Volunteer Application Form

The Riverdale Animal Shelter encourages the participation of volunteers who support the following mission: “With exceptional care and compassionate service, we enhance the lives of pets and people in our community."

All potential volunteers must receive an interview prior to placement. In order to provide as safe a work environment as possible, we also require a criminal background check which will be completed at the time of your interview. All volunteers participate in our training program as part of their work experience. If you agree with our mission and are willing to be interviewed and trained, we encourage you to complete this application. The information on this form will help us to find the most satisfying and appropriate job for you. Once you complete the form, click the "I AGREE" button at the bottom.

Please make sure to include a valid email address as this will be the only means of communication with you before you begin volunteering.

Basic Information

First name (preferred):

Last name:

Middle name:

Title:

Legal Name:

Street 1:

Street 2:

City:

State:

* Zip: *

Primary Phone # phone:

* OK to call me here

Secondary Phone # phone:

OK to call me here

Email address:

Date of birth:

Age:

Gender:

T-Shirt size:

Emergency Contact Information

First name (preferred):

Last name:

Primary Phone # phone:

Secondary Phone # phone:

Email address:

Relationship:

Availability

Please indicate the days you are available to volunteer.

References

Please list two (2) references, who are not family members:

1

2

First name (preferred):

Last name:

Primary Phone # phone:

OK to call here

Primary Phone # phone:

OK to call here

Secondary Phone # phone:

OK to call here

Secondary Phone # phone:

OK to call here

Employer

Employer name:

Street 1:

Work phone:

OK to call here

Describe your experience working with animals:

Include any training, work, or previous volunteer experience in the animal welfare industry.

Describe any prior volunteer experience you have:

How did you hear about the Animal Shelter?

Why are you interested in becoming a volunteer?

What type of volunteer work are you interested in?

Any physical limitations we should be aware of?

This information will help us best place you and will remain confidential.

VOLUNTEER AGREEMENT

Terms and Conditions:

My services to the Animal Shelter are provided strictly in a voluntary capacity as a volunteer, and without any Express or implied promise of salary, compensation or other payment of any kind whatsoever.

My services are furnished without any employment-type benefits, including employment insurance programs, worker’s compensation accrual in any form, vacations or sick time.

I will familiarize myself and comply with the Animal Shelter’s policies and procedures applicable to volunteers. In particular, I fully understand that the Animal Shelter expects high standards of moral and ethical treatment of the animals under its care. I will adhere strictly to these standards in my capacity as a volunteer. I will follow the policies, procedures, and safety precautions of the Animal Shelter, and follow the instructions/directions of the staff of the Animal Shelter. I understand that the Animal Shelter, without notice or hearing, may terminate my services as a volunteer at any time, with or without reason.

I understand the potential safety risks of working with animals and of bringing home illnesses from the shelter to personal pets. I will practice reasonable health hygiene and adhere to the hygiene policies of the Animal Shelter.I am covered by a health insurance plan, and I am current on my tetanus vaccination.

I will not bring unapproved guests or family to the Animal Shelter while I am on duty.

Release:

I understand that the handling of animals and other volunteer activities on behalf of the Animal Shelter may place me in a hazardous situation and could result in injury to me or my personal property. On behalf of myself, and my heirs, personal representatives and assigns, I hereby release, discharge, indemnify and hold harmless the Animal Shelter and its directors, officers, employees and agents from any and all claim, causes of actions and demands of any nature, whether known or unknown, arising out of or in connection with my volunteer activities on behalf of the Animal Shelter. Understanding that public relations are an important part of a volunteer’s activities on behalf of the Animal Shelter, I hereby authorize the Animal Shelter to use any photographs of me in its possession for public relations purposes.I ask that the Animal Shelter use reasonable efforts to give me advance notice of any such use, but such notification is not a condition to release photographs for public relations purposes.

If you are under 18, we must have your parent or legal guardian’s sign a form prior to volunteering.

By checking the "I Agree" box, I hereby accept these TERMS AND CONDITIONS.

I Agree