Humane Society of Grove and Grand Lake

Humane Society of Grove and Grand Lake

Application for Potential Volunteers

Please print and use ink

Thank you for considering joining us as a volunteer at the Humane Society. All applications must be approved before you can begin as a volunteer.

Name______Home Phone______

Address______

City ______Work Phone______

Please indicate your areas of interest below:

___Help clean cat cages ___Socialize dogs ___Socialize cats

___Grooming dogs ___Grooming cats ___Wash food bowls

___Laundry ___Cleaning the office/kitchen areas ___Cut grass

___make repairs ___answer the phone/greet people ___ fund raising

___painting ___drive animals to/from vet for spay/neuter

___other (please specify)______

Please indicate the day/s and times you would be able to volunteer:

morning___ afternoons ___ day/s of the week ______

Please indicate how many hours you would be able to volunteer: ______

Have you ever volunteered or worked with an animal rescue group? ______

If yes, please give name and location ______

Are you involved in any other animal related activities or organizations? ___

Please tell us briefly why you are interested in becoming a volunteer at the Humane Society:

______
______
______

Describe any previous experience you have working with animals:

Please list present and previous volunteer jobs:

Please list two personal references (do not include relatives):

Name______Phone Number ______

Name ______Phone Number ______

If accepted as a volunteer, I agree to adhere to the operating procedures of the Humane Society of Grove and Grand Lake including the confidentiality of information.

Signing this form authorizes the Humane Society to conduct a personal reference check for purposes of acceptance to the volunteer program.

Applicant ______Date ______

Humane Society of Grove and Grand Lake, Inc.

Volunteer Agreement and Release of Liability

I, the undersigned, have applied to be a volunteer for the Humane Society of Grove and Grand Lake, Inc. Upon acceptance into the Volunteer Program, I hereby acknowledge and agree to the following:

1.That I will follow and abide by procedures, policies and training presented to me for participation in the Volunteer Program, and will take any comments, complaints or suggestions regarding the program directly to the Shelter Manager.

1.That neither this agreement nor my participation in the Volunteer Program shall be interpreted or give rise to an employer/employee relationship between myself and the Humane Society. I understand that I am not an employee while participating in the Volunteer Program, and will receive no compensation or employee benefits.

1.That I understand that the behavior of domestic animals is at times unpredictable and that some animals are capable of inflicting property damage, serious personal injury, even death. I am well aware of the risks and with such understanding, I hereby waive, release and forever discharge the Humane Society of Grove and Grand Lake, Inc., it’s employees, agents or trainers, from any and all claims (whether present or future) arising out of my participation in the Volunteer Program.

1.That I have read and understand this entire Agreement, specifically the release of liability in paragraph 3, and acknowledge that participating in the Volunteer Program shall be at my own risk. I further agree that if any portion of this agreement is held invalid, the remainder thereof will continue in full legal force and effect.

Volunteer (print name)______Date ______

Signature