Please note that your acceptance into and continued participation in the volunteer program is dependent on your attitude toward volunteer work, comfort level working with animals, attitude toward animal sheltering and our specific activities, and whether we have positions available for your specified time slots, among other things.
Our Volunteer Manager will contact you to discuss your application. Thank you for your interest. If you have any questions, please contact us at our voicemail, 630-375-7976, and leave a message.
When filling out the form please make sure all fields are filled in. If something does not apply to you then put "N/A" in the text box.
First Name
Last Name
Address
Town/City
Zip Code
State
Home Phone Business Phone
Email
Occupation Employer
Employers Address & Phone
List three references, of which one must be your veterinarian.
1) Name Phone Relationship
2) Name Phone Relationship
3) Name Phone Relationship
List your animal organization memberships, with telephone numbers and postions held.
Have you been a committee chairperson? No Yes If yes, list committees and years served.
Have you written any newsletters? No Yes If yes, please describe.
Do you have any specail skills that you could contribute to volunteer activities, such as public speaking, art work, financial consulting, etc? No Yes If yes, please identify.
Do you presently own a cat or dog? No Yes If yes, please describe.
Cat/Dog Breed/Mix Sex
Age Where obtained?
Have you owned dogs or cats in the past? No Yes If yes, please describe them and what happened to them. For example, "gave away because..." or "died from..." or "was lost because..."
Please mark the pet related areas below you have experience with or in.
Training Feral Kitten Taming Animal Rescue & Humane investigation
Adoption Educating Public Clinics Animal Transport
Fostering T.N.R of feral cats Public Speaking
Kennel/Cage Cleaning Bottle Feeding Newborns Fund Raising
Please explain any areas you checked.
What types of volunteer work are you most interested in?
Are you able to staff special events like adopt-a-thons, fund raisers, etc? No Yes
Please indicate any limitations you have on working with or near specific types of animals.
Which hours and days of the week can you volunteer?
Why do you want to volunteer with A Caring Place Humane Society?
How did you learn about us?
What questions do you have?
VOLUNTEER AGREEMENT
1) I will abide by the mission, rules, regulations, policies and programs of the Charity while I am a volunteer.
2) If I stop being a volunteer for the Charity for any reason, or upon the Charity's request at any time, I will promptly return all of the Charity's supplies, equipment, records, monies, and other items in good clean condition.
3) I assume the risks of being bitten, scratched, injured, or frightened by cats, kittens, dogs and puppies in connection with my volunteer work for the Charity. Charity is not liable to me for any injuries, damages, liabilities,losses,judgements, costs or expenses whatsoever, which I might suffer or sustain in connection with the performance of my volunteer activities for the Charity, unless they are the result of the Charity harmless from and against any claims, lawsuits, injuries, damages,losses, costs or expenses whatsoever, sustained by any companion animal or any person in connecition with my intentional misconduct or grossly negligent performance of volunteer activities for the Charity, or my breach of Charity's rules, regulations, policies and programs.
4) I understand and agree that the Charity may refuse volunteer applications for any reason.
5) I will be sheltering or providing foster care or boarding of any of Charity's animals in my home or business, I consent to the Charity visiting my home or business from time to time to observe the animals and their living conditions.
6) I have accurately and truthfully completed this Volunteer Application and Agreement.
7) Any modification to this agreement must be in writing signed by both parties. This Agreement is binding upon the Charity, me, and the Charity's and my respective heirs, successors, assigns, executors, and personal representatives.
Dated:
APPLICANT
In consideration of this opportunity to volunteer, I agree to the following terms and conditions, intending to be legally bound by them. Place a check mark in the box if you agree to the terms listed above.
Print Name
Street Address
City, State, and Zip Code
Telephone
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