Volunteer Application

Pet Network Humane Society

www.petnetwork.org

Rita Warren Volunteer Coordinator Pet Network Humane Society rwarren@petnetwork.org 775-832-4404 ext 102 401 Village Blvd Incline Village,NV,89451

Basic Information

First Name*:

Last Name*:

Email*:

Guardian name, if volunteer is under 18

Home/Cell Phone*:

Work Phone:

Address (please include street address, state, zip code)*:

What is the best way to contact you? (ex. text, phone, email, mail)

Do you have any allergies? If so, please specify.

Birthdate*:


Interests

Event Volunteer

This group consists of adults, 18yr or older, that are specifically interested in attending and helping with events that Pet Network is participating in.

General Volunteer work

This group consists of adults, 18yr. or older that volunteer with Pet Network throughout the year.

Jr. Volunteer

This group consist of volunteers between the ages of 16 &17. This group may come without a legal guardian but will NOT be able to walk dogs or take any animals outside of the building.

Jr. Volunteer Teams

This group consist of our Jr. Volunteer Teams Everyone in the this group must be between the ages of 10-15 with a legal guardian.

Thrift Store

This group of volunteers consist of those who are only interested in volunteering in the Second Chance Thrift Boutique Mon-Sat 1pm-5pm.

Transportation Volunteer- Reno/Tahoe basin

This group consists of adults, 18 yr or older that are strictly interested in helping with the transportation of animals in the Reno/Tahoe Basin.

Transportation Volunteer- Susanville, CA area

This group consists of adults, 18 yr or older that are strictly interested in helping with the transportation of animals in the Susanville, CA area.

Volunteers Spring/Summer

This group consists of adults, 18yr. or older that volunteer at Pet Network between the dates of May-Sept.

Volunteers Winter/Fall

This group consist of adults, 18yr. of age or older that volunteer at Pet Network between the dates of October-April


Availability

When are you generally available? You will only be contacted with opportunities during times you are available.

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Morning

Morning

Morning

Morning

Morning

Morning

Morning

Afternoon

Afternoon

Afternoon

Afternoon

Afternoon

Afternoon

Afternoon

Evening

Evening

Evening

Evening

Evening

Evening

Evening


Emergency Contacts

Contact #1: Name*

Contact #1: Relationship*

Contact #1: Phone #*

Contact #2: Name

Contact #2: Relationship

Contact #2: Phone #


Agreement, Release, and Waiver of Liability

I Agree

I understand and agree that submitting this application form does not automatically register me as a Pet Network Animal Friends of Nevada volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering. I also agree if I fail to disclose information regarding my court-ordered status or health conditions I may not be given credit for volunteer hours or allowed to volunteer with Pet Network.

By submitting this form, I attest that the information I have provided on the form is true and accurate. I also give my consent to Pet Network to use any photographs or pictures taken of me or my minor while on premises or at an event.

All volunteers are required to complete this release form. Anyone under the age of 18 must also have a parent complete this form and must submit a paper waiver with the signature of a parent or legal guardian to Pet Network. The paper forms are available at Pet Network. Thank you.

Terms and Conditions

1. My services to Pet Network are provided strictly in a voluntary capacity as a Volunteer, and without any express or implied promise of a salary, compensation, or other payment of any kind whatsoever.

2. My services are furnished without any employment type benefits, including employment insurance programs, worker's compensation accrual in any form, vacations or sick time.

3. I understand that as a volunteer I am an important representative of Pet Network and must do my best to represent Pet Network in a manner that is consistent with its articles, by-laws, guidelines, and philosophies. I will adhere strictly to these standards in my capacity as a Volunteer.

4. I understand that Pet Network, without notice or hearing, may terminate my services as a Volunteer at any time, with or without reason.

Release

I understand that the handling of animals and other Volunteer activities on behalf of Pet Network may place me in a hazardous situation and could result in injury to myself or my personal property. On behalf of myself and my; heirs, personal representatives and assigns, I hereby release, discharge, indemnify and hold harmless Pet Network and its directors, officers, employees, agents, and animals from any and all claims, causes of action and demands of any nature, whether known or unknown, arising out of or in connection with my volunteer activities on behalf of Pet Network.

Code of Conduct

I agree that I will adhere to all policies, procedures and codes of conduct listed below. Additionally I will follow exactly the direction of staff members. Any deviation from the accepted policy, procedure or staff direction may lead to my immediate termination as a volunteer. Gross negligence and willful disobedience of direction that causes harm to any animal or staff member may be perused in Civil Court to recover damages.

GENERAL CODE OF CONDUCT:

* I agree to act in a professional and friendly manner to staff, customers and volunteers.

* I agree to abide by minimal standards of acceptable conduct which include not using profane language while on the premises, dressing in an appropriate and family-friendly manner, and only smoking in designated smoking areas.

* I will treat all animals on the premises with care and respect (no striking, choking, hitting, kicking, or general molestation of animals is tolerated).

* I agree to never take animals from the premises without the express consent of staff on duty.

* I will not let dogs make contact with each other without the express consent of staff on duty.

* I will not leave dogs unattended in the exercise area without the express consent of staff on duty.

* I will not talk on a cell phone while performing any of my volunteer duties.

* I will verify with staff on duty that it is acceptable to remove an adult cat from a crate BEFORE I do so.

* I will put any kitten that I have handled back into the crate it was taken out of, NEVER mixing litters.

* I will report any aggression or injury by any animal to a staff member IMMEDIATELY.

* I will not bring cats into the dog adoption area or bring dogs into the cat adoption area.

* I will not utilize Pet Network equipment, phones, or other items for personal use without staff permission.

* I will ALWAYS follow directions given by staff members EXACTLY because my doing so is critical for disease control, safety, and liability.

By Checking the box below, I certify that: I am the above named person, I am at least 18 years of age, and that I hereby accept a position as a volunteer for the Pet Network, upon the above listed terms, conditions, and understanding; or I am the above named person’s legal guardian and on behalf of myself and my dependent, I hereby release, discharge, indemnify and hold harmless Pet Network and its directors, officers, employees, agents, and animals from any and all claims, causes of action and demands of any nature, whether known or unknown, arising out of or in connection with my volunteer activities on behalf of Pet Network.

I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature. By typing my name below, I am electronically signing this application and waiver.

Volunteer's Name

Parent or Guardian, if under 18 years of age

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