Volunteer Application

Transcription

1 SILOAM SPRINGS ANIMAL SERVICES Vlunteer Applicatin Silam Springs Animal Services 1300 East Ashley Silam Springs, AR (479) Our gals are t: Prevent cruelty t animals Teach respnsible pet care Find frever hme fr ur adptable animals Shelter and heal animals in need Reduce pet verppulatin Silam Springs Animal Services encurages the participatin f peple wh wish t supprt ur stated gals. A shrt rientatin by the Vlunteer Crdinatr is required fr participatin in ur vlunteer prgram. All ptential vlunteers will be interviewed prir t placement in areas f interest. If yu agree with ur abve stated gals, and are willing t be interviewed and trained, we encurage yu t cmplete and submit this applicatin. The infrmatin yu prvide here will help us find the mst satisfying and apprpriate vlunteer assignment(s) fr yu. Thank yu fr yur interest in Silam Springs/Tailwaggers Vlunteer Prgram. PLEASE PRINT CLEARLY Date: Name: Last First Address: City/State ZIP Hme Phne: ( ) Cell Phne: ( ) D yu text? Age? D yu check yur daily?

2 Area f Interest We wuld like t knw which f the fllwing vlunteer psitins are f the greatest f interest t yu at this time. Please mark three (3) vlunteering preferences, and priritize by numbering 1 thugh 3. (1 st chice, 2 nd, 3 rd chice). Imprtant that yu are here fr the animals. Dg Walking/Scializing/Grming: Requires cmpletin f Safe Shelter Animal Handling prtin f Vlunteer Orientatin. Help ds at ut shelter utside f their kennels fr exercise and peple playtime. Train dgs fr gd manners and basic bedience such as sit, stay, and walking n a leash. This increases the chance fr successful lng term adptins. Give baths and brush dgs, spending quality ne n ne time with them. Requires strng attentin t detail. Hurs: 11am-5pm M, Tu, Th, Fri, 10a-2:30p Saturday. Cat Scializing/Grming: Requires successful cmpletin f Safe Shelter Animal Handling prtin f Vlunteer Orientatin. Help cats find the perfect hme by spending ne n ne time with them. Brush them r just let them play. 11am-5pm M, Tu, Th, Fri, 10a-2:30p Saturday. Fster: Prvide persnal care in yur hme fr special needs animals including, but nt limited t: nursing mthers with babies, abandned litters, underweight, injured, r recvering animals. May require rund-the-clck time cmmitment t feed r administer medicatins. 21 and lder, please. Fundraising/Special Event: Help with prgrams and events thrughut the year. If yu are creative, rganized and knw lts f pet peple arund twn, this is the place fr yu. Will need t be cmmitted weekly with event planning meetings several mnths prir t events. Dedicatin is needed n the event day. Hurs vary. Wuld yu be interested in helping with ur cat rescue Lst Lve Cat Rescue at Petsmart? Yu will be asked t transprt cats/kittens t Petsmart in Fayetteville r helping with the cats/kittens at the stre and ding adptins. If yes, please write dwn the days and hurs yu will be able t vlunteer at Petsmart

3 Time Availability: SSAS hurs f Operatin : 11am-5pm Mnday, Tuesday, Thursday, Friday, 10-3 Saturday, Clsed t the public n Wednesday, Clsed Sunday. I wuld like t vlunteer hurs per week r hurs per mnth. Please indicate which days/times yu wuld prefer t vlunteer: Mn. Tues. Thur. Fri. Sat. Other: Are yu meeting a class/schlarship requirement fr vlunteer hurs? YES NO Name f schl. Name f cntact. Cntacts phne # If yes, Number f hurs required: Cmpletin Deadline: Have yu been curt rdered t d cmmunity service? YES NO Have yu even been cnvicted f CRUELTY TO ANIMALS? YES NO THEFT? YES NO SEXUAL OFFENSE? YES NO DRUG/ALCOHOL OFFENSE? YES NO Please explain further: Any further infrmatin yu wuld like t ffer:

4 Vlunteer Agreement As a vlunteer with Silam Springs Animal Services, I agree t: Never strike, handle, r treat an animal in such a way that culd be cnstrued as rugh r abusive. I will always exercise cmpassin and care with the animals. Becme familiar with SSAS plicies and prcedures and uphld their philsphy and standards. I will seek clarificatin frm the staff whenever necessary. Be punctual and cnscientius, cnduct myself with dignity, curtesy, and cnsideratin fr ther, and strive t make my wrk prfessinal in quality. Limit activity t assigned wrk area unless directed therwise. Cmmunicate any jb-related prblems, cncerns, differences f pinin, cnflicts, r suggestins nly t the Animal Services Manager. Jim Harris: Ntify the Tailwaggers Vlunteer Crdinatr when and if I chse t discntinue my vlunteer service with SSAS. I understand that Silam Animal Services reserves the right t terminate my vlunteer status as result f any f the fllwing: Any abuse r mistreatment f an animal Failure t cmply with rganizatinal plices, rules, and ther regulatins Unsatisfactry attitude, wrk, r appearance Any ther circumstances which, in the judgment f the Animal Services Manager, wuld make my cntinued service as a vlunteer cntrary t the best interest f SSAS I have read and understand each f the abve cnditins. My signature belw indicates that I agree t cmply with them. Printed Name Signature Date Check ff list fr Vlunteer Crdinatr: Cards given Sign in sheet One cat ut at a time Sanitize between cats Names n the bard Rutes We are the eyes Snacks Gates in Hard t leash up Jumpers ut Clred tags Pper scper

5 ACHNOWLEDGMENT AND RELEASE (Vlunteer) City f Silam Springs-Animal Services The undersigned des hereby acknwledge that as a vlunteer with the Silam Springs Animal Services Department, I may be expsed t hazardus cnditins and situatins including but nt limited t, dangerus and unpredictable animals, animal-brne diseases, and pathgens, wet r slick surfaces and ther hazards assciated with the care, keeping and transprt f animals. Knwing that such hazard may be present, I freely and f my wn accrd accept the risk relatinship with the City f Silam Springs and shall be rendered withut the prmise r expectatin f benefits r cmpensatin. Being s advised, I hereby release the city f Silam Springs, its fficers, agents and emplyees frm all injuries r damages which I may surer r receive as a vlunteer with the Silam Springs animal Services Department, and frm any ther accident, hazard r expsure which may ccur because f participatin in, r prximity t, any activities assciated therewith. Signature Date Printed Name If participate is under the age f 18, parent r legal guardian needs t fill ut: Parental Acknwledgement: I, am the parent r legal guardian f and I hereby cnsent t his/her participatin in the abve activities. And I d individually and n behalf f said minr agree t indemnify, defend, and hld harmless the City f Silam Springs, its fficers, agents, and emplyees frm any and all claims, suites r liability arising therefrm. Signature Date Witness Emergency Cntact Infrmatin: Name: Phne #

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