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: ______________________________________________________________________