Volunteer Application - Under 16 years of age

Volunteer Application

The Animal Shelter of Sullivan County Volunteer Application - under 16 years of age

Name *
Last Name *
Address *
City *
State *
Zip Code *
Cell Phone *
Email *
Emergency Contact Name and Number *
Driver's License State/Number *
Have you volunteered for the ASoSC before? *
If so, when Only need to explain if you have volunteered here before
How did you hear about our program? *
Briefly explain why you are interested in volunteering; or if you are required to volunteer, by who? If you are required for school to volunteer, please