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Monday, December 11, 2017


Volunteering Sign Up Form

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?        


Cat/Dog      Breed/Mix      Sex    

Age             Where obtained?  


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..."

Cat/Dog         Breed/Mix       Sex 

Age             Where obtained?

 


Cat/Dog       Breed/Mix       Sex

Age             Where obtained?


Cat/Dog      Breed/Mix        Sex

Age              Where obtained?

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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