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 1 of 2 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
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