Pets for Life Volunteer Application

 

General Information

1. Personal Information:

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Name:

 

 

   

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City/State/ZIP:

 

    

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Date of Birth:

 


 

Employment and Education

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Conviction may not necessarily disqualify you from volunteering.  We may conduct a background check, and if you do not provide complete and truthful information, you could be rejected or terminated.

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Tell Us About Yourself

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Question - Required - Which volunteering opportunities are you interested in? (Select all that apply. We encourage volunteers to be involved in both roles, but it is possible to volunteer for one opportunity only based on interest and availability).
Please make between 1 and 2 selections from the choices below.

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Question - Required - When will you be available to volunteer? (Please check all that apply.)
Please make between 1 and 4 selections from the choices below.

 

Volunteer Requirements

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Medical Insurance Information

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Emergency Contact

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In consideration of WHS accepting my application for participation in WHS programs, I agree to release and hold harmless WHS 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 from or occasioned by my participation in WHS' programs. I understand there are certain risks inherent in handling animals and I accept those risks. I understand if an accident or injury should occur, no matter how minor, that I will complete a Volunteer Injury Report form and seek any necessary medical attention utilizing my own medical insurance. 

I agree that WHS may photograph my participation in this program, and I hereby release any such photographs to WHS for use in its programs, publications and purposes.

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