First and Last Name:
D.O.B./Age
Street Address
City:
State:
Zip:
Cell/Home 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 Friends of Ashe Animal Shelter?
Why do you want to volunteer with Friends of Ashe Animal Shelter?
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
Social Media
Publicity Work
Grant Writing
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)
Pet Transport
Clerical/Office
Foster care (please fill out foster app from our website)
Computer/Website
Special Events
Educational Programs
Community Outreach
Foster Socializing
Other
When are you available to volunteer? (check all that apply)
Weekdays
Weekends
Anytime
Reference #1 (Name, phone # and relationship to self)
Reference #2 (Name, phone # and relationship to self)
Any additional comments you would like to add?:
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 Friends of Ashe Animal Shelter (FAAS). WHEREAS, the Volunteer has voluntarily contacted FAAS and has expressed an interest in working with dogs and/or cats in the care and custody of FAAS. In consideration of FAAS’s agreement to allow the volunteer to view and/or interact with such dogs and cats, 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 and cats pose and have elected to view and/or interact with one or more dogs/cats in the care of FAAS voluntarily. The volunteer knowingly assumes all risks that exposure to dogs and cats 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 FAAS, 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 dogs or cats.
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 Friends of Ashe Animal Shelter.
Anything else you would like to say, please note it here:
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