Volunteer Application - Second Chance Chi Rescue

Applicant Information

Name: (REQUIRED)

First

Last

Address: (REQUIRED)

Street Address City State / Province / Region Postal / Zip Code Country

Main Contact Phone Number: (REQUIRED)

Area Code

Phone Number

E-mail: (REQUIRED)

Occupation / Employer / Student Status If Student : (REQUIRED)

What is the best way to reach you: (REQUIRED)

Phone

What time of day is best to reach you: (REQUIRED)

Morning

Afternoon

Evening

Emergency Contact: (REQUIRED)

First

Last

Emergency Contact Phone: (REQUIRED)

Area Code

Phone Number

How did you hear about Second Chance Chi Rescue and why do you want to volunteer with us: (REQUIRED)

In which areas are you interested in volunteering: All volunteering is just that and there is no compensation for volunteering. (REQUIRED)

Please list any rescue or shelter experience you have, including type of work performed, name, address, phone number and email address of facility, and name of organization representative.: (REQUIRED)

If you have no rescue or shelter experience, why do you feel compelled to do this type of volunteer work: (REQUIRED)

What time of day are you normally able to volunteer: (REQUIRED)

Morning

Afternoon

Evening

Please let us know any details about your availability that may impact how you are scheduled for assignments: (REQUIRED)

Other: list any other that is not listed above that you would like to in this field and we will let you know if it applies.

Have you had any experience similar to the position for which you are applying? Please describe, and include any previous animal-related experiences or unique skills not listed here: (REQUIRED)

Do you have reliable transportation: (REQUIRED)

Yes

Do you have a valid driver license: (REQUIRED)

Yes

Are you willing to do home visits for new adopters or new fosters: (REQUIRED)

Yes

Are you interested in writing grants: (REQUIRED)

Yes

Are you willing to take pictures: (REQUIRED)

Yes

Are you willing to help with the website design: (REQUIRED)

Yes

Are you willing to pick up donations and/or other supplies: (REQUIRED)

Yes

Do you enjoy working with the public: (REQUIRED)

Yes

Do you enjoy working with animals: (REQUIRED)

Yes

What are your interest and/or hobbies: (REQUIRED)

Personal References

Reference 1 Name: (REQUIRED)

First

Last

Reference 1 Phone Number: (REQUIRED)

Area Code

Phone Number

Reference 2 Name: (REQUIRED)

First

Last

Reference 2 Phone Number: (REQUIRED)

Area Code

Phone Number

Reference 3 Name: (REQUIRED)

First

Last

Reference 3 Phone Number: (REQUIRED)

Area Code

Phone Number

Agreement / Signature

Do you acknowledge that there are risks of getting bitten, scratched or injured by the animals and do you assume such risks: (REQUIRED)

Yes

Do you agree to treat all animals humane and consider their well being and safety first before putting them in any situation: (REQUIRED)

Yes

Do you understand and agree that we, Second Chance Chi may refuse any volunteer applications for any reason: (REQUIRED)

Yes

Have you accurately and truthfully completed this application: (REQUIRED)

Yes

Do you agree to abide by the mission, rules regulations, policies and programs of Second Chance Chi Rescue: (REQUIRED)

Yes

Do you agree once you stop being a volunteer for Second Chance Chi Rescue you will promptly return all Second Chance Chi Rescue supplies, equipment, records and any other item in good clean condition: (REQUIRED)

Yes

Do you acknowledge and understand that you will NOT be covered by ANY insurance, workers compensations for ANY damages or injuries that you may sustain while volunteering for Second Chance Chi Rescue: (REQUIRED)

Yes

Do you understand that your signature to this volunteer liability release attest to your intent to hold harmless and release from all liability Second Chance Chi Rescue or any of its past, present or future directors and officers: (REQUIRED)

Yes

I have read and understand the Volunteer Agreement and understand that my typed name is my legal binding signature and all information provided by me on this application is true and correct to the best of my knowledge: (REQUIRED)

Yes

I hereby grant Second Chance Chi Rescue permission to use my likeness in a photograph/video or any photo/video that I upload to the Second Chance Chi Rescue Facebook page or designated repository (e.g. Flickr) in any and all of its advertising or collateral materials, including the Second Chance Chi Rescue website without payment or any other compensation or consideration. I hereby irrevocably authorize Second Chance Chi Rescue to edit, alter, copy, exhibit, publish or distribute any photos/videos taken of or by me for purposes of publicizing Second Chance Chi Rescue organization or for any other lawful purpose: (REQUIRED)

Yes

We do a simple background check on everyone wanting to volunteer with Second Chance Chi Rescue. We do this to insure the safety of all our dogs while spending time with our volunteers. A criminal background does not disqualify you from volunteering with us but helps us make the decision which position your the right fit for with Second Chance Chi Rescue. (Do You Consent To A Simple Background Check For The Safety Of The Dog(s) You Will Be Volunteering Around): (REQUIRED)

Yes

Signature (Typed Name is a legal binding digital signature): (REQUIRED)

Date Signed: (REQUIRED)

Recaptcha Word Verification: