Adult Volunteer Application Form & Agreement

If you are UNDER 18, do NOT complete this form. Instead, please have your parent or legal guardian complete this form, along with the PAWS Youth Volunteer Permission and Release Form on your behalf.

Thank you for your interest in Centre County Paws, Inc. ("PAWS/we/us") a 501(c) (3) non]profit corporation that serves Centre County, PA and is located at 1401 Trout Road, State College, PA 16801. Volunteers with a variety of skills are needed. Please review the volunteer job description and expectations on our website for the area in which you are most interested before submitting your volunteer agreement.

Volunteer profiles are not reviewed until an individual signs up for training. So, after submitting your agreement, visit the PAWS volunteer website (www.centrecountypaws.org/volunteer) for a list of training dates. Select the area in which you are most interested and RSVP by email. You should not wait for PAWS to contact you before signing up for a training class.

Information About You

First name:

Last name:

Nickname:

Street 1:

Street 2:

City:

State:

* Zip: *

Home phone:

OK to call me here

Work phone:

OK to call me here

Cell phone:

OK to call me here

Email address:

Date of birth:

Gender:

Employer name:

Please indicate if you have reliable transportation, and whether you have ever been convicted of a felony. Information for record-keeping purposes only.

Your Volunteer Interests

Would you like to help with the cats or dogs? Greet the public at the front desk? Or other volunteer interests at PAWS?

Allergies

Information for record-keeping purposes only. Discuss any allergies with your trainers and shift leaders.

List any allergies, including peanuts, latex, dogs or cats.

Volunteering for Credit

Are you volunteering to earn credit in a class or for school? If so, is volunteering required or optional for the credit?

Information About Past/Current Pets

Information for record-keeping purposes only.

Please list any information about your current or past pets - breed/mix, gender, whether spayed or neutered, age, how you acquired them, and what happened to them.

Your Professional Experience and Training

Information for record-keeping purposes only.

Special Needs

Do you have any special needs that would affect your volunteering at PAWS? If so, and if you have a coach or someone else who should be contacted, please let us know.

Other Information

Information for record-keeping purposes only.

List any other information you would like us to know.

Agreement

I have accurately and truthfully completed this Volunteer Application and Agreement. In consideration for this opportunity to volunteer, I agree to the following terms and conditions, intending to be legally bound by them:

1) PAWS POLICIES: I will at all times abide by the mission, rules, regulations, policies, and programs of PAWS while I am a volunteer.

2) ASSUMPTION OF RISK, LIMITATION OF LIABILITY & INDEMNIFICATION: I knowingly assume the risks of being injured or suffering damages (including but not limited to being bitten, scratched, frightened, exposed to zoonotic disease, or otherwise harmed) in connection with my volunteer work with PAWS. Neither PAWS nor its directors, officers, employees, agents, or volunteers are liable to me for any injuries, damages, liabilities, losses, judgments, costs or expenses whatsoever, which I might suffer or sustain in connection with the performance of volunteer activities. I will indemnify, defend and hold harmless PAWS, its directors, officers, employees, agents, and volunteers, and its and their heirs, assigns, successors, personal representatives and executors, from and against any claims, lawsuits, injuries, damages, losses, judgments, costs or expenses whatsoever, sustained by any companion animal or any person in connection with my intentional misconduct or grossly negligent performance of volunteer activities for PAWS, or my breach of PAWS rules, regulations, policies, or programs.

3) VOLUNTEER ACCEPTANCE & TERMINATION: I understand and agree that PAWS may decline my request to volunteer or revoke my volunteer status at any time with or without reason. If I cease being a volunteer for PAWS, or upon request from PAWS at any time, I will promptly return in good condition all property and information belonging to PAWS, including but not limited to keys, supplies, equipment, electronic and/or paper records, and monies. I also agree that the Limitation of Liability & Indemnification provisions listed above will remain in effect even if I am no longer a PAWS volunteer.

4) GENERAL

a) Any modification to this Agreement must be in writing and signed by both parties. This Agreement is binding upon your and our heirs, assigns, successors, personal representatives and executors.

b) I explicitly give PAWS permission to add my email address to any email lists used for communication with volunteers.

I Agree