Name
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First Name
Last Name
Email Address
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Phone
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(###)
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Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Please check the types of volunteer work you would like to do:
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Do you have previous volunteer experience? If yes, please explain the position(s) and list organization(s).
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Please describe any experience or education you have with animal care:
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Do you have any physical restrictions, medical limitations or allergies that would affect your volunteer duties? Please list.
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Please list who we should contact in case of an emergency while you are volunteering:
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Name, Phone, Relationship, Alt Phone
I have accurately and truthfully completed the Volunteer Application and I give my permission to CHA to verify any of the information in the application.
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I agree that my services are provided on a volunteer basis without pay or compensation of any kind.
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I agree to abide by the policies and procedures of BBRA, during my time as a member of the volunteer staff. I will conform to all rules and regulations commonly applying to employees of BBRA, including safety, discrimination, harassment, and confidentiality. I will confide all comments, questions, suggestions, whether positive or negative, to my immediate Lead Volunteer and/or the Volunteer Coordinator
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I give consent to BBRA to use any photographs taken of me on property or at a special event for public relation purposes
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As a volunteer worker, I acknowledge that I will be acting entirely at my own risk. I am aware of the dangers inherent in handling animals and the potential hazards inherent in the normal course of volunteer work at BBRA. Should I have concerns or questions about tetanus or rabies vaccinations, I am encouraged to consult a physician to decide whether or not to be vaccinated at my own expense.
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I hereby release, discharge and indemnify BBRA, its agents, employees, directors, officers and insurance carriers from any and all claims, damages, and judgments present or future, whether known or unknown, on account of any personal or bodily injury and/or on account of any damage to personal property suffered and sustained by me from any incident caused or arising out of, during or in connection with, any volunteer work for or on behalf of BBRA
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I understand and agree that the terms of this agreement shall be binding upon my heirs, my assignees, my personal representatives and myself.
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In the case of emergency in which I require medical care, I authorize BBRA to act on my behalf
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I understand BBRA has the right to terminate this agreement at its discretion.
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I am over 18 years of age.
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I further agree to: Support the goals and efforts of BBRA with a positive attitude. • Approach my volunteer job responsibilities with professionalism. • Treat all animals with kindness. • Promote goodwill by handling contacts with staff, other volunteers, and the public in a spirit of courtesy and cooperation. • Report to my volunteer job physically and mentally fit for duty. BBRA is a drug free workplace and use or possession of firearms or weapons of any kind are prohibited. • Provide appropriate notice of unavoidable absence or lateness. • Deal fairly with all BBRA colleagues, co-workers, supervisors, customers, visitors, volunteers, etc., without regard to their gender, race, ethnicity, religion, creed, age, sexual orientation, marital status, national origin, ancestry, citizenship, military status, veteran status, handicap or disability. • Only serve as agency representative in the community or media spokesperson when authorized to do so by BBRA management. • Correct, when possible, misleading or inaccurate information and representations made by others concerning BBRA policies, practices and procedures. • Maintain and safeguard the confidentiality of all business, donor, employee, volunteer and animal records, credit and financial information, and/or any information relating to the operation of the agency that is not known or readily accessible to the public. • Observe all safety and security rules in the performance of my volunteer job duties. Such as leaving all cats and pocket pets in cages or carriers and double leasing all dogs. • Report accidents, injuries, fire, theft or other unusual incidents immediately after occurrence or discovery. • Avoid engaging in any conduct that is or could be perceived as a conflict of interest. Refrain from using BBRA property, services or supplies for personal reasons unless given prior permission by the appropriate staff member. • Contact the Volunteer Coordinator if I have questions or concerns about BBRA policies, procedures, interpersonal communications, or my volunteer responsibilities.
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Please Read and Initial that you understand and agree to our guidelines.
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