volunteer-form-1-1 - Center for Animal Rescue & Education

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C.A.R.E. Center for Animal Rescue and Education
111 Main Street
Acushnet, MA 02743
www.caresouthcoast.com
(508) 994- 0220
Volunteer Application
NAME: ______________________________________________________________________
ADDRESS:___________________________________________________________________
HOME/CELL #:________________________________________________________________
EMAIL ADDRESS: ____________________________________________________________
Please tell us a little about yourself:
Educational Background: _________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Occupation: ___________________________________________________________________
Hobbies/Interests/Special Skills: ___________________________________________________
______________________________________________________________________________
Previous Volunteer Experience: ___________________________________________________
______________________________________________________________________________
Do you have any previous experience caring for animals and/or working with another humane
group? _______________________________________________________________________
_____________________________________________________________________________
What makes you interested in volunteering for C.A.R.E. South Coast? _____________________
_____________________________________________________________________________
_____________________________________________________________________________2
How can C.A.R.E. make this a rewarding experience for you?
_____________________________________________________________________________
______________________________________________________________________________
Have you ever been investigated or convicted of an animal related crime? If so, please explain:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
What are the days/times you would like to volunteer?
Monday am/pm
Tuesday am/pm
Wednesday am/pm
Friday am/pm
Saturday am/pm
Sunday am/pm
Thursday am/pm
Are you interested in:
Direct animal care
Adoptions
Fundraising
Publicity
Transporting animals to appointments
Distribution of posters/flyers
Phone and paperwork
Fostering kittens/cats
Managing files/medical paperwork
Grant Writing
Do you have any restrictions that we should know about in order to make your volunteer
experience as enjoyable as possible? ________________________________________________
______________________________________________________________________________
Please provide a reference who we can contact:
Name: ________________________________________________________
Phone: ________________________________________________________
Email Address: _________________________________________________
Volunteer Applicant Signature: ____________________________________________________
Date: _________________________________________________________
Any applicant under the age of 18 must have a parent or legal guardian sign the attached
THANK YOU FOR YOUR INTEREST IN VOLUNTEERING FOR C.A.R.E.!
The Center for Animal Rescue and Education, Southcoast
111 Main Street, Acushnet, Massachusetts 02743
VOLUNTEER CONSENT AND GENERAL RELEASE FORM
I understand that there is potential risk of injury in the handling of animals and other duties performed
as a volunteer at The Center for Animal Rescue and Education, South Coast. I consent that under the
direction of agents and volunteers of The Center for Animal Rescue and Education, in consideration of
their undertaking of supervision of the aforesaid activities and for other good and valuable onsideration,
receipt whereof is hereby acknowledged, I hereby release and agree to hold harmless and indemnify the
said in connection with any manner whatsoever for personal injuries or property damage which may be
suffered by the aforementioned person whether or not arising out of negligence or breach of duty by
flowing from The Center for Animal Rescue and Education, South Coast, Acushnet, Massachusetts, or its
agents or its volunteers.
It is further agreed that there are no collateral or outside agreements of any kind between the
parties hereto.
Signed: ______________________________________________ Date: ____________________
Witnessed: ___________________________________________ Date: ____________________
Parental/Guardian Signature required if volunteer is under the age of 18
____________________________________________________ Date: ____________________
I give permission for the volunteers of The Center for Animal Rescue and Education, Southcoast
to seek emergency treatment for me, _______________________________________________,
in the case of an emergency.
Signed: _____________________________________________ Date: _____________________
Emergency Contact: _____________________________________________________________
Relationship to Volunteer: ________________________________________________________
Cell Phone: ___________________________ Home Phone: _____________________________
Address: ______________________________________________________________________
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