A DIFFERENT BREED ANIMAL RESCUE



[pic] A DIFFERENT BREED ANIMAL RESCUE

VOLUNTEER APPLICATION

A Different Breed Animal Rescue

11700 Preston Road Suite 660, PMB 335

Dallas, TX 75230

214.446.0553



email address: adbrescue@

Instructions: Please complete all questions below, sign the release at the bottom and email this form to ‘adbrescue@’ or mail the hard copy form to the address above. Thank you in advance for your interest and your concern for our community’s rescue animals!!

Name: __________________________________________________________________________________

Address: ________________________________________________________________________________

City and Zip Code: ________________________________________________________________________

Home Phone Number: ______________ Work Number __________________ Cell Number __________________

E-mail Address: ___________________________________________

Date of Birth (mm/dd/yy): ________________________

Employer: __________________________________ Position: _________________________________________

Special Skills (i.e. event planning, computer skills, dog training).: ________________________________________

Any other hobbies or interests? __________________________________________________________________

Do you have any health concerns (i.e. allergies) that might impact your ability to

work at an adopt-a-pet? If yes, please explain

____________________________________________________________________________________________

Have you volunteered in the past with other animals rescue groups, shelters, or

animal control? If yes, please describe your activities and experience with them.

____________________________________________________________________________________________

Do you have pets of your own?

_________________________Dog(s) ______________________Cat(s) ____________________Other

How long have you had them? _______________________________________________________________

When are you able to begin volunteering? (mm/dd/yy) _____________________________

What days are you available to volunteer? _________Weeknights, _____________Saturdays, _____________Sundays

Are you volunteering to fulfill community service hours? _________________

Which volunteer activities are you interested in? ____________________________________________________

(Adoption Assistant/Helper, Fundraising, Foster Parent, Photographer, Special Events, Website)

Are you interested in fostering animals? _____________________

If so, what types? ____________________________________________________________________________

(Adult Cats, Kittens, Pregnant Mom Cat, Adult Dogs, Puppies, Pregnant Mom Dog

Emergency Contact (name and phone number): ____________________________________________________

How did you find out about us? __________________________________________________________________

(Volunteer Referral, , Our Website, Internet search, Other [please specify how])

******************************************************************************************************************************************

VOLUNTEER RELEASE

I, _____________________________________________________, hereby agree to

accept a position as a volunteer for A Different Breed Animal Rescue Inc., and in doing

so, I agree to comply with all of the rules and regulations established by A Different Breed.

I understand that failure to do so may result in my immediate termination as a volunteer.

I agree to do my best to represent A Different Breed to the public in an accurate and professional manner.

I acknowledge that my services are provided on a volunteer basis, and no compensation of any kind is expected. I understand that all services will be performed at my own risk.

I understand that working with animals involves certain risks, and I release and hold harmless A Different Breed, its officers, board members, and employees from any and all claims and demands of any cause in connection with any damages or injuries which may be incurred or sustained by me in any way connected with my services for A Different Breed.

Volunteer hereby personally assumes all risks in connection with handling animals for A Different Breed. Volunteer further assumes full responsibility for any bodily injury, death, property damage or other loss to volunteer, his or her family, and/or assigns, due to negligence of A Different Breed or otherwise.

I understand that public relations are an important part of volunteering at A Different Breed, and I will allow A Different Breed to use any photographs taken of me for public relations activities.

_________________________ _________________________________________________

Date Volunteer Written Name

_______________________________________________

Volunteer Signature (by typing your name here, this will serve as your agreement to the conditions above)

_______________________________________________

ADB Authorized Signature

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download