First Name

Last Name

Email*

Is the student 13 years old or older YesNo

I'm interested in volunteering: (select one that most closely matches your interest) One day only One week only One semester on a weekly basis (with the option of continuing on to additional semesters) Summer only

I'm available to volunteer: (check all that apply) Weekends - morning (9am or later) Weekends - afternoon (12pm or later) Weekdays after school (3pm or later) Weekday morning (9am or later) Weekday afternoon (12pm or later)

Are you interested in a career in Veterinary Medicine? Yes No

Are you volunteering to to earn service hours to meet school requirements? Yes No

I would like to receive email communications from HSSV. Yes

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