Volunteer Application (BAS)

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Volunteer Form
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Please fill out this application if you are interested to voluteer at the Northeast Missouri Humane Society.

Volunteers must be accompanied by an adult unless they are 18 years of age.
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Name
First Name
Last Name
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Email
example@example.com
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Phone Number
Area Code
Phone Number
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By performing volunteer work, I agree as follows and have initialled each item to indicate that I agreee.
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I am aware that this is a contract between myself and NEMOHS and that it waives legal rights that I may have now or in the future and releases NEMOHS and others from claims for damages.
Initial
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I fully assume all of the risks involved with my volunteer activities and acknowledge that they are acceptable to me. I agree to use my best judgement in undertaking these activities. I also agree to follow the rules and safety instructions as given by NEMOHS employees and volunteers authorized to act in a supervisory capacity.
Initial
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May NEMOHS use your name, pictures, video or sound recordings on television, radio, internet, etc?
Yes/No
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Do you have any experience working with animals?
Yes
No
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How did you hear about our organization?
Please Select
Please Select
An employee or volunteer of Northeast Missouri Humane Society
Facebook
Our Website
Newspaper
Internet Search
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If so, when and in what capacity?
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Which areas are you interested in volunteering?Check all that apply
Training Animals
Education Programs
Phone & Clerical Work
Transporting Foster Pets to Vet
Walking dogs/ Playing with cats
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I have carefully read this waiver and fully understand its contents and accept and sign it of my own free will. if I am under 18 years of age at the thime of registration, my parent or legal guardian has completely reviewed this waiver and release of liability, understands and consents to oits terms, and authorizes my participation.
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If you are a parent or guardian of a minor child, please list the children that you will be volunteering with you.
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Signature of volunteerIf you are under 18, parent or guardian needs to sign the next signature box.
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Parent or Guardian SignatureOnly sign if volunteer is a minor.
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By performing volunteer work, I agree as follows and have initialled each item to indicate that I agreee.