Volunteer Application

Name*

First Last

Email*

Phone

Address*

Street Address Address Line 2 City State ZIP Code

Your date of birth*

Please note that if you are UNDER 18, a parent/guardian must sign the waiver at the bottom of this form.

Employer*

Emergency contact name

First Last

Emergency contact phone

Emergency contact relationship

Excluding traffic violations, have you ever been convicted of any criminal offenses?*

No
Yes

Convictions and circumstances

Please describe the conditions surrounding all applicable convictions, in detail.

How did you hear about us?

Drove by the facility
Adopted from you
At an event
Through a friend, family member, or co-worker
Social media (Facebook, Google, Instagram, etc.)
Traditional media (newspaper, TV, radio, etc.)

Furry Friends asks that our volunteers commit to a minimum of 8 hours per month of volunteer work. How many hours per month do you estimate being able to volunteer?

8-10 hours
11-20 hours
21-30 hours
30-plus hours

Prior experience with animals (check any that apply)

Experience with my own pets
Worked/volunteered in a shelter or with a rescue
Pet-sitting
Animal behaviorist/trainer
Other

Which shelter(s)?

Animal Rescue League of Iowa
Animal Lifeline of Iowa
AHeinz 57
Hope Animal Rescue
Other

Are you allergic to any of the following?*

Cats
Dogs
Small critters
No animal allergies

How severe are these allergies?

Both facilities include a large number of cats, and orientation will be held in a room with cats in condos. You are not required to handle cats (or any other animal you're uncomfortable with), but there will certainly be cat dander in the air at both locations.

Please list any skills, experience or training you have that you would like to use to help our animals.

Photography/video
Creative writing
Graphic design
Fundraising
Event planning
Computer programming
Facility repairs/upkeep
Other (list below)

What other skills would you like to use?

VOLUNTEER AGREEMENT AND WAIVER (parent must sign if under 18)*

I recognize that working with animals places me at physical risk, and I agree to assume that risk. Furry Friends Refuge has taken measures to ensure reasonable safety for me as a volunteer. It is possible, however, that accidents or injuries may occur while I am volunteering on Furry Friends property or any other location where I may be working as a Furry Friends volunteer. In such an event, I release Furry Friends Refuge from any and all claims and causes of action that I may have arising from an injury or damage sustained during my volunteer work with the organization. I also will hold harmless any other locations I may volunteer at for injury or illness caused by the animals I come into contact with in my volunteer duties. I agree to follow the policies and procedures in the volunteer training manual and to ask questions if I am unsure of a policy. As a volunteer, I am encouraged to speak about my feelings and opinions regarding animal welfare. I do understand, however, that some of my opinions may not be shared by the organization and that I should check with an authorized representative of the organization before speaking on behalf of Furry Friends. I agree to allow Furry Friends to use my photo or likeness taken during volunteer activities in promotion of the organization’s programs and mission. I understand that my job as a volunteer is highly valued, but also understand that I will not receive compensation and that I may be terminated if I am unable to conduct myself in an appropriate manner. I agree that I will respect the positions and policies of the organization. While personal opinions regarding care and other issues may vary, I will follow the positions and policies set out by Furry Friends as I am volunteering as a representative of the organization. If I feel that there is a policy that is against the best interest of the animals, I will bring my concern to an appropriate member of the organization. If you are 18 or older, type your first and last name into the box below to indicate your acceptance of these terms. This will act as your signature. If you are under 18, your parent or guardian must review this agreement first, then he/she must type his/her name below. Parent or guardian’s typed name below shall act as a signature indicating a waiver of liability for minor volunteer. Parents and guardians of minors under 16 must also submit their own volunteer application and must accompany minor at all times, including at orientation.

First Last

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