Volunteer App To be filled by anyone interested in becoming an approved volunteer with, and acting on behalf of New Hope Animal Rescue, NFP in Austin, TX and the surrounding area. Step 1 of 4 25% Date of the Application* MM slash DD slash YYYY Full Name* First Last Are you over 18 years old?* Yes No Thank you for your interest, but we are currently only accepting volunteers who are at least 18 years or older.Person InformationCurrent Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Contact Phone #*Best number you can be reached atEmail* Enter Email Confirm Email Please provide a picture of your photo ID*Please provide State issued photo ID, such as a Driver's LicenseMax. file size: 128 MB.Are you currently employed?* Full Time Part Time Retired Unemployed Who is your Employer?* Emergency Contact Name* First Last Emergency Contact Phone #*Best number they can be reached Volunteering InterestsPlease select the location you would like to volunteer for:*Select all that apply PetSmart - Bee Cave PetSmart - Brodie Lane PetSmart - South Park Meadows Petco Bee Cave I can't or don't want to travel to a location to volunteer Please explain*In which areas are you interested in volunteering?*Please select all that apply Cat Enrichment & Cage Cleaning (PetSmart) Adoption Events Fundraising Creating Pet Profiles (Creative writing and Data Entry) Screening Adoption Applications (including calling vet and personal references) Animal Transport Other "Other" - Please explain* List other ways you would like to help, or skills that could be beneficial for the animals we rescue:*Have you volunteered for other animal rescues?* Yes No Please list the rescues where you have previously volunteered*Please include your duties and activities.Do you have experience handling animals?* Yes No Please explain*(include info such as years of experience and the types of breeds you've worked with)How many hours per week would you be able to commit to?* 1 to 2 hrs/week more than 2 but less than 5 hrs/week more than 5 but less than 10 hrs/week more than 10 but less than 15 hrs/week more than 15 but less than 20 hrs/week 20+ hrs/week Other "other" - please explain* Which days are you able to volunteer?*Please select all days that would apply Mondays Tuesdays Wednesdays Thursdays Fridays Saturdays Sundays It varies from week to week Please provide more detail* We rely on our Volunteers.*Outside of major emergencies or hospitalizations, do you commit to providing at least 48hr notice if you are unable to fulfill your volunteer duties for the week? Yes No ReferencesName of Reference #1* First Last Phone*Relationship* Name of Reference #2* First Last Phone*Relationship* Volunteer Contract Plus Waiver and Release AcknowledgmentNew Hope Animal Rescue values our volunteers. We could not save lives without you! This agreement, waiver and release is required for the safety of our volunteers, the safety and welfare of our animals and to ensure that New Hope Animal Rescue remains compliant with our contracts with our pet store partners and our insurance provider so we can continue to save lives. This is a legally binding document. As such, please read each clause CAREFULLY.Upon approval of the application:*I hereby agree to accept a position as a volunteer for New Hope Animal Rescue, NFP (“NHAR”), and in so doing, I agree to comply with the rules and regulations established by NHAR and understand that failure to do so may result in my immediate termination as a volunteer. I agree to support and advocate NHAR’s policies outlined below and to do my best to represent NHAR to the public in an accurate and professional manner. I acknowledge that as a volunteer I have not been given the authority to speak to the media on behalf of NHAR, and will not, unless asked to do so by an authorized representative of NHAR. I understand that the scope of my relationship with NHAR is limited to a volunteer position and that no compensation is expected in return for services I provide; that NHAR will not provide to me any benefits traditionally associated with employment, and that I am responsible for my own insurance coverage in the event of personal injury, illness, or property damage as a result of my activities with NHAR. I agreeWaiver and Release StatementsPlease read the following CAREFULLY and click checkboxes to show that you have read, understood and agree. Your acknowledgments are legally binding.Responsible handling of Donations/Adoption Fees:* I understand that as a