Volunteer Application
Please fill out the following application.
Full Name
*
First Name
Last Name
E-mail
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
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Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone Number
*
-
Area Code
Phone Number
Emergency Contact
Name
*
First Name
Last Name
Relationship
*
Phone Number
*
-
Area Code
Phone Number
Education
Are you currently a student?
*
Yes
No
What school do you attend? What grade?
*
Are you volunteering for a class credit?
*
Yes
No
If Yes, how many hours?
Employment
Who is your current employer?
*
What are your hours at work like?
*
Part time
Full time
Shift work
Casual
Work from home
Volunteer experience
Do you have previous volunteer experience?
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Yes
No
If yes, what have you done?
Do you have any special experience, skills, training, interest or hobbies you would like to share?
Check off all that interest you
*
Special fundraising events (fundraisers, bottle drives, ticket sales)
Adoption events
Shelter care
Are you comfortable handling and working with dogs with medical needs or behavioral issues
*
Yes
No
Check the days you are available to volunteer
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What hours are you available for volunteering?
*
8AM-12PM
1PM-4PM
5PM-8PM
9PM-11PM
Other
Any other notes?
Confidentiality Agreement
Information concerning the management and operation of our Organization is generally notknown to the public and should be kept confidential.Guidelines for protecting confidentialityIt is important that we diligently protect the confidentiality of information. The followingguidelines have been developed for this purpose:• Confidential information should be shared only with those inside the Organization whose jobsrequire them to have access to the information or when the law requires or protects the releaseof such information.• Board Members, Employees, or Volunteers should not disclose sensitive or non-publicinformation to people outside the Organization or discuss it in public places.• When information is disclosed to individuals having a business relationship with theOrganization that requires such disclosure, it should be done with the understanding that theinformation will be kept in confidence, and only the minimum amount of information necessaryto accomplish the function should be disclosed.• Documents containing sensitive information - including information stored on computersystems - should be handled carefully and must be properly stored.• Discussions between the Organization and its lawyers are usually privileged and should be keptconfidential. Any disclosure of those discussions to a third party my result in a waiver of theattorney-client privilege and possible harm to the Organization's interests. This point isespecially important due to the nature of prosecuting animal cruelty cases.I understand the above and agree to comply with the FFH Confidentiality Agreement.
*
I agree to these terms & conditions
I do not agree to these terms & conditions
Signature
*
Volunteer Release
(18 years or older /if under 18 parent or guardian) Please read the following statement, signand date below:
I hereby agree to accept a position as a volunteer worker for the Furbabies Furever Homes(herein after referred to as the FFH), and in doing so, I agree to comply with all of the rules andregulations which may be established from time to time by the FFH, and I understand thatfailure to do so may result in my immediate termination as a volunteer. I acknowledge that myservices are provided strictly on a volunteer basis, without any pay of any kind, and withoutliability of any nature on behalf of the FFH. All services will be performed at my own risk. Irecognize that in handling animals and performing other volunteer tasks there exists a risk ofinjury, exposure to zoonotic diseases (i.e. ringworm, giardia, rabies, etc) and physical harmcaused by the animals. On behalf of myself, my heirs, personal representatives, andexecutors, I hereby release, discharge, indemnify and hold harmless the FFH, its agents,servants, and employees from any and all claims, causes of action, or demands, of any natureor cause, including costs and attorney’s fees incurred or sustained by me in any wayconnected with my services for the FFH, including but not limited to animal bites, accidents or injuries.
*
I agree to these terms & conditions
I do not agree to these terms & conditions
E-Signature of Volunteer
*
E-Signature of Parent/Guardian (IF under 18)
Full Name
*
First Name
Last Name
Submit
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