Volunteer Application
Tucker County Animal Shelter Volunteer Application
Please upload a photo of your State-Issued photo identification
*
I am over 18 Years old
No
Yes
Name - First
Name - Last
Address
City
State
ZIP
Phone
Email
Do you have reliable transportation?
No
Yes
Emergency contact name
Emergency contact number
Are you volunteering to fulfill a court ordered community service program?
No
Yes
Are you current on your tetanus shot? Handling animals directly runs the risk of scratches and bites. We require anyone interacting directly with the animals to be current on this inoculation.
No
Yes
Do you have health insurance?
No
Yes
How many hours are you willing to commit to as a volunteer?
Please explain what you hope to contibute as a volunteer?
Please explain what you hope to gain through you experience volunteering?
Please list any relevant animal care/volunteer experience.
Do you have a criminal conviction in the last 10 years?
No
Yes
Are you willing to undergo a background check?
No
Yes
Please provide 2 references, please include name, relationship, phone number and email address
Date
VOLUNTEER AGREEMENT AND WAIVER (parent must sign if under 18)* I recognize that working with animals places me at physical risk, and I agree to assume that risk. The Tucker County Animal Shelter (TCAS) has taken measures to ensure reasonable safety for me as a volunteer. It is possible, however, that accidents or injuries may occur while I am volunteering on TCAS property or any other location where I may be working as a TCAS volunteer. In such an event, I release TCAS from any and all claims and causes of action that I may have arising from an injury or damage sustained during my volunteer work with the organization. I also will hold harmless any other locations I may volunteer at for injury or illness caused by the animals I come into contact with in my volunteer duties. I agree to allow TCAS to use my photo or likeness taken during volunteer activities in promotion of the organization’s programs and mission. I agree that I will respect the positions and policies of the organization.
*
Clear