Reducing Animal Stress
Volunteer Application Form
First and Last Name:
D.O.B./Age
For Teen Volunteers
Street Address
City:
State:
Zip:
Home Phone:
Work Phone:
Cell phone:
Email Address:
School/Employer:
Allergies or physical restrictions:
How did you hear about Reducing Animal Stress?
Why do you want to volunteer with Reducing Animal Stress?
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 any 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
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
Photography
Writing
Secretarial
Fund-raising
Public Speaking
Social Media
Grant Writing/Fundraising
Book Keeping/Accounting
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)
Special Events
Educational Programs/Workshops
Community Outreach/Engagement (i.e. crafting stations)
Fundraising/Grant Writing
Other
When are you available to volunteer? (check all that apply)
Weekdays
Weekends
Would you be willing to volunteer at our events?
Yes
No
Do you need volunteer credit for school?
Yes
No
If yes, how many hours?
*
Number of hours needed
Reference #1 (Name, phone # and relationship to self)
Reference #2 (Name, phone # and relationship to self)
Reference #3 (Name, phone # and relationship to self)
In case of emergency, who should we contact? (name and phone #)
Any additional comments:
This volunteer agreement (“Agreement”) is entered into as of the date set forth below by Reducing Animal Stress ("RAS"). WHEREAS, the Volunteer has voluntarily contacted RAS and has expressed an interest in working with adoptable pets in the care and custody of the animal shelters and rescues that we work with. In consideration of RAS’s agreement to allow the volunteer to view and/or interact with such pets, 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 pets pose and have elected to view and/or interact with one or more pet in the care of RAS and our rescues/shelters voluntarily. The volunteer knowingly assumes all risks that exposure to pets may pose, including but not limited to serious bodily injury and/or death. 2. THE VOLUNTEER HEREBY WAIVES, RELEASES, DISCHARGES, HOLDS HARMLESS, AND PROMISES TO INDEMNIFY AND NOT TO BRING SUIT AGAINST RAS, its directors, officers, volunteers, staff, and all other agents, and attorney or any other parties acting for or on behalf of the referenced parties, from any and all rights and claims which the volunteer has or which may hereafter accrue to the volunteer and from any and all damages which may be sustained by the volunteer directly or indirectly in connection with, or arising out of, the volunteer’s exposure to such pets.
By writing your name here, you are agreeing to the above liability waiver.
First Name Last Name
If you are under 18 years old, please have an adult sign here. 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 Reducing Animal Stress.
First Name Last Name
Signature Of Adult
Date
Day/Month/Year
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