First and Last Name:
D.O.B./Age
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 Trapped in a peculiar world Rescue?
Why do you want to volunteer at Trapped in a peculiar world Rescue?
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
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:
Volunteer Work Preferences: (check all that apply)
Shelter cleaning
Pet Transport (friendly)
Dog Walking
Foster care (please fill out foster app)
Computer/Website (managing, posting content, & creating)
Special Events (fundraising events)
Educational Programs
Community Outreach
socialization (playtime, feeding, help training)
Photography
Pet transport (feral)
Grooming
Collecting/distributing donations
Distribution of medication
Other
If you listed other, please explain:
Do you have any animal care experience
No, would like to help in a hands off way
No, interested in learning
Yes, some
Yes, extensive experience
Other
When are you available to volunteer? (check all that apply)
Weekdays
Weekends
Days and times / how often a week are you available to volunteer?
Would you be willing to volunteer off the shelter premises?
Yes
No
Animals you are comfortable working with:
Reference #1 (Name, phone # and relationship to self)
Reference #2 (Name, phone # and relationship to self)
Reference #3 (Name, phone # and relationship to self)
Any additional comments:
In case of emergency, who should we contact? (name and phone #)
Are you willing and agree to following all rules and always practice caution and safety (for self , others around you, and animals) while working with the rescue
Yes
No
This volunteer agreement (“Agreement”) is entered into as of the date set forth below by Trapped in a peculiar world. WHEREAS, the Volunteer has voluntarily contacted Trapped in a peculiar world and has expressed an interest in working with selected animals in the care and custody of Trapped in a peculiar world. In consideration of Trapped in a peculiar world’s agreement to allow the volunteer to view and/or interact with such selected animals, 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 animals pose and have elected to view and/or interact with one or more selected animal in the care of Trapped in a peculiar world voluntarily. The volunteer knowingly assumes all risks that exposure to animals may pose, including but not limited to serious bodily injury and/or death. 2. THE VOLUNTEER HEREBY WAIVES, RELEASES DISCHARGES, HOLD HARMLESS, AND PROMISES TO INDEMNIFY AND NOT TO BRING SUIT AGAINST Trapped in a peculiar world, its directors, officers, volunteers, staff, and all other agents, and attorney for any of the referenced parties and any other parties acting for or on behalf of the referenced partied from an 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 animals.
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 Trapped in a peculiar world.
Anything else you would like to say, please note it here:
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