Volunteer ApplicationPlease fill out the following form in its entirety. We will be in touch once we receive your application. Open Form Volunteer Application Your Name * First Name Last Name Date of Birth * MM DD YYYY Child's Name First Name Last Name Child's Date of Birth MM DD YYYY Child's Age 12 13 14 15 16 17 Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Home Phone (###) ### #### Cell Phone (###) ### #### Email * Best way to reach you * Home Phone Cell Phone Email What is your work status? * Employed full-time Employed part-time Self-employed Unemployed Retired Student Other (please explain): Driver's License Number State Issued: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming No Driver's License EMERGENCY CONTACT INFORMATION Name * First Name Last Name Relationship to you * Emergency Contact Phone * (###) ### #### VOLUNTEER INFORMATION Tell us about your prior volunteer experience (if any): * What do you hope to gain from volunteering? * How would you like to volunteer? * Shelter volunteer Transport cats to vet Administrative Fundraising/Event Planning Marketing Other: How often would you like to volunteer? * Once a week Once a month Occasionally Other: What days & times are you available? * Monday 8am - 10am 10am - 12pm 12pm - 2pm 2pm - 4 pm 4pm - 6pm 6pm - 8pm Tuesday 8am - 10am 10am - 12pm 12pm - 2pm 2pm - 4pm 4pm - 6pm 6pm - 8pm Wednesday 8am - 10am 10am - 12pm 12pm - 2pm 2pm - 4pm 4pm - 6pm 6pm - 8pm Thursday 8am - 10am 10am - 12pm 12pm - 2pm 2pm - 4pm 4pm - 6pm 6pm - 8pm Friday 8am - 10am 10am - 12pm 12pm - 2pm 2pm - 4pm 4pm - 6pm 6pm - 8pm Saturday 8am - 10am 10am - 12pm 12pm - 2pm 2pm - 4pm 4pm - 6pm 6pm - 8pm Sunday 8am - 10am 10am - 12pm 12pm - 2pm 2pm - 4pm 4pm - 6pm 6pm - 8pm Have you ever been convicted of animal abuse or neglect, or have any such charges pending against you? * No Yes (please explain): REFERENCES Please provide two references that we can contact. One must be a non-family member. Please inform your references that we will be calling to eliminate any delays on your application. Reference 1 * First Name Last Name Phone * (###) ### #### Reference 2 * First Name Last Name Phone * (###) ### #### VOLUNTEER AGREEMENT 1. My services to Almost Home Cat Rescue MKE are provided strictly in a voluntary capacity as a Volunteer, and without any express or implied promise of salary, compensation, or other payment of any kind whatsoever. 2. I will familiarize myself and comply with Almost Home Cat Rescue MKE’s policies and procedures applicable to Volunteers. I will adhere to all Almost Home Cat Rescue MKE policies and procedures and understand that failure to do so may result in my termination as a Volunteer. 3. I fully understand that Almost Home Cat Rescue MKE expects high standards of moral and ethical treatment of the animals under its care. I also understand that Almost Home Cat Rescue MKE expects respectful treatment of Almost Home Cat Rescue MKE clients, partners, and other Volunteers. I agree to abide by these standards in my capacity as a Volunteer. 4. I will not represent Almost Home Cat Rescue MKE outside my immediate Volunteer capacity. I understand that Almost Home Cat Rescue MKE has designated staff to represent Almost Home Cat Rescue MKE to any media organizations. 5. I acknowledge and confirm that as a Volunteer I may acquire information on the organization, its volunteers, and about certain matters and things which are of a confidential nature and that such information is the exclusive property of the organization and will remain in the strictest confidence. 6. I understand that public relations is an important part of a Volunteer's activities on behalf of Almost Home Cat Rescue MKE and hereby authorize Almost Home Cat Rescue MKE to use any photographs of me in its possession for public relations purposes. I verify that all information provided on this application is true. Any misrepresentation or omission of facts may result in denial of a volunteer opportunity or dismissal from volunteer program. By signing below, I accept a position as a Volunteer for Almost Home Cat Rescue MKE and understand and agree to the above Volunteer Agreement. Name * First Name Last Name Date * MM DD YYYY Thank you! We will be in contact soon.
