Volunteer Application Logo
  • Volunteer Application

  •  -
  •  - -
  • Emergency Contact

  • Volunteer Commitment & Background

  • Skills & Experience

  • Waivers & Agreements

    This section of the application is intended to ensure that you have been adequately informed about the potential risks associated with volunteering and that you agree to hold Canines For Change and its representatives blameless for any harm you may encounter while volunteering. Please consider these waivers and agreements carefully as it is a legal document. Please note that you may not volunteer until you have signed and completed all waivers and agreements. Your safety and the well-being of the dogs is of the utmost importance to Canines For Change. 
    • Tetanus Waiver  
    • Canines For Change believes it is important for all volunteers to have a tetanus vaccination before joining the volunteer team. To emphasize that importance, we ask you to read and sign the following waiver: 

      “I understand that because I may handle canines, it is important to discuss being vaccinated with my physician. I release Canines For Change from all responsibility of accidents that may occur and understand whatever decision I make regarding a tetanus vaccination is at my own risk.” 

    •  
    •  
    • Hold Harmless Agreement  
    • In consideration of Canines For Change accepting my application for participation in Canines For Change programs, I agree to release and hold harmless Canines For Change from and against any and all loss, damage, claims, liability, costs, and expenses, of any nature whatsoever, including without limitation attorney's fees and disbursements, arising from or occasioned by my participation in Canines For Change programs. I understand there are certain risks inherent in handling dogs and I accept those risks. I understand if an accident or injury should occur to myself or my children/wards, no matter how minor, that I will complete a Volunteer Injury Report form and seek any necessary medical attention utilizing my own medical insurance. 

    •  
    •  
    • Photography/Videography Policy  
    • Canines For Change does not allow outside photography/videography on the premises. I agree that Canines For Change may photograph/videograph my participation in this program, and I hereby release any such photographs/videos to Canines For Change for use in its programs, publications, and other purposes.

    •  
    •  
    • Conflict of Interest  
    • I will conduct my activities as a volunteer of Canines For Change so that I do not advance or protect my own interests, or the private interests of others with whom I have a relationship, in a way that is detrimental to the interests of, or to the fundamental mission of Canines For Change. In every instance in which I represent Canines For Change, I will conduct my activities in a manner to best promote the interests of Canines For Change.

    •  
    •  
    • Confidentiality 
    • As an employee, volunteer, or contractor of Canines For Change, I recognize and acknowledge that during the course of my duties I may have access to certain information not generally known to the public relating to the business of Canines For Change, which may include without limitation: donor and potential donor lists; personal information pertaining to the staff, volunteers, Board, customers, and others involved with Canines For Change; financial information of Canines For Change; information relating to clients of Canines For Change; and other data collected by Canines For Change staff and/or volunteers.  I recognize and acknowledge that this confidential information constitutes a valuable, special and unique asset of Canines For Change—access to and knowledge of which are limited to the performance of my duties. Any other dissemination, distribution or copying of this information is strictly prohibited. I acknowledge and agree that all such confidential information, including without limitation that which I conceive or develop at any time during my involvement with Canines For Change, either alone or with another, is and shall remain the exclusive property of Canines For Change.  Employees/volunteers/contractors may not divulge confidential information about Canines For Change employees, volunteers, or customers and confidential animal information without the written consent of Canines For Change.  All confidential information is intended only for the expressed and specific use according to Canines For Change policies and procedures and is privileged, confidential and exempt from disclosure under applicable law. 

    •  
    •  
    • Non-Disclosure  
    • I agree that, except as directed by Canines For Change, I will not at any time, whether during or after my involvement with Canines For Change, use or disclose to any person for any purpose, other than for the benefit of Canines For Change, any confidential information, or permit any person to use, examine and/or make copies of any documents, files, data or other information, whether prepared by me or otherwise coming into my possession or control, without the prior written permission of Canines For Change. Violation of this agreement may result in termination of my employment/volunteering/contracting. Upon termination of my employment/volunteerism/ contracting, or at any time upon request by Canines For Change, I will immediately return to  Canines For Change or destroy, as Canines For Change may direct, all tangible records within my possession, custody or control containing any confidential information. 

