Joy Ambassador Health Profile

Mahalo for applying to become a Hawaiian Humane Pet Visitation Volunteer! As part of our application process, please complete and submit this form with your Joy Ambassadors's* health information.

*The "Joy Ambassador" is the pet that will join you on visitations.

Note: This submission only includes one pet. If you wish to volunteer with multiple pets, please contact our Outreach team at outreach@hawaiianhumane.org for further information.

Animal Handler's Name: *

Email: *

Your Pet's Name: *

Breed: *

Age: *

Sex: *

Is your pet spayed or neutered? *

Weight (in lbs): *

Microchip #: *

How long have you owned your pet?: *

Does your pet have any health concerns? If so, please list them below:

Is your pet updated on all their flea, tick & heartworm preventatives? : *

Yes

No

Please upload you pet's vaccine records: *

Please upload a clear photo of you and your pet for your volunteer nametag which will be provided to you after your training. *

Which facility type are you most interested in volunteering at? Select all that apply. *

Schools

Senior Health Care Facilities

Hospitals

Community Events

What is your current availability to volunteer? *