Volunteer Application

Second Chance Animal Center

VOLUNTEER APPLICATION
Please fill out the volunteer application below and once your application has been received and reviewed, a member of our staff will follow up with an email.

Thank you for your interest and please contact the shelter at (802) 375-2898 if you have any questions or would like to know the status of your application.
Date of Application

MonthDayYear
Date of Birth*

MonthDayYear
Full Name*

First NameMiddle NameLast Name
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone Number*

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
E-mail*
Volunteer Opportunities:
What volunteer opportunities are you interested in? Check all that apply.

Animal Care (18 and over)Dog Walker (18 and over)Front Desk (18 and over)Animal SocializerEducation ProgramsGrounds/MaintenanceCamp Counselor (13 and over)EventsSpecial Project
Times available to volunteer:

MorningAfternoon
Days available to volunteer:

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Comments:
Emergency Contact:*

First NameLast Name
Emergency Cell Phone *

Area CodePhone Number
Emergency Work Phone *

Area CodePhone Number
Liability Waver and Applicant Signature:
I authorize Second Chance Animal Center (SCAC) to seek emergency medical treatment on my behalf in case of accident, injury, or illness while undertaking work as a volunteer and will not hold SCAC or its staff responsible in any way. I fully understand and agree to assume all risks involved in any and all duties that I perform for SCAC in my volunteer capacity. Such duties might include but are not limited to: animal care and handling; shelter, cage and/or kennel cleaning; transport of animals or materials to and from appointments, events, and activities; and other volunteer duties I agree to undertake. I fully understand that SCAC handles animals on a daily basis and the temperament of any animal is sometimes unpredictable. I agree not to hold SCAC, its agents and employees, or successors or assigns of said corporation, liable for any injuries or damage that I may sustain: from handling animals; assisting with activities that require travel to and from SCAC animal shelter; exposure to hazardous materials used for cleaning; and/or other activities when representing SCAC during the course of my volunteer duties.

Clear
Parent/Guardian's Signature if under 18 years of age

Clear
SCAC Staff Use Only
Date of Orientation

MonthDayYear
Initials of staff completing orientation:
Should be Empty:

Second Chance Animal Center

Volunteer Opportunities:

Liability Waver and Applicant Signature:

SCAC Staff Use Only