Volunteer Application Form
Please complete this application form if you are interested in becoming a Valley Animal Haven volunteer. Once you complete the form, click the Continue button at the bottom.
Name and address
First name:
*
Last name:
*
Street 1:
*
City:
*
State:
Choose
CA
*
Zip:
*
Home phone:
OK to call me here
Work phone:
OK to call me here
Cell phone:
OK to call me here
Demographic Information
You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.
Date of birth:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
*
Age:
*
Gender:
Choose
Female
Male
T-Shirt size:
Choose
Extra extra Large
Extra Large
Large
Medium
Small
*
School:
*
Do you need volunteer service hours? If so, how many hours and for what school or organization?
Availability
Please indicate the days and times you are usually available to volunteer.
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Morning:
Afternoon:
Evening:
My availability is:
Choose
Ongoing
Ongoing, except between these dates
Only between these dates
From:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
*
to:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
*
I would like to serve up to:
*
hours:
Choose
Daily
Monthly
One time
Weekly
*
Will your Volunteer Service be because of Court Orders? If so, what was the violation? Please note that we REQUIRE a minimum of 36 hours completed BEFORE we will verify any hours.
Email Preferences
We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.
Email address:
Please enter a password that:
Is between 8 and 30 characters long
Contains both letters and numbers.
Contains a combination of both uppercase and lower case letters.
Password:
*
Confirm password:
*
A valid email address is REQUIRED. The volunteer coordinator will correspond with you through email for scheduling and volunteer assignments.
Experience and Skills
Please provide information on any skills you may have, and that you are willing to share, that might benefit Valley Animal Haven.
Skills:
Valley Animal Haven Waiver
For the purpose of obtaining permission from Valley Animal Haven of 990 E. D Street, Lemoore, CA 93245 to perform services for the Organization. I state that I have no physical or mental handicaps or impairments which might adversely affect the performance of the activities which I desire to undertake on behalf of the Organization. I propose to serve without compensation as a volunteer worker for such a period(s) and at such time(s) as may be mutually agreed upon by me and the Organization. I understand my gratuitous voluntary services will be performed at the headquarters for the Organization and at such other locations to which I may be assigned in the course of the Organization's operating procedures. I am aware of the dangers which are inherent in the handling and the presence of animals and the hazards which are encountered in the course of the normal pursuit of life and living. Therefore, I will abide by the Volunteer Handbook and observe all other policies and procedures of Valley Animal Haven.
In consideration of the Organization's willingness to delegate to me assignments of work within the scope of the Organization's charitable purposes, subject to the revocation of such activities by me or by the Organization commitments:
1. I assume responsibility for all risks of loss or damage or injuries that may be suffered by me or to property owned by me or in my custody in the course of my activities on behalf of the Organization from any cause, including but not limited to ordinary negligence attributed or which might be attributed to the Organization or any of its agents, directors, officers, servants, employees, or volunteer workers, whether sustained or suffered at any premises under the Organization or at any other premises not under the control of the Organization, or when in route to or from all such places or premises by any means of travel.
2. I hereby release, discharge and indemnify the Organization and its agents, directors, officers, servants, employees, and volunteer workers of and from and in respect to any and all claims, actions and rights or causes of action, present or future, whether known, anticipated or unanticipated, on account of any personal injury, including death, or loss of, or damage or in connection with, my performance or activities as are described in this agreement.
The representations, conditions and commitments contained in this instrument shall be binding upon my heirs, next-of-kin and personal representatives.
Additionally I hereby authorize Valley Animal Haven and the media outlet to use, reproduce, and/or publish all written and/or visual materials, including photographs, which are described below) that may pertain to me or my children. I understand that this material may be used in various publications, public affair releases, or for other related endeavors. This material may also appear on the Valley Animal Haven or media outlet's internet web page. This authorization is continuous and may only be withdrawn by my specific rescission of this authorization. Consequently, Valley Animal Haven or media outlet may publish materials, use my name, my child's name, photograph, and/or make reference to me or my children in any manner that Valley Animal Haven or media deems appropriate in order to promote/publicize case information.
I Agree
Continue