Soulful Eyes Equine Rescue Inc. Volunteer Application

Soulful Eyes Equine Rescue Inc. Volunteer Application
Today's Date*

MonthDayYear
Full Name*

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Home Phone*

Area CodePhone Number
Mobile Phone*

Area CodePhone Number
Date of Birth

MonthDayYear
I work*

Full Time JobPart Time JobOther
I can realistically help _____ hours per week*
I have health insurance*

YesNo
If you have health insurance, please note insurance company
If you do not have health insurance coverage, please understand that all expenses from possible injury wil be paid for by you personally and not by Soulful Eyes Equine Rescue Inc.
Have you ever been investigated by Animal Control?*

YesNo
Have you worked/volunteered with a humane society, shelter, or barn?*

YesNo
If yes, please list organization(s)
Is your involvement with the organization(s) current?

YesNo
I also understand that behavior of domestic animals/equines is at times unpredictable and that some domestic animals/equines are capable of inflicting property damage, serious personal injury and even death. I am well aware of the risk of handling domestic animals/equines, and with such understanding, I hereby waive, release and forever discharge Soulful Eyes Equine Rescue Inc. and its employees/volunteers, agents or trainers from any and all claims (whether present or future) arising out of the participation in the Volunteer Program.
Please rank the Volunteer Opportunities below
If I am accepted into the volunteer program, I agree to adhere to SEERI procedures and policies*

Clear

Fostering

	1	2	3	4	5

1 is Not Interested, 5 is Very Interested

Feeding/Barn Chores

	1	2	3	4	5

1 is Not Interested, 5 is Very Interested

Events - Planning, Setup, Advertising

	1	2	3	4	5

1 is Not Interested, 5 is Very Interested

Fundraising - Special Events, Raising Funds

	1	2	3	4	5

1 is Not Interested, 5 is Very Interested

Administrative - Phone calls, Emails, Screening Applications, Computer Work

	1	2	3	4	5

1 is Not Interested, 5 is Very Interested

Social Media - Facebook, website, etc.

	1	2	3	4	5

1 is Not Interested, 5 is Very Interested

Marketing - Newsletter, Publications

	1	2	3	4	5

1 is Not Interested, 5 is Very Interested

Volunteer Liability Release Form
Volunteers are an important part of Soulful Eyes Equine Rescue Inc. and we welcome those who wish to participate in our programs. Steps to becoming a volunteer at Soulful Eyes Equine Rescue Inc.:

1. You must have an application on file.

2. Anyone that will be volunteering must willingly sign this form.
Today's Date*

MonthDayYear
Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
I certify that as of today's date, I am over 18 years of age.*

Clear
If between 16-18 years old: I certify that my guardian* will be with me at all times while I am volunteering for SEERI

Clear
Guardian's Name

First NameLast Name
Guardian's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Guardian's Phone

Area CodePhone Number
Guardian's Address
Tetnis Advisory: You are strongly urged to have a current tetanus vaccination to protect yourself should you be cut, scratched or otherwise injured in such a way that tetanus infection could threaten your health.
Acknowledgement of Tetnis Advisory*

Clear
Release of Liability: I fully understand that as a part of my volunteer work at Soulful Eyes Equine Rescue Inc. I will become in contact with animals either by direct handling or assisting in their care. Further, I understand that working with animals carries a risk of injury, and that it is possible that I may be bitten, scratched, and/or otherwise injured. I also understand that I may be exposed to equine illness and disease and that it is also possible that I could indirectly expose my own equines to such illness and disease. My signature to this volunteer liability release attests to my intent to hold harmless and release from all liability Soulful Eyes Equine Rescue Inc. and their agents and assigns from all acts which are related to my performance of any and all volunteer duties.
Photography Release: I agree to allow pictures of myself to be used, without compensation, for the purpose of the promotion and publicity related to Soulful Eyes Equine Rescue Inc.
Signature*

Clear
Date

MonthDayYear
Guardian's Signature

Clear
Should be Empty: