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Personal Information

* First name

* Last name

* Email

* Email confirmation

Home phone

Cell number

* Current Address

Current Address 2

* Zip

* City

* GenderMaleFemale

Country

*State/Province

Date of Birth

* Month

* Day

* Year

Additional Information

Please list your employer and job title.

May we contact your employer for a reference? If yes, please provide name and phone number of employer.

Do you have any physical restrictions? If yes, please describe.

How did you hear about Refuge Rescue?

Do you work with any other rescue organizations? If yes, which group?

Do you have any experience with dogs? Please describe.

Please select any other experience, special skills, strengths, or talents you have.

Check all that apply.

ComputersManagementCraftsWorking with childrenGraphic artsWoodwork/carpentry PaintingPhotographyWritingOrganizationCold callingFundraisingPublic SpeakingPR/MarketingDog trainingOther

If you would like to comment more on your experience with the above, please do so here.

Please select your volunteer work preference.

Check all that apply

Pet TransportCleaningClerical/OfficeComputer/WebsiteSpecial EventsAdoption Assistance Foster Care (please fill out foster app)Fundraising/Marketing/Social MediaOther

When are you available to volunteer?

WeekdaysWeekendsBoth

If you are under 18, do you have a parent or guardian's permission to volunteer?

YesNo

Have you ever been convicted of a misdemeanor or felony?

YesNo

If yes, please explain.

Is your interest in volunteering for Refuge Rescue to fulfill community service hours?

YesNo

If yes, please state how many hours you need and why.

References

Please provide at least one reference.

Reference 1: Name, phone number, and relationship to self:

Reference 2: Name, phone number, and relationship to self

In case of an emergency, who should we contact?

Certification

Volunteer Application Agreement

It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender sexual preference, age, or disability. By submitting this application, I accept my volunteer services are provided strictly in a voluntary capacity as a Volunteer, and without any express or implied promise of salary, compensation, or other payment of any kind whatsoever. My services are furnished without any employment-type benefits, including employment insurance programs, worker’s compensation accrual in any form, vacations or sick time. I understand that Refuge Rescue, without notice or hearing, may terminate my services as a Volunteer at any time, with or without reason. I understand that Refuge Rescue is not responsible for any illness or injury. I hereby release, discharge, indemnify, and hold harmless Refuge Rescue and its directors, officers, employees, and agents from any and all claims, causes of action and demands of any nature, whether know or unknown, arising out of or in connection with my activities on behalf of Refuge Rescue.

I hereby certify all of the information I have given is true and complete and I have read, and agree, to the Volunteer Agreement above.

I have read and agree to the terms and conditions. By checking this box I am confirming that I am 13 years of age or older.

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Refuge Rescue Volunteer Application v2021

Personal Information

Additional Information

References

Certification