Volunteer Application Volunteer Application Name* First Last Email* Address* Street Address Address Line 2 City Province Postal Code Phone*Age (12-15 years in age must be accompanied by an adult at all times)* 18+ years 16 - 17 years 12 - 15 Years Emergency ContactName* First Last Relationship* Phone*EducationAre you currently a student?* Yes No What school do you attend? What grade? Are you volunteering for a class credit? Yes No If Yes, how many hours?EmploymentWho is your current employer?* What are your hours at work like?* Volunteer experienceDo you have previous volunteer experience?* Yes No If yes, what have you done?Do you have any special experience, skills, training, interest or hobbies you would like to share?Check off all that interest you Special fundraising events (fundraisers, bottle drives, ticket sales) Adoption events Shelter care Are you comfortable handling and working with dogs with medical needs or behavioral issues* Yes No Check the days you are available to volunteer* Select All Sunday Monday Tuesday Wednesday Thursday Friday Saturday What hours are you available for volunteering? 8AM-12PM 1PM-4PM 5PM-8PM 9PM-11PM Any other comments?Confidentiality AgreementInformation concerning the management and operation of our Organization is generally notknown to the public and should be kept confidential.Guidelines for protecting confidentialityIt is important that we diligently protect the confidentiality of information. The followingguidelines have been developed for this purpose:• Confidential information should be shared only with those inside the Organization whose jobsrequire them to have access to the information or when the law requires or protects the releaseof such information.• Board Members, Employees, or Volunteers should not disclose sensitive or non-publicinformation to people outside the Organization or discuss it in public places.• When information is disclosed to individuals having a business relationship with theOrganization that requires such disclosure, it should be done with the understanding that theinformation will be kept in confidence, and only the minimum amount of information necessaryto accomplish the function should be disclosed.• Documents containing sensitive information - including information stored on computersystems - should be handled carefully and must be properly stored.• Discussions between the Organization and its lawyers are usually privileged and should be keptconfidential. Any disclosure of those discussions to a third party my result in a waiver of theattorney-client privilege and possible harm to the Organization's interests. This point isespecially important due to the nature of prosecuting animal cruelty cases.I understand the above and agree to comply with the FFH Confidentiality Agreement.* I agree to these terms & conditions Volunteer Release(18 years or older /if under 18 parent or guardian) Please read the following statement, sign and date below:I hereby agree to accept a position as a volunteer worker for the Furbabies Furever Homes(herein after referred to as the FFH), and in doing so, I agree to comply with all of the rules andregulations which may be established from time to time by the FFH, and I understand thatfailure to do so may result in my immediate termination as a volunteer. I acknowledge that myservices are provided strictly on a volunteer basis, without any pay of any kind, and withoutliability of any nature on behalf of the FFH. All services will be performed at my own risk. Irecognize that in handling animals and performing other volunteer tasks there exists a risk ofinjury, exposure to zoonotic diseases (i.e. ringworm, giardia, rabies, etc) and physical harmcaused by the animals. On behalf of myself, my heirs, personal representatives, andexecutors, I hereby release, discharge, indemnify and hold harmless the FFH, its agents,servants, and employees from any and all claims, causes of action, or demands, of any natureor cause, including costs and attorney’s fees incurred or sustained by me in any wayconnected with my services for the FFH, including but not limited to animal bites, accidents or injuries.* I agree to these terms & conditions Applicant: Please type your full name to acknowledge you have completed this application to the best of your ability* Parent (if applicant is under 18 years of age): Please type your full name to acknowledge this application is correct and accurate CAPTCHA
