ADULT VOLUNTEER APPLICATION AND AGREEMENT Thank you for your interest in volunteering with AniMeals. It is truly an exciting place where you can really make a difference. Please complete the form, read and sign the agreement below. Return this application to AniMeals. Upon review of your application, we will contact you regarding our volunteer program. It is the mission of AniMeals to ensure there are NO MORE HUNGRY ANIMALS.
Name: __________________________________________ Date: ________________________ Address: ____________________________________________________________ City: State: Zip: _______________________________________________________ Are you 18 years or older? ________ Home Phone: ____________________ Work Phone: _____________________ Best time(s) to call: ______________________ E-Mail:___________________________
Employer (if applicable): __________________________________________ Occupation: _____________________________________________________ Tell us why (besides a love for animals) you would like to volunteer at AniMeals. _____ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________
Any special job training, education or skills we should know about? _________________ ________________________________________________________________________ ________________________________________________________________________
Do you have experience or training in any of these areas? __Classroom Instruction __Sales __ Customer Service __Public Speaking __Writing __Working with Media __Marketing/Advertising
What activities would you like to help with? __Special Events __Delivery __Donation pick-up __Office help __Fundraisers __Publication __ Other:_______________________ What kinds of pets do you have (or had):_______________________________________ ________________________________________________________________________ ________________________________________________________________________
Please provide at least three references: Personal Name: _________________________________ Phone #: __________________ Community or Work Name: __________________________________ Phone #: _________________ Vet (if applicable): Name: ___________________________________ Phone #: _________________ Have you ever been arrested: If yes, please explain: ________________________ ________________________________________________________________________ ________________________________________________________________________
WAIVER As an organization that deals with animals, the AniMeals non-profit does not have a medical or behavioral history of the animals that volunteers may come into contact with. A certain amount of risk is always involved, especially with unpredictable animals. VOLUNTEER AGREEMENT In consideration of this opportunity to volunteer with AniMeals, I agree to the following terms and conditions, intending to be legally bound by them: 1. I will abide with the mission, rules, regulations, policies and programs of AniMeals. 2. If I stop being a volunteer, or upon request by AniMeals, I will promptly return all AniMeals supplies, equipment, records, moneys and other items in good, clean condition. 3. Considering that many of the positions at AniMeals require dealing with animals, serving the public, working outdoors and lifting up to 50 lbs. I certify that I am able to perform the essential functions of the position. 4. I assume the risk of being bitten, scratched or injured in connection with my volunteer work. AniMeals is not liable to me for any injuries, illness, damages, liabilities, losses, judgments, costs or expenses whatsoever, which I might suffer or sustain in connection with volunteer activities, unless they are the result of the gross negligence or intentional misconduct of AniMeals. I will indemnify, defend and hold the AniMeals organization harmless from and against any claims, lawsuits, injuries, damages, losses, costs or expenses whatsoever, sustained by any animal or person in connection with my intentional misconduct or grossly negligent performance of my volunteer activities, or my breach of AniMeals rules, regulations, policies and programs. 5. I understand that because I may be in contact with animals, it is important to discuss the tetanus vaccine with my physician. I release AniMeals from all responsibility that may occur because of my not pursuing this matter further and I understand whatever decision I make is at my own risk. I have read, understand and agree to the above tetanus information. 6. I acknowledge and understand that as a volunteer of AniMeals, I am not covered by AniMeal’s workers compensation or any other insurance policy for any damages or injuries I may sustain during volunteer activities. 7. I understand the AniMeals may refuse volunteer applications or discontinue volunteer positions for any reason. 8. I have accurately and truthfully completed this Volunteer Application and Agreement. 9. Any modification to this Agreement must be in writing and signed by both parties. This Agreement is binding upon AniMeals, me and my respective heirs, successors, assigns, executors, and personal representatives. I have read, understand and agree to the above. I certify that the information provided here is accurate and complete. I authorize reference and background checks as necessary for specific positions.
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