| NORTHWOODS HUMANE SOCIETY P.O. Box 82 Hayward, WI. 54843 (715) 634-5394 VOLUNTEER APPLICATION & AGREEMENT NAME______________________________________________________DATE____________________ ADDRESS__________________________________________________________ CITY/STATE/ZIP___________________________________PHONE____________________________ EDUCATION____________1 2 3 4 5 6 7 8 __________9 10 11 12 ____________1 2 3 4 Highest grade completed___Grade school_________High School____________College Other_____________ EMPLOYMENT Present Employer_______________________How Long ____________________ Position______________________________________________________________________________ DO YOU HAVE ANY PREVIOUS EXPERIENCE WORKING WITH ANIMALS? AREAS OF INTEREST __Office and reception __Dog Kennel Cleaning __ Cat Kennel Cleaning __Cat Socialization __ Dog Socialization __ Dog Walking __Thrift Shop Sales Person __ Thrift Shop Donations __Foster Care __Fund Raising __Facilities Care __Yard Care __Special Events & Projects __Pet Obedience __Grooming/Bathing __Data Entry __Pet Therapy __ Transporting Animals TIME COMMITMENT NHS programs request that each volunteer donate a minimum of two volunteer hours per week for six or more (some exceptions on some jobs). This commitment is necessary because NHS strives to provide high quality service that can only be provided through the continued support of TRAINED volunteers. It takes time and resources to train volunteers for individual positions. AVAILABILITY FOR VOLUNTEERING Monday/Saturday 7:30am TO 3:00pm __Monday What Hours?_______________________________ __Tuesday What Hours?_______________________________ __Wednesday What Hours?_______________________________ __Thursday What Hours?______________________________ __Friday What Hours?______________________________ __Saturday What Hours?______________________________ CODE OF ETHICS - Being a volunteer suggests that you keep information concerning NHS, it’s clients, employees, procedures, suppliers and animals confidential. - Your personal conduct, on and off the job should reflect favorably on you and the Northwoods Humane Society. - You may not make derogatory remarks or engage in negative behavior with respect to clients, other volunteers and staff members. DRESS GUIDELINES-Good walking shoes are highly recommended. Long hair should be pulled back and long necklaces or dangling jewelry should be worn cautiously. SAFETY- SAFETY IS NUMBER ONE PRIORITY. SHOULD AN INCIDENT OCCUR, NO MATTER HOW MINOR , THE VOLUNTEER MUST IMMEDIATELY REPORT IT TO A STAFF MEMBER. NO SMOKING in the NHS building. UNAUTHORIZED VISITORS-Prior authorization is required before bringing in family members or friends during volunteer shifts. RESIGNATION-In the event you are no longer able or willing to volunteer, please notify a staff member to ensure continuity of service to the animals. NORTHWOODS HUMANE SOCIETY VOLUNTEER WAIVER OF LIABILITY In consideration of NHS accepting my application for participation in NHS programs, I agree to release and hold harmless NHS from and against any and all loss, damage, claims, liability, costs, and expenses, of any nature whatsoever, including without limitation attorney’s fees and disbursements arising form or occasioned by my participation in NHS programs. I understand if an accident or injury should occur, no matter how minor, that I will report the incident and seek any necessary medical attention utilizing my own medical insurance. I understand that there are certain risks inherent in handling animals and I accept those risks. I agree that NHS may photograph my participation in any program and I hereby release any such photographs to NHS for use in its programs, publications and purposes. _________________________________ ___________________ Signature Date |