    •  
    •  
    • Code of Ethics  
    • As a volunteer representing Canines For Change, your conduct and interactions with staff, other volunteers, and the public is expected to always be professional and courteous. By volunteering, you are making a commitment to our staff and animals to carry out, to the best of your abilities, the tasks you have pledged to perform. 

      The Volunteer Code of Ethics clarifies the expectations and principals for Canines For Change volunteers. Should a volunteer display unprofessional, dishonest, or disrespectful behavior, or exhibit a lack of self discipline, the volunteer will be asked to leave the premises. Such behavior could be grounds for termination of your volunteer status. 

      As a Canines For Change volunteer, I pledge to: 

      Respect 

      ● Respect others even though I many not agree with them. 
      ● Display courtesy, sensitivity, consideration, and compassion for people and dogs. ● Use good judgment in recognizing the scope of authority of members.  

      Safety 

      ● Keep safety at the forefront of all volunteer activities. 
      ● Follow the rules presented to me in training. 
      ● Respect and use equipment and supplies as they are intended. 
      ● Report all injuries immediately to a staff person. 

      Quality 

      ● Perform all tasks to the best of my ability. 
      ● Ask for help when needed. 
      ● Recognize training is essential to maintain safe practices.  

      Self Discipline 

      ● Recognize my limitations and those of others. 
      ● Set boundaries for myself – know my limits with the animals and other activities. ● Hold myself accountable for the commitments I undertake 
      ● Not be on my phone and use my time wisely to be productive. 

      Communication 

      ● Recognize I communicate both verbally and non-verbally. 
      ● Listen to the needs of others. 
      ● Advise personnel of relevant information regarding the dogs and my involvement at the center. 

      Welfare 

      ● Value my role in the maintenance and growth of the organization. 
      ● Strive to promote a positive environment. 
      ● Respect and support all people and all animals. 
      ● Protect Canines For Change animals at all times. I will not hit, yell, or physically correct animals while volunteering. I will report to the Volunteer Coordinator any indication that this is taking place. 

    •  
    •  
    • Volunteer Dress Code Policy  
    • Procedure: 

      1. All volunteers must wear a volunteer shirt while at Canines For Change volunteering. This shirt must not be modified in any way. This includes but is not limited to the cutting of sleeves, necklines, waistlines. 

      2. All volunteers must wear a name tag. If a volunteer has a permanent name badge, this must be worn. If a volunteer has not obtained a name badge or has lost their badge they must wear a temporary hand-written name sticker until a new badge is created. New badges are obtained emailing the Volunteer Coordinator. 

      3. All volunteers must wear closed toed shoes while volunteering. No exceptions. 

      4. It is recommended, but not required, that volunteers wear long pants to prevent being scratched by canines in the facility. 

      5. If a volunteer does not arrive wearing a volunteer shirt, they may either purchase a shirt from the shop, or they may not volunteer that day. If they arrive wearing improper footwear, they may not volunteer that day.

    •  
    •  
    • Powered by Jotform SignClear
    •  - -
  • References

    (Provide 3 references)
  • Volunteer Criminal Background Release Form

    At Canines For Change we value the safety of the dogs and volunteers in our care, as well as the employees and those we serve. In a continuing effort to protect the above, Canines For Change requires that a criminal background check be conducted for volunteers who are 18-years and older, through the Michigan State Police ICHAT System. 
  •  - -
  • I understand that the information discovered through a background check will only be shared with myself and relevant Canines For Change members, and not others without my consent. I understand that having a criminal history and/or a history of law violations of any type may negate my opportunity to volunteer at Canines For Change. 

    I hereby authorize Canines For Change to utilize this information for the sole purpose of conducting a criminal background check through the Michigan State Police ICHAT System. 

  • Powered by Jotform SignClear
  •  / /
  • Should be Empty: