VOLUNTEER APPLICATION

First name

Last name

Street Address

City

State

Zip Code

Phone

Email

Birthday

Month

Day

Year

Check here if you are a college student looking to volunteer to fulfill the requirements of a class.

References (list two people, not related to you, who have known you for at least two years and can speak about your character and skills related to working with animals):

Name of 1st Reference:

Phone Number:

Email:

Name of 2nd Reference:

Phone Number:

Email:

Do you want to volunteer with cats, dogs, or both?

Cats

Dogs

Both

I would like to help the shelter by (check all that apply):

Cleaning kennels or cages

Fundraisers

Grooming (bathing, trimming nails, etc.)

Work at the shelter grounds

I have the following volunteer experience (type of company, role played, number of years, etc.):

VOLUNTEER LIABILITY WAIVER

I hereby agree that I am providing volunteer services to JRHS and assisting with taking care of animals. I understand that neither JRHS nor any of its employees are responsible for any injury, illness, or death caused by any animals that I come into contact with during my volunteer work.I understand that failure to follow rules and posted signs may result in injury and/or death. I agree to hold harmless and release from liability JRHS should I become sick or injured from any animals as a result of my volunteer work.

Signed:

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Date:

Month

Day

Year

Print Name:

Parent's Signature (if applicant is under 18 years of age):

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