SNVC Volunteer Application

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.

Cell Phone Number*

Please enter a valid phone number.

Email*

example@example.com

What location(s) are you interested in helping with? Please check all that apply*

What days are you available to volunteer?*

What hours are you available? Please check all that apply*

7am - 10am10am - 1pm1pm - 4pm4pm - 6pm

What areas are you interested in helping with? Please select all that apply.*

Office/ AdministrationPatient RecoveryLaundry and CleaningInstruments and pack prepAssisting with fundraisingWeekend vaccine clinics (held off-site-- Sanford, Lumberton, Raeford, etc)Restocking Supplies and Medications

Availability: Please select all that apply.*

Year RoundPermanentSeasonalTemporary

How soon are you available to start volunteering at the Spay Neuter Veterinary Clinic?*

Date

I am. . . (select all that apply). Please note that volunteers age 16 and 17 cannot handle animals.*

16 years old or older18 years old or older

Please let us know more about yourself and why you are interested in volunteering at the Spay Neuter Veterinary Clinic.*

How did you hear about us?

Due to fact that staff members and volunteers frequently have to work in close proximity to each other, SNVC is mandating that all incoming staff and volunteers are fully vaccinated for COVID or have begun the vaccination series prior to start of volunteering. Please choose which of the following applies to you.

I am fully vaccinated for COVIDI have started the vaccination process for COVIDI have not yet been vaccinated for COVID, but will be willing and able to be vaccinated prior to employmentI have not been vaccinated for COVIDI have not been vaccinated for COVID at the recommendation of my physician. (Medical exemption)

Thank you for your interest in volunteering with the Spay Neuter Veterinary Clinic of the Sandhills (SNVC) and the Spay Neuter Initiative Program (SNIP). Please carefully read and sign the following agreement.

1. Volunteer Status and Conditions
I understand and agree that, if accepted as a volunteer for SNVC and/or SNIP:

All services I perform are strictly on a voluntary basis, and I will not receive compensation, wages, or benefits of any kind.
I am not an employee, contractor, or agent of SNVC or SNIP.
SNVC and SNIP may establish rules and regulations from time to time, and my failure to comply may result in immediate termination of my volunteer status.

2. Assumption of Risk
I understand that volunteering with SNVC and SNIP, including work in the clinic, at community events, during field operations, or in any location where animals are handled, involves inherent and unavoidable risks, including but not limited to:

Bites, scratches, and other injuries from animals
Exposure to bodily fluids, parasites, or zoonotic diseases
Slips, falls, or accidents on premises or in the field
Lifting or handling equipment, crates, or animals
The actions of other volunteers, staff, or members of the public
I voluntarily assume all risks of injury, illness, property damage, or death arising from my participation as a volunteer.

3. Release and Waiver of Liability
In consideration for being permitted to volunteer with SNVC and SNIP, I, on behalf of myself, my heirs, executors, administrators, and personal representatives, hereby:

Release, waive, and discharge SNVC, SNIP, and all of their directors, officers, staff, employees, volunteers, veterinarians, contractors, partners, assigns, and agents from any and all claims, whether known or unknown, arising from or related to my volunteer service.
Agree that this release includes, but is not limited to, claims related to animal bites, zoonotic disease, accidents, injuries, negligence (excluding gross negligence or intentional misconduct), and property damage.
Agree to indemnify and hold harmless SNVC and SNIP, including payment of costs and attorney fees, from any claim or demand arising out of my conduct during volunteer activities.

4. Medical Treatment
I understand that SNVC and SNIP:

Do not provide health or medical insurance for volunteers.
Are not responsible for medical expenses I may incur due to injury or illness related to volunteer activities.
I authorize SNVC/SNIP personnel to obtain medical treatment for me in the event of an emergency and accept all financial responsibility for such treatment.

5. Publicity and Media Release

I understand that SNVC and SNIP rely on public outreach to promote their mission. Therefore:

I grant SNVC and SNIP permission to photograph, record, and use my likeness, image, voice, and name for any lawful purpose, including but not limited to social media, educational materials, fundraising, newsletters, and public relations.
I understand that I will not receive compensation for the use of these materials.

6. Acknowledgment and Understanding
By signing below, I confirm that:

I have read and fully understand this agreement.

I am at least 18 years old OR (if under 18) my parent/guardian will sign the attached Minor Volunteer Consent Form.

I am signing this agreement knowingly and voluntarily, and it will remain in effect for the duration of my volunteer service.

Applicant Signature*

Application Date Submitted:*

Date

Spay Neuter Veterinary Clinic of the Sandhills Volunteer Application

POSITION/AVAILABILITY