Volunteer Application Form

Please be sure to READ all of the information below before completing a Volunteer Application form! Once you have read the information and understand the process and expectations, please complete the form, and click the submit button at the bottom.

*** WE ARE NO LONGER ACCEPTING COURT ORDERED COMMUNITY SERVICE PARTICIPANTS ***

ALL VOLUNTEERS MUST BE 18 YEARS OF AGE OR OLDER TO VOLUNTEER AT FIVE ACRES AND ABLE TO VOLUNTEER INDEPENDENTLY

IF YOU ARE A STUDENT in need of service hours, please do not fill out this application. Please go back to our Volunteer page, scroll down to Youth Outreach and click the link for Student Hours. Thank you!

There is a nonrefundable $15 registration fee which includes a Five Acres Animal Shelter Volunteer t-shirt.

If you do not plan to pay the registration fee, please do not submit an application. If an application is submitted without the payment being processed, your application will be deleted from our system. The registration fee helps to to offset the cost of our Volunteer t-shirts, our High Five Volunteer Incentive Program, the Volunteer Appreciation Events that we host throughout the year, and other things associated with keeping out Volunteer Program running smoothly! As a nonprofit, we are grateful for your support!

Five Acres Animal Shelter has a small dedicated team that oversees the daily operations of our animal shelter. We rely on our volunteers, who donate their many talents, to help us provide the best care for the animals entrusted to us. Volunteers also assist with our many programs and help spread awareness of our mission.

LOCATIONS:

Five Acres Canine Clubhouse - 1099 Pralle Lane, St. Charles, MO 63303

Five Acres Kitty Cottage - 1099 Pralle Lane, St. Charles, MO 63303

Five Acres Randolph (has dogs and cats in one building) - 2835 W. Randolph, St. Charles, MO 63301

Requirements:

- agree to treat all animals with kindness and concern for their welfare

- agree to represent yourself and Five Acres Animal Shelter in a professional manner and treat clients, team members, and other volunteers with respect

- must enjoy working with animals and people; for dog walkers, you need to be comfortable and have experience walking and handling large dogs

- able to commit to volunteering a minimum of 6 hours per month

- you recognize that, while volunteering at an animal shelter is rewarding, it is also a great amount of work. Team Members will rely on you for help when you sign up for shifts- whether it be for walking or cleaning kennels or floors or laundry, etc., we appreciate flexibility and working together toward a common goal!

PLEASE NOTE: Most of our Volunteer opportunities at Five Acres includes strenuous activity. For opportunities where physical demands are required, volunteers must have the ability/willingness to:

• follow oral and written instructions

• establish effective working relationship with staff, other volunteers, and the public

• perform moderate/hard manual labor, including deep cleaning and lifting up to 50 lbs.

• function while being exposed to the shelter environment (i.e. constant noise/barking

• animal hair and dander, cleaning chemical odors, etc.)

• safely and efficiently operate assigned equipment after appropriate instruction (washer, dryer, broom, mop, water hose, high pressure washer, disinfectant (equipment used depends on volunteer assignment)

Next steps:

1) Complete the application below. Once submitted, you will receive an email confirming your application submission with a link to process your New Volunteer Registration fee. Thank you in advance! *If you do not process the Registration Fee, you will not get the invite for Orientation, so please process your payment before you can sign up for Orientation!*

2) Please give us a few days to process all applications. After we review your application, we will send an invitation to attend a Zoom Volunteer Orientation and give you the opportunity to select a day and time that works for you.

3) After Orientation, we will send you instructions on how to access your Volunteer Page, where you can sign up for volunteer shifts and get started!

Thank you for your interest in volunteering at Five Acres Animal Shelter!

