Volunteer Application 

Transcription

Volunteer Application 
Critter Adoption and Rescue Effort, Inc.
th
1528 27 Street, S.E. Ruskin, FL 33570
Phone: 813-645-2273
Email: [email protected]
Volunteer Application
This section for C.A.R.E. Use Only
App Rcvd ___________
Initial Contact _________
Interview/Orientation __________
Filed w/ Active
Volunteers ________
30 Day Trial Complete/
Added to Schedule_________
Volunteer DB______
Start
Date/OJT______
C.A.R.E. DB____________
 Cats  Dogs  Office
Notes:
 Student Seasonal
Contact Information
First Name:
Last Name:
D.O.B.:
Street Address:
City, ST ZIP Code:
Home Phone:
Other Phone:
Cell:
Work:
E-Mail Address:
Are you a high school student documenting hours for (circle one) Bright Futures / Community Service
Availability - Please tell us what times of the year and what days of the week you are available.


Year-round
Seasonal Months available _____________________
MON
TUES
WED
THU
FRI
SAT
SUN
Cathouse/Kennel
7:30 - 11:30
11:30 – 3:30
Office
9:30 – 3:30
Interests - Please tell us which areas you would be interested to volunteer in.

Dog Kennel Assistant

Cat Facility Volunteer


Fundraising/Events/Outreach

Grounds Maintenance

Office Assistant
Skills – Please check any skills and training you can offer.

Animal Care

Dog Training

Photography

Computer Skills

Graphic Design

Fundraising

Public Relations

Veterinary
Animal Experience - Please briefly describe your experience with animals below.
Previous Volunteer Experience – Please briefly summarize your previous volunteer experience below.
C:\Users\Front Office_2\Desktop\Documents\Office Forms FOR PRINTING ONLY\Volunteer Application.docx
Rev: 7/6/2012
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Critter Adoption and Rescue Effort, Inc.
th
1528 27 Street, S.E. Ruskin, FL 33570
Phone: 813-645-2273
Email: [email protected]
Volunteer Application
Emergency Contact
Name:
Home Phone:
Relationship:
Cell Phone:
Agreement and Signature
I understand that completing this application is the first step in the process of becoming a volunteer for Critter
Adoption and Rescue Effort, Inc. (C.A.R.E.). I also understand that an orientation and training are required, and
that I cannot volunteer in any capacity until I have been accepted as a volunteer.
Name (printed)
Date:
Signature
Release of Liability
I recognize that working with animals places me at physical risk, and I agree to assume that risk. I realize that
although C.A.R.E. has taken all reasonable measures to protect me, accidents and injuries may still occur.
Therefore, I hereby completely release and entirely discharge C.A.R.E. from any and all claims and causes of
action of negligence or gross negligence that I or another might have or bring relating to or arising from any
injury or damage that I should sustain while assisting C.A.R.E. or in connection with my volunteer work for
C.A.R.E.
Name (printed)
Date:
Signature
Photo Release
During my volunteer time with C.A.R.E., I understand that my photo may be taken at various events and
projects. I hereby grant C.A.R.E. permission to use my likeness in photograph(s) and/or video(s) in any and all
of its publications, on the website (www.careshelter.org), or in various public relations efforts. I will make no
monetary or other claim against C.A.R.E. for the use of the photograph(s) and/or video(s).
Name (printed)
Date:
Signature
Parental Consent (must be signed if applicant is under the age of 18)
I understand that my child’s photo may be taken at various events and projects, while volunteering with
C.A.R.E. I hereby grant C.A.R.E. permission to use said photograph(s) and/or video(s) in any and all of its
publications, on the website (www.careshelter.org), or in various public relations efforts. I will make no
monetary or other claim against C.A.R.E. for the use of the photograph(s) and/or video(s).
Name of parent/guardian (printed)
Date:
Signature
I recognize that working with animals places my child at physical risk, and I agree to assume that risk. I realize
that although C.A.R.E. has taken all reasonable measures to protect my child, accidents and injuries may still
occur. Therefore, I hereby completely release and entirely discharge C.A.R.E. from any and all claims and
causes of action of negligence or gross negligence that my child or another might have or bring relating to or
arising from any injury or damage that my child should sustain while assisting C.A.R.E. or in connection with my
child’s volunteer work for C.A.R.E.
Name of parent/guardian (printed)
Date:
Signature
C:\Users\Front Office_2\Desktop\Documents\Office Forms FOR PRINTING ONLY\Volunteer Application.docx
Rev: 7/6/2012
2 of 2