteering through another organization? If so, Which one?
Do you have any allergies? ?
Please list any allergies here
Have you ever been convicted of a felony?
Safety: Certain areas of the facility, are limited to staff members only. Animals in these areas have either not been evaluated, or have a contagious medical condition. Please be aware of these areas and do not enter. If you cut yourself, fall or injure yourself in any way, report it immediately to management. If an animal scratches or bites you (breaks your skin in any way), also report this immediately to management. Please always be extremely careful when working in the facility.
HSSM is committed to fair, nondiscriminatory treatment of all volunteers based on merit, performance, and ability, and believes that each volunteer has the right to work in a professional environment in which equal opportunities are promoted and discriminatory practices based on race, color, religion, gender, sexual preference or orientation, national origin, age, or physical or mental disability, are prohibited. All Volunteers Agree to Follow the Above Policies and: 1) Work without pay or employment ­type benefits. 2) Adhere to both the letter and spirit of all Organization rules as outlined in current Humane Society policies, posted notices, emails, and volunteer manuals, or communicated in any way. 3) Strictly maintain the highest ethical and moral standards of physical and emotional treatment of the animals under our care. 4) Accept the guidance of staff when communicated. 5) Communicate concerns, compliments, suggestions or other feedback to the appropriate staff member. 6) Maintain the reputation and integrity of HSSM when working with the public; practice good customer service skills with the public and other volunteers and staff. 7) Learn the risks involved in working in a facility with potentially hazardous chemicals and in certain activities of the facility, and limit those risks whenever possible. 8) Understand that HSSM, without notice or hearing, may terminate my services as a volunteer at any time, with or without reason. 9) Not represent the HSSM outside my immediate volunteer capacity. Only the executive director or designees speak for the organization. 10) Use HSSM property only for the benefit of HSSM and not for own personal benefit. 11) Wear clothing appropriate for the nature of the work being done. 12) Be responsible for personal belongings, keeping them with the volunteer or locked in a vehicle.
The Volunteer Further Swears and Affirms as Follows: 1) Hazard Communication Program: The OSHA (Occupational Safety Hazard Administration) was founded to ensure that all chemicals used in as organization would be evaluated and that this information pertaining to these hazards would be passed on to employees and their staff. The goal is to reduce the number of chemically related occupational occurrences and injuries. In order to comply with this standard, a written Hazard Communication Program has been established for the HSSM. I am aware that copies of this information are available for review by employees, volunteers, and community service personnel in the employee lounge. This book contains information on your Right to Know product labels and MSDS (material data safetysheets), recognizing hazardous materials, and what hazardous materials to which you could be exposed. If you have any questions pertaining to this information, please contact the Volunteer Manager. 2) Non – conviction statement: I have never been convicted of intentional or negligent animal cruelty, neglect, and or abandonment by any legal authority. I further swear that I will provide updated information should change occur. 3) Confidential information: I agree I owe duties of loyalty and confidentiality to the Organization at all times during my volunteer work and following the conclusion of my volunteer work, whether voluntary or involuntary, and agree to hold in the strictest confidence all Confidential Information, unless disclosure is required by law, and further agree that I will not use any such Confidential Information for my own benefit or to the detriment of the Organization and/or its Board of Directors and/or Officers during my work with the Organization or anytime thereafter. “Confidential Information” shall mean any information, including but not limited to, internal HSSM activities, proprietary Organization information, any personal information of any donor, adopter, customer, volunteer or any other individual obtained at the HSSM, data of any kind, animal care techniques, vendor lists, operating methods, trade secrets, costing, pricing and financial data, financial statements and projections, project results and tests, organization business plans and proposals, data and information the Organization receives in confidence from any other party, personnel matters, or any confidential matters of the organization.
I, the undersigned, do hereby agree to release the Humane Society of South Mississippi (HSSM) from all liability. I will not hold HSSM liable for any damages, illness or injury sustained during volunteer work. I will never institute any action or suit at law or in equity against HSSM, nor institute, prosecute or in any way aid, assist , or participate, directly or indirectly, in the institution or prosecution of any claim, demand, action, or cause or action for damages, costs, loss of service, expenses, or compensation for or on account of any damage, loss or injury either to person or property, or both whether developed or undeveloped, resulting or to result, known or unknown, past, present, or future, arising out of the condition or operation of HSSM and its facilities (including but not limited to any damage, loss or injury either to person or property, or both resulting from contact with or actions or conduct of any animal located at or in the custody or control or in releases, demises and discharges HSSM). The undersigned Volunteer further hereby releases, demises, and discharges HSSM and covenants and agrees to defend indemnify and hold HSSM harmless of and from demands, damages, suits, costs or expenses said volunteer’s had or may have for any reason which may occur or arise by reason of volunteer’s association, activity of work now, heretofore or hereafter at or with HSSM.
Are you under 18 years old?

Our Mission

The mission of the Humane Society of South Mississippi is to save and enhance the lives of pets through cooperative and innovative approaches to adoption, spay/neuter, sheltering and community engagement.

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