VOLUNTEER APPLICATION |
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(Volunteers
under 13 must be accompanied by an adult at all times.)
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| Name: |
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Date |
_____________________________ |
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| Address: |
__________________________ |
E-mail: |
___________________________ |
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| City: |
_____________________________ |
State: |
_______________ |
Zip: |
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| Phone: |
____________________________ |
Birthday: |
___________________________ |
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| Employer/School:____ |
___________________________________________________ |
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| Volunteer Experience: |
___________________________________________________ |
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VOLUNTEER ACTIVITIES |
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| Unless otherwise stated, required commitments are for a minimum
term of 6 months. Training will be provided if required. In many cases,
training is mandatory to participation in the activity. |
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- Special events: Help out at events as a CAS Representative
in the community: Home 4 the Holidays, Annual Dog Walk and Dog
Talent Fair, etc. Required Commitment: 1-2 events yearly. No training
required
- Shelter Tasks: Hands on work with shelter animals. Requires
Extra Training as a Dog Walking or Cat Socializing volunteer.
Required Commitment: Cat – 1 hr/week for 6 months, Dog –
3 hr/week for 6 months
- Afternoon Cleaning (MUST BE 18 years of age): Extra help cleaning
due to the amount of animals or to allow staff vacations. Includes
cleaning cat cages, litter boxes, dumping trash, washing dog and
cat dishes. Requires extra training that you receive on your first
scheduled shift.
- Maintenance & repairs: On call to make general repairs
around the shelter. You supply the tools & knowledge; we supply
the materials…if needed. Also assist with organizing food
sheds; spring & winter clean-up events.
- Errands: Scheduled in advance to help with vet runs, donation
site runs, recycling, & other basic errands. Please tell us
what type of vehicle you drive. Sign up for one or all errands
– just remember, you are committing for 6 months…
Limited training required.
- Aluminum can recycling is every Monday/Wednesday/Friday (pick-up
Truck recommended). The cans are taken to Pacific Steel, which
is just down the road.
- A volunteer who pick up used ink jet cartridges and toner cartridges
from businesses throughout Cut Bank. Must pick up cartridges once
a month.
- A volunteer who lives in Cut Bank to develop "dog bank" routes.
The "dog banks" are placed in businesses to collect change from
customers.
- Collecting donated dog and cat food 1/week (Wednesday at 10:00a.m.)
from Target, Wal-Mart & Costco (we call Costco to see if they
have any that week). Pick-up or large SUV ideally as there is
a lot of damaged bags that get donated.
- Updating of bulletin boards that we have around town (we have
one at Wal-Mart and are planning more), every two weeks. Requires
internet access and color printer.
- Outreach: Visiting various retirement homes & classrooms
within our community with an animal from the shelter. Educating
the public about the shelter and humane animal care. Minimum training
required.
- Fostering: Outside care for animals too sick or too young to
safely care for them at the shelter. Fostering can be from a term
of 2 wks. to 2 mo. CAS provides all the necessities during the
fostering. Required training and application process. Required
Commitment: remain on list for 1 year, after which you can recommit
as you choose.
- Office: Involves various office tasks including, but not limited
to; assisting with newsletter mailings, stuffing envelopes, collating
multi-piece mailings, photocopying, etc. No training required
? Required commitment: 1-2 mailings yearly (we do 4-6 annually).
- Computer Tech/Web Master: Designing a new web page and will
need a tech support/webmaster to assist with managing the site.
Train us! Required commitment of 1 year to get consistent page
established.
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OTHER INFORMATION: |
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| Do you own pets? |
YES/NO |
If so, what kind?______________________________ |
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| Do you have any allergies? |
YES/NO |
If so, of what? ________________________ |
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| In case of an emergency, notify: |
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| Name: |
___________________________________ |
Phone: |
____________________ |
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| Address: |
____________________________________ |
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____________________ |
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| In the event of an emergency, a representative of the Cut Bank Animal
Shelter has permission to transport you to the proper medical facility
and contact the following doctor: |
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| Doctor's Name: |
___________________________________ |
Phone: |
_____________ |
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| Address:______ |
___________________________________ |
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| Have you had a tetanus shot? |
YES/NO |
If so, when? ________________________ |
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| (Mandatory for shelter tasks and afternoon cleaning
only) |
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| If an applicant is a minor, a parent or guardian must be available
to be reached by phone during the time the minor is volunteering. |
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| ___________________________ |
___________________________________________ |
| Home phone |
Hours applicable |
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| ___________________________ |
___________________________________________ |
| Work phone |
Hours applicable |
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| ___________________________ |
___________________________________________ |
| Volunteer Signature |
Parent/Guardian Signature |
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Waiver of Responsibility |
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| I,________________________________________, am about to participate
in the volunteer program at the Cut Bank Animal Shelter and as I am
doing so entirely upon my own initiative, risk and responsibility,
and with the understanding that the animals I may be caring for may
be dangerous, therefore, In consideration of the permission extended
to the Cut Bank Animal Shelter through its officers and agents, I
hereby, for myself, my heirs, my executors and administrators, remiss,
release and discharge the Cut Bank Animal Shelter, its officers and
employees from all claims, demands, actions or causes of action, on
account of any injury to me which may occur during the volunteer program. |
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| ___________________________ |
___________________________________________ |
| Date |
Signature |
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| ___________________________ |
___________________________________________ |
| Date |
Parent/Guardian Signature |
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