NOTE: Volunteers between 14 - 15 years and a parent or guardian MUST EACH fill out this form and the parent/guardian MUST volunteer with the minor on all volunteer shifts until the minor is 16 years old, no exceptions.

COMMUNITY SERVICE: Our volunteer program is not for individuals needing to complete court-mandated community service.

Please read and initial each line:

__ I have accurately and truthfully completed the Volunteer Application and I give my permission to CHA to verify any of the information in the application. I agree that my services are provided on a volunteer basis without pay or compensation of any kind.

__ I agree to abide by the policies/procedures of CHA during my time as a volunteer. I will conform to all rules and regulations commonly applying to employees of CHA, including safety, discrimination, harassment, and confidentiality.

__ I will confide all comments, questions, suggestions, whether positive or negative, to my immediate Lead Volunteer and/or the Community Engagement Manager.

__ I give consent to CHA to use any photographs taken of me on property or at a special event for public relation purposes.

__ As a volunteer worker, I acknowledge that I will be acting entirely at my own risk. I am aware of the dangers inherent in handling animals and the potential hazards inherent in the normal course of volunteer work at CHA. Should I have concerns or questions about tetanus or rabies vaccinations, I am encouraged to consult a physician to decide whether or not to be vaccinated at my own expense.

__ I hereby release, discharge and indemnify CHA, its agents, employees, directors, officers and insurance carriers from any and all claims, damages, and judgments present or future, whether known or unknown, on account of any personal or bodily injury and/or on account of any damage to personal property suffered and sustained by me from any incident caused or arising out of, during or in connection with, any volunteer work for or on behalf of CHA.

__ I understand and agree that the terms of this agreement shall be binding upon my heirs, my assignees, my personal representatives and myself.

__ In the case of emergency in which I require medical care, I authorize CHA to act on my behalf.

__ I understand CHA has the right to terminate this agreement at its discretion

I further agree to:

Support the goals and efforts of CHA with a positive attitude and treat all animals with kindness.

Approach my volunteer job responsibilities with professionalism.

Promote goodwill by handling contacts with staff, other volunteers, and the public in a spirit of courtesy and cooperation.

Report to my volunteer job physically and mentally fit for duty. CHA is a drug free workplace and use or possession of firearms or weapons of any kind are prohibited.

Provide appropriate notice of unavoidable absence or lateness.

Deal fairly with all CHA colleagues, co-workers, supervisors, customers, visitors, volunteers, etc., without regard to their gender, race, ethnicity, religion, creed, age, sexual orientation, marital status, national origin, ancestry, citizenship, military status, veteran status, handicap or disability.

Only serve as agency representative in the community or media spokesperson when authorized to do so by management.

Correct, when possible, misleading or inaccurate information and representations made by others concerning CHA policies, practices and procedures.

Maintain/Safeguard the confidentiality of all business, donor, employee, volunteer and animal records, credit and financial information, and/or any information relating to the operation of the agency that is not readily accessible to the public.

Observe all safety and security rules in the performance of my volunteer job duties.

Report accidents, injuries, fire, theft or other unusual incidents immediately after occurrence or discovery.

Avoid engaging in any conduct that is or could be perceived as a conflict of interest. Refrain from using CHA property, services or supplies for personal reasons unless given prior permission by the appropriate staff member.

Contact the Volunteer Coordinator if I have questions or concerns about CHA policies, procedures, interpersonal communications, or my volunteer responsibilities.

I acknowledge that I have read and fully understand the terms and conditions of the foregoing Volunteer Agreement and Code of Conduct, and I agree that I will comply with the same. Note: A parent or legal guardian must sign this agreement along with any child under the age of 18 years old.