Name and Address

First name:

Last name:

Street 1:

Street 2:

City:

State:

* Zip: *

Cell phone:

* OK to call me here

Email address:

Emergency Contact

First name:

Last name:

Home phone:

OK to call here

Cell phone:

* OK to call here

Relationship:

Demographic Information

Date of birth:

Age:

Gender:

T-Shirt size:

I can volunteer at least 6 hrs/month:

Employer name:

Specific Skillset Required of Volunteers

If you have any questions, PLEASE email Kate- volunteer@fiveacresanimalshelter.org so we can confirm that we can accommodate you! Thank you!

Preferences

We welcome volunteers to work with dogs and/or cats, and we also have many volunteer opportunities to help out with our Front Desk/Reception area, AniMeals Food Pantry Program, Maintenance Crew, etc., and we will also discuss those opportunities during Orientation!

Read and Agree to the following:

Terms and Conditions

In consideration of this opportunity to volunteer for the Five Acres Animal Shelter, I agree to the following Terms and Conditions:

I will abide by the Mission Statement, rules, regulations, policies and programs of FAAS while I am a volunteer.

I agree to be supervised by a FAAS employee or designee and will work as a team member with all volunteers.

I will treat all animals, other volunteers, and the general public with dignity and respect.

If I will be providing foster care for any of the Five Acres Animal Shelter animals in my home, I consent to a FAAS representative visiting my home to observe the animals and their living quarters.

I have accurately and truthfully completed this Volunteer Application and Agreement.

I understand that all FAAS volunteers must be at least 18 years of age to volunteer at Five Acres.

I understand that my profile may be deleted after 6 months of inactivity.

If accepted as a volunteer for Five Acres Animal Shelter, a non-profit corporation, I realize I am not a paid employee and am not covered by any workers' compensation insurance or any other insurance or guaranteed medical payment coverage which would compensate me should I be injured while on the premises of the Five Acres Animal Shelter or off the premises while volunteering for the Five Acres Animal Shelter.

As a volunteer with Five Acres, I recognize and acknowledge that volunteering at an animal shelter can be a very physically demanding task and might bother some people with allergies. While some of these requirements and areas may not apply to me and my specific volunteer opportunity, I understand the risk involved.

I recognize that in handling animals there exists a risk of injury including physical harm caused by the animals. On behalf of myself, my heirs, personal representatives and executors, I hereby fully release, discharge, indemnify and hold harmless forever the Five Acres Animal Shelter, its corporation officers, director, board of directors, agents, servants, employees and other volunteers from any and all things, acts, omission or conditions which may cause me damage or injury or any other problems in any way connected with my services for FAAS, including, but not limited to, animal bites or scratches, accidents, injuries, property damages or veterinary fees. I understand that I cannot be covered under Five Acres Animal Shelter's insurance and I must have my own health insurance provider. I know of no medical or other condition which would prevent me from volunteering at Five Acres Animal Shelter. I also understand that, as a volunteer, I cannot represent the shelter in any legal or incident matters.

I give Five Acres Animal Shelter authority to seek emergency treatment, if necessary, in the event of an accident. I understand that in the event of an accident while performing volunteer services, I will not be covered by Workman's Compensation for medical costs. I fully understand that I am responsible for all medical costs in the event of an accident. I understand that because I may handle animals, it is important to have a tetanus vaccination prior to volunteering and to discuss and understand the importance of being vaccinated with my physician. I understand that whatever decision I make is at my own risk and if my vaccination is not current, I release Five Acres Animal Shelter from all responsibility and liability in the event of personal injury and any complications as the result of me not pursuing the matter further.

Your safety is the primary concern at Five Acres Animal Shelter. All volunteers MUST read and accept the terms below prior to using any chemicals and/or cleaning agents. Proper chemical and cleaning agent dilution and application are essential to an effective cleaning regiment and necessary for the safety of persons using the chemicals. I understand the importance of properly using the chemicals and cleaning agents used here at the animal shelter.

Checking "I agree" indicates that I have read, understand, and agree to the above and am OVER 18 years of age.

________________________________________________

I certify that all information on this application is true to the best of my knowledge. I understand that filling out a volunteer application does not guarantee my acceptance into the volunteer program.

I Agree

Five Acres Animal Shelter