Name

Date

Address

City

State

Zip Code

Phone Number

Age

Birthday

Probation Officer's Name

Probation Officer's Email

Hours Needed

Hours to be completed by

***** As a PAWS volunteer you will be joining a special group of dedicated people who want to help animals. *****

What do you feel are some of your greatest strengths?

Do you have any situations or health isues that PAWS should be aware of? (please explain)

Are you on disability?

Any back problems? Yes No

Any other health conditions Paws should be aware of?

Were you ever, or are you now actively invovled with any other no-profit, community, or religious organizations? (If yes, please list organization)

Please rate yourself on a scale of 1 to 5, with 1 being poor and 5 being excellent, on the following areas:

Punctuality

Dedication

Character

Self-Motification

Interpersonal skills & customer service

Dependability

Your quality of work

What was the instance that occurred to give yourself community service work?

Nature of the crime?

Volunteer Agreement

Please read through and initial the following:

1. I understand the “Volunteer Visitor Policy” in that, I may only bring a visitor during non-volunteer visits, during normal business hours (when the shelter is open for viewing), and I am only showing them around the public areas of the building

Please Initial Here

2. I understand the importance of a time commitment to volunteer. Should I find the nature of this volunteer work is not what I expected, or I cannot fulfill my commitment – I will contact the Volunteer Coordinator so my records may be updated. The WCHS reserves the right to refuse a volunteer based on performance and ability to handle our animals properly/safely.

Please Initial Here

3. I understand it is recommended that I have an up-to-date Tetanus vaccine; in the chance I may be bitten or scratched. This is not a requirement to volunteer, but strongly advised. Tetanus vaccines need to be updated every ten years. It may be obtained at the Health Department or by my physician – at my own expense.

Please Initial Here

4. I understand that as a volunteer for the Warren County Humane Society, I will be working with animals with unknown and unpredictable characteristics and dispositions and will be subjecting myself to various work conditions. I hereby assume the risk of any injury that may result from my volunteer services at Warren County Humane Society. By signing this application: I, intending to be legally bound for myself, my heirs, executors and administrators, Release the Warren County Humane Society, its officers, directors and staff from any and all rights and claims for damages I may have arising out of any injuries or illnesses suffered by myself or my pet’s incidental to my voluntary services.

Parent/Guardian initial here

Please sign below indicating that you read and understand the Volunteer Agreement.

The volunteer form and agreement must be completed and received before any orientation classes are attended.

Signature

Parent / Guardian Signature if under 18

Date

IN CASE OF EMERGENCY, PLEASE CONTACT

Name

Phone Number

Paws Along the River reserves the right to decline any volunteer application for any reason. This may include but is not limited to any area where there is conflict of interest. The Board of Directors reserves the right to make policy changes as necessary.