Pet Therapy Program Application

Please complete this application to join Faithful Friends' Pet Therapy Program and start sharing your friendly pet with others! Once you submit your application, you will be contacted within 7-10 days with the next steps to get started. If you have any questions or concerns, please reach out to pettherapy@faithfulfriends.us!

Items marked with an asterisk (*) are required.

Contact Information

First name:

Last name:

Middle name:

Title:

Nickname:

Street 1:

Street 2:

Street 3:

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:

Pet's Name:

About you

Date of birth:

Age:

Gender:

T-Shirt Size:

How did you find out about us?:

School:

Do you have any special needs or other medical conditions we should be aware of?

Availability

Please indicate the days and times you are usually available to volunteer.

Why are you interested in volunteering?

Volunteer Interest:

Please let us know why you are interested in Faithful Friends Animal Society!

Emergency Contact

In case of emergency, please provide the contact information of someone we can call for you.

Do you have health insurance?:

First name:

Last name:

Home phone:

* OK to call here

Work phone:

OK to call here

Cell phone:

OK to call here

Email address:

Relationship:

Email Preferences

We would like to keep you up-to-date on upcoming events, new volunteer opportunities, and important notices. Use the check boxes below to choose what emails you wish to receive from us. You can modify these settings at any time.

What kinds of email would you like to receive?

Orientation Follow-Up

Shift Reminder/Information

Checklist reminders

Volunteer Authorization & Agreement by Applicant

Faithful Friends Animal Society (FFAS) seeks to provide a safe and secure environment for its resident animals, staff, and volunteers. We require all volunteers to attend an Information Session, as well as other necessary training, and to comply with our policies and procedures aimed toward maintaining animal health and safety.

I certify that the facts set for in this volunteer application are true and complete to the best of my knowledge. I understand that any false statement, omission or misrepresentation in my application or placement interview may result in the rejection of my application or discharge from the volunteer program. I understand that FFAS has the right to deny any application at their discretion.

I consent to having FFAS complete a criminal background check prior to volunteering if deemed necessary. I also agree to complete a drug screening if relevant to the position for which I am applying.

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

I recognize that in handling animals and performing other tasks, therein exists a risk of injury including physical harm caused by the animals. On behalf of myself, my heirs, personal representatives and executors, I hereby release, discharge, indemnify and hold harmless FFAS, its staff, volunteers, members, and Board of Directors from any and all claims, causes of action or demands of any nature of cause, including costs and attorney’s fees incurred by FFAS in connection with the same, based on damages or injuries which may be incurred or sustained by me in any way connected with my services to FFAS, including but not limited to animal bites, scratches, accidents or injuries. I also understand that as a volunteer, I am not covered by any workers compensation policies.

I understand that public relations are an important part of volunteering at FFAS. On behalf of myself, my heirs, personal representatives, and executors, I hereby allow FFAS to use any photographs taken of me for use in public relations efforts.

I Agree