First and Last Name:
D.O.B./Age if under 16 a parents or guardians signature is required
Street Address
City:
State:
Zip:
Home Phone:
Work Phone:
Cell phone:
Email Address:
Employer/Job Title:
May we contact for reference:
Yes
No
N/A
If yes, please provide name and phone # of employer:
Allergies or physical restrictions:
How did you hear about Castaways Rescue INC?
Why do you want to volunteer at Castaways Rescue INC?
Do you work with any other rescue organizations?
Yes
No
If so, please give contact information for that organization including name and phone #:
Please list types of pets you currently own (or have owned in the past).
Animal Experience: (check all that apply)
Veterinary Hospital
Boarding Facility
Foster Home
Dog Grooming
Cat Grooming
Shelter Work
Training/Obedience
Pet Sitting
Farm Animals
Other
If you would like to comment more on your experience with the above, please do so here:
If you listed other, please explain:
Other Experience, Special Skills, Strengths, Talents: (check all that apply)
Computers
Management
Crafts
Working w/children
Graphic Arts
Woodwork/Carpentry
Painting
Photography
Writing
Secretarial
Fund-raising
Public Speaking
Other
If you would like to comment more on your experience with the above, please do so here:
If you listed other, please explain:
Volunteer Work Preferences: (check all that apply)
Shelter cleaning
Pet Transport
Dog Walking
Dog washing and grooming
Clerical/Office
Foster care (please fill out foster app)
Computer/Website
Special Events
Advertising
Other
When are you available to volunteer? (check all that apply)
Weekdays
Weekends
Would you be willing to volunteer off the shelter premises?
Yes
No
Are you volunteering for School or Community Credit?
Yes
No
Reference #1 (Name, phone # and relationship to self)
Any additional comments:
Do you have medical insurance?
Yes
No
In case of emergency, who should we contact? (name and phone #)
This volunteer agreement (“Agreement”) is entered into as of the date set forth below by Castaways Rescue INC. WHEREAS, the Volunteer has voluntarily contacted Castaways Rescue INC and has expressed an interest in working with dogs in the care and custody of Castaways Rescue INC. In consideration of Castaways Rescue INC agreement to allow the volunteer to view and/or interact with such dogs, the volunteer hereby, for his/her heirs, his/her personal representatives, and him/herself represent and warrant as follows: 1. The volunteer is fully aware of the risks that dogs pose and have elected to view and/or interact with one or more dogs in the care of Castaways Rescue INC voluntarily. The volunteer knowingly assumes all risks that exposure to dogs may pose, including but not limited to serious bodily injury and/or death. 2. THE VOLUNTEER Hereby agrees to indemnify and save and hold harmless Castaways Rescue Inc., its employees, agents, members, directors, officers, or any affiliated entities thereof and Jones County, the Sheriff, and their employees, agents, and officials from any and all loss, liability, damage, or cost including property damage, bodily injury or death and any and all manner of claims, demands, actions, causes of action, suits, debts, expenses (including reasonable attorneys’ fees), sums of money, promises or damages whatsoever, in law or in equity, known or unknown, whether heretofore asserted or not, arising directly or indirectly out of or related to volunteer work with animals from Castaways Rescue Inc. VOLUNTEER RULES OF CONDUCT Please read the following carefully. This form must be signed by the volunteer. As a volunteer, I understand and agree that: • Conduct myself in a professional manner at all times when involved in Castaways Rescue INC ACTIVITIES • Perform my tasks under the guidelines established within the job description for that task. • Adhere to all established policies and procedures. • I am providing my services in a volunteer capacity without any expressed or implied promise of salary or employment benefits. • Using or being under the influence of alcohol or drugs is prohibited while volunteering. • Verbal or physical abuse to other volunteers or staff will not be tolerated. • Treat the animals with respect and kindness • Report animal injuries, illness or behavior concerns to a staff member. • Never handle an animal that makes me feel uncomfortable. I will not put myself, the animal or others at risk. • Follow all posted instructions in animal care areas, this includes not entering a restricted area, such as the quarantine room, without permission.
By writing your name here, you are agreeing to the above liability waiver.
By writing your name here, you are stating that you are the parent/guardian of the above applicant and you grant your permission for them to volunteer with Castaways Rescue INC.
Anything else you would like to say, please note it here:
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VOLUNTEER INFORMATION
PLEASE KEEP THIS PAGE FOR YOUR RECORDS AND REFERENCE AS NEEDED Welcome and THANK YOU for volunteering with Castaways Rescue, Inc! We hope you find your volunteer experience rewarding, educational, exciting and fun. You can have a HUGE impact the lives of homeless animals. The happy wagging tails from our dogs is sure to touch your heart and bring you back for more. Because of volunteers like you, our dogs are provided with the highest level of care as they make the journey toward finding forever homes. Thank you again for your time and commitment! Here is an abbreviated summary of the Waiver you signed: As a volunteer, I understand that: • I should wear closed toed / non-slide shoes and should not wear dangling jewelry. • My clothes and shoes may become dirty or damaged while volunteering. • All donations given to Castaways Rescue Inc are the property of Castaways Rescue Inc. • Volunteers do not receive compensation. • Volunteering at Castaways Rescue, Inc building and/or working with the animals may lead to injury or illness and I assume all liability and risk associated with volunteering. • I should be up-to date on my Tetanus Shot, just to be safe. Here is an abbreviated summary of the Code of Conduct you signed: As a volunteer I am expected to: • Conduct myself in a professional manner at all times when involved in Castaways Rescue, Inc activities. • Report any abusive behavior in the Rescue to the appropriate staff person. • Adhere to all established policies and procedures. As a volunteer working with the dogs, I am expected to: • I am providing my services in a volunteer capacity without any expectation of salary or benefits. • Using or being under the influence of alcohol or drugs is prohibited while volunteering. • Verbal or physical abuse to shelter volunteers or staff will not be tolerated. • Treat the animals with respect and kindness. • Report animal injuries, illness or behavior concerns to a staff member. • Never handle an animal that makes me feel afraid or uncomfortable.
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