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CALIFORNIA CANINE ACADEMY ASSISTANCE DOGS
VOLUNTEER APPLICATION
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Questions |
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Do you have any allergies or physical conditions that might
affect your volunteer work? If
so, please describe.
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Why do you want to volunteer at California Canine Academy
Assistance Dogs? |
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If you are here through a volunteer program (school, etc.),
please indicate the following: |
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Agency/School: |
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Address: |
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Name of contact person: |
Phone: |
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Number of hours you are required to work: |
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How did you hear about volunteer opportunities at California
Canine Academy Assistance Dogs?
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Skills and Experience |
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Have you had any formal education in pet care or animal
welfare? If so,
please describe: |
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Have you done any other volunteer work? If
so, please describe. |
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Areas of Interest |
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What types of volunteer work interests you? |
Please check all that apply. .
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Dog Care .
Yard Work .
Other: |
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Availability (Please check all that apply.) |
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Weekdays: |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
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9:00 - 1:00 AM |
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2:00 - 6:00 PM |
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Weekends |
Saturday |
Sunday |
Comments: |
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9:00 - 1:00 PM |
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2:00 - 6:00 PM |
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Signatures |
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Signature of Applicant *: |
Date: |
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Signature of parent or guardian*: |
Date: |
* Volunteers
between 15 and 18 years of age must have parental approval.
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Shelter Review |
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Received by: |
Date: |
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Reviewed by: |
Date: |
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Please bring the signed Application and Agreement
to California Canine Academy Assistance Dogs during our public
hours, which are: Every day 10-6pm except Thursday. Alternately,
you can mail your completed and signed Application and Agreement
to:
California Canine Academy
Assistance Dogs
5659 W. Brooks Rd, Merced, CA
95341
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California Canine Academy Assistance Dogs
VOLUNTEER RELEASE
Terms and Conditions:
My services to the CCA/AD 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.
My services are furnished without any employment-type benefits,
including employment insurance programs, worker’s compensation
accrual in any form, vacations or sick time.
I will familiarize myself and comply with the CCA/AD’s policies and
procedures applicable to volunteers. In particular, I fully understand
that the CCA/AD expects high standards of moral and ethical treatment
of the animals under its care. I will adhere strictly to these
standards in my capacity as a volunteer. I will follow the policies,
procedures, and safety precautions of the CCA/AD, and follow the
instructions/directions of the staff of the CCA/AD. I understand that
the CCA/AD, without notice or hearing, may terminate my services as a
volunteer at any time, with or without reason.
I understand the potential safety risks of working with animals and of
bringing home illnesses from the shelter to personal pets. I will
practice reasonable health hygiene and adhere to the hygiene policies
of the CCA/AD.I am covered by a health insurance plan, and I am
current on my tetanus vaccination.
I will not bring unapproved guests or family to the
CCA/AD while I am on duty.
Release:
I understand that the handling of animals and other volunteer
activities on behalf of the CCA/AD may place me in a hazardous
situation and could result in injury to me or my personal property. On
behalf of myself, and my heirs, personal representatives and assigns,
I hereby release, discharge, indemnify and hold harmless the CCA/AD
and its directors, officers, employees and agents from any and all
claim, causes of actions and demands of any nature, whether known or
unknown, arising out of or in connection with my volunteer activities
on behalf of the CCA/AD. Understanding that public relations are an
important part of a volunteer’s activities on behalf of the CCA/AD,
I hereby authorize the CCA/AD to use any photographs of me in its
possession for public relations purposes. I ask that the CCA/AD use
reasonable efforts to give me advance notice of any such use, but such
notification is not a condition to release photographs for public
relations purposes.
If you are under 18, we must have your parent or legal guardian’s
sign a form prior to volunteering.
By checking the "I Agree" box, I hereby accept these TERMS
AND CONDITIONS.
[ ] I AGREE.
_____________________________________________________
Signature
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