volunteer, I might be handling cash donations and collecting adoption fees and will comply with all rules and regulations of NHAR. I will not lower or raise adoption fees without prior written approval from NHAR, nor will I deposit adoption fees or donations into any personal account or other account without express written instructions from NHAR. NHAR does not accept cash adoption fees. All cash donations or in-kind donations (beds, crates, food, etc.) are to be reported to NHAR. Cash donations are to be kept in a locked donation box until collected by an official representative of NHAR. Failure to adhere to these rules can result in the immediate termination of my volunteer position. Responsible handling of Adoption Applications/Contracts:* When processing adoptions, I understand that it is my responsibility to ensure all applications and contracts are fully completed and executed. An animal will not be adopted out without the following: Completed and approved application, completed signed contract, and full adoption fee collected and deposited into the official NHAR account. For adoptions at Pet Smart, an original signature from the adopter must be entered into the Pet Smart ipad in compliance with the policies of Pet Smart Charities. Approval of Personal Expenses:* NHAR will not be responsible for personal reimbursements that are not pre-approved in writing by official representatives of NHAR. Vet Expenditure and Requirements:* Vet expenditures will require PRIOR WRITTEN approval by NHAR and must be done at rescue rates. NHAR has rescue vet contacts that may be able to provide services at a reduced cost and if not utilized, then Foster or Volunteer is responsible for such payments. Routine veterinary care may be covered by NHAR, using NHAR contracted vets, with prior approval. The foster or volunteer may not incur expenses on behalf of NHAR and will be held responsible for unapproved expenditures if prior written approval is not obtained from NHAR. Emergency situations that require immediate care and treatment (life/death situation or car accidents, etc.) still require verbal approval from NHAR for NHAR to assume the expense. Fostering at Home:* I understand that animal(s) in my care may develop health problems and that some diseases can be passed to other household pets, or to humans, and that NHAR will not provide medical treatment for my own pets or family members. I acknowledge that NHAR has strongly advised me to keep fostered animals separate from my personal pets to limit the spread of illness and disease. For the safety of NAHR animals and to be in compliance with Pet Smart Charities, I will only bring healthy, vaccinated, spayed and neutered animals to Pet Smart adoption events. Responsible Animal Care/Handling:* I understand that for animals under my care, that it is my responsibility to provide food, clean water and clean-living conditions for animals in the Pet Smart Cattery. If I am unable to cover my volunteer shift for the cattery, I will provide 24 hours-notice to NHAR. Assumption of Risk, Release and Waiver:* I understand that my volunteer activities include work that may be hazardous to me, including but not limited to, handling frightened animals, being bitten, scratched, injured or frightened by animals, cleaning feces, urine and vomit, moving cages and crates, bending, stooping, transportation to and from work sites and other activities involved in the handling and care of animals. As a volunteer, I hereby expressly and specifically assume the risk of injury or harm and release, forever discharge and hold harmless NHAR, and its officers, directors, employees and agents, from any and all liability, claims and demands of whatever kind or nature, either in law or equity, that directly or indirectly arise from the activities. I also understand there may be risks involved with exposure to certain chemical cleaning products while performing my volunteer duties. I fully understand and accept those risks and dangers. I UNDERSTAND THAT THIS RELEASE DISCHARGES NHAR FROM ANY LIABILITY OR CLAIM THAT I MAY HAVE AGAINST NHAR WITH RESPECT TO ANY BODILY INJURY, PERSONAL INJURY, ILLNESS, DEATH, OR PROPERTY DAMAGE THAT MAY RESULT FROM MY ACTIVITIES WITH NHAR, WHETHER CAUSED BY THE NEGLIGENCE OF NHAR OR ITS OFFICERS, DIRECTORS, EMPLOYEES, OR AGENTS OR OTHERWISE. I ALSO UNDERSTAND THAT NHAR DOES NOT ASSUME ANY RESPONSIBILITY FOR OR OBLIGATION TO PROVIDE FINANCIAL ASSISTANCE OR OTHER ASSISTANCE, INCLUDING BUT NOT LIMITED TO MEDICAL, HEALTH, OR DISABILITY INSURANCE IN THE EVENT OF INJURY OR ILLNESS.