Please complete this application form if you are interested in becoming a Cedar Bend Humane Society volunteer. Please note that the minimum age for volunteering is 16 years old. Children between 10 and 15 can volunteer with a parent or legal guardian volunteer who has signed up and attended the volunteer orientation. This is not an application for employment. Once the form is complete, click the submit button at the bottom.

Name and address

First name:

Last name:

Street 1:

Street 2:

Street 3:

City:

State:

* Zip: *

Home phone:

Email address:

Demographic Information

Please provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers, to determine volunteer eligibility for certain tasks, and appreciation purposes.

Type:

Date of birth:

Age:

T-Shirt size:

Volunteer Relationships

If you will be volunteering with someone else (such as a parent, minor, spouse, teacher, client, etc), please include those below. However, all volunteers will need to fill out a separate application form.

1

2

First name:

Last name:

Relationship:

Emergency contact

In case of an emergency, contact:

First name:

Last name:

Other phone:

Relationship:

Assignment Preference

We would like to match volunteers with specific shelter needs.

Why are you interested in volunteering?

Volunteers are essential to our success of helping the animals in our community. Giving your time is one of the greatest contributions you can give. In the space provided, we would love to know why you are interested in becoming a volunteer at the Cedar Bend Humane Society!

Terms of Acknowledgment and Volunteer Waiver

The applicant agrees all above information given is correct and current, and that giving misleading or incorrect information may be subject to suspension or termination. CBHS agrees not to share or sell personal information.

I agree to comply with all of the rules and regulations established by CBHS. I understand that failure to do so may result in my immediate termination as a volunteer.

I acknowledge that my services are provided strictly on a volunteer basis, without any pay or compensation of any kind, and without liability of any nature on behalf of CBHS, all services to be performed by me at my own risk.

I recognize that in handling animals and performing other volunteer tasks, exists a risk of injury, including physical harm, caused by the animals.

I understand that public education is an important function of CBHS and I will allow CBHS to use any photographs taken of me to positively benefit CBHS.

On behalf of myself, my heirs, personal representatives, and executors, I hereby release, discharge, indemnify, and hold harmless CBHS, its agents, servants, and employees from any and all claims, causes of action, or demands, of any nature and cause, including costs and attorney’s fees incurred by CBHS in connection with my services for CBHS, including, but not limited to animal bites, accidents, or injuries.

I understand that checking this box constitutes a legal signature confirming that I agree to the above Terms of Acknowledgment and Volunteer Wavier, and have read and agreed to the Social Media and Electronic Disclosure of Information. Copies will be given upon request.

Volunteers under the age of 18 will need a physical copy of the waiver signed by a parent or guardian and brought to orientation. A copy of the volunteer waiver can be found on CedarBendHumane.org under the Volunteer section.

I Agree