* I agree Indemnification:* I agree to indemnify, hold harmless and defend, to the fullest extent permitted by law, NHAR, its directors, officers, employees, agents, insurers, successors and assigns from and against any and all demands, claims, liabilities, suits, causes of action, judgments, damages, losses, penalties, and/or expenses of any kind or nature whatsoever, including attorneys’ fees, arising, directly or indirectly, from or resulting, directly or indirectly, from my performance of activities hereunder, however caused and regardless of any actions or omissions of NHAR. Unpredictable Animal Health and Behavior:* NHAR MAKES NO EXPRESSED OR IMPLIED WARRANTY, REPRESENTATION OR PROMISE TO THE AGE, HEALTH, BREED, HABITS, DISPOSITION OR SAFETY OF ANIMALS IN FOSTER CARE OR IN OUR PET STORE HABITATS. I ASSUME ALL RISKS AND RESPONSIBILITIES ASSOCIATED WITH THE VOLUNTEERING WITH ANIMALS INCLUDING BUT NOT LIMITED TO BITES, SCRATCHES, RINGWORM, ALLERGIES, AND I HEREBY FULLY AND COMPLETELY RELEASE, INDEMNIFY AND HOLD HARMLESS NHAR, ITS OWNERS, DIRECTORS, OFFICERS, VOLUNTEERS, SERVANTS, EMPLOYEES AS WELL AS STORE PARTNERS PETSMART CHARITIES, PETSMART, TOMLINSONS AND PETCO FROM ANY CLAIM, CAUSE OF ACTION OR LIABILITY OF ANY SORT OR NATURE, WHETHER KNOWN OR UNKNOWN, DIRECTLY OR INDIRECTLY ARISING OUT OF OR IN CONNECTION WITH THE VOLUNTEERING, FOSTERING, ADOPTING, MAINTENANCE, TEMPERAMENT OR CONDITION OF THE ANIMAL. FURTHERMORE, I HOLD HARMLESS NHAR FOR ANY EXPRESSED OR IMPLIED WARRANTIES MADE BY VOLUNTEERS. Insurance:* Further, I understand that NHAR does not assume any responsibility for or obligation to provide me with financial or other assistance, including but not limited to medical, health or disability benefits or insurance of any nature in the event of my injury, illness, death or damage to my property. I expressly waive any such claim for compensation or liability on the part of NHAR . Medical Treatment:* I hereby Release and forever discharge NHAR from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during my tenure as a volunteer with NHAR. Photographic Release:* I grant and convey unto NHAR all right, title, and interest in any and all photographs, images, video and audio recordings of me or my likeness or voice made by or on behalf of NHAR during my activities with NHAR, including but not limited to any royalties, donations, proceeds, or other benefits derived from such photographs or recordings. I further permit NHAR to publish said images, records, and videos at will on the website and in other media for advertising and other use as NHAR deems appropriate. Other:* As a volunteer, I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Texas and that this Release shall be governed by and interpreted in accordance with the laws of the State of Texas. I agree that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of the Release which shall continue to be enforceable. Animals Shall Not Leave Habitat:* All the animals at New Hope’s pet store habitats (Petco, PetSmart, Tomlinson’s), in foster care or in transit are the property of NHAR and shall not be sold or given away to anyone or permitted to leave the habitats at any time without an official adoption representative present. No animal will leave the premises with a foster (aka “foster to adopt”) or an adopter without an approved application, signed contract (foster contract or adoption contract) and paid adoption fee and shall leave the premises only under the supervision of an approved adoption representative for NHAR, as well as in a pet carrier. Signature*Please type in your name Date signed*Enter today's date MM slash DD slash YYYY By signing you agree to all terms set by this application and waiver. You consent to reference check and, you attest that the person signing is your true self and all statement are true to the best of your knowledge*By signing you agree to all terms set by this application and waiver. You consent to reference check and, you attest that the person signing is your true self and all statement are true to the best of your knowledge I agreeStatus*--Not StartedIn ProgressTentatively ApprovedApproved (Completed)Not Approved (Completed)AbandonedPhoneThis field is for validation purposes and should be left unchanged. Δ Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pinterest (Opens in new window)Click to print (Opens in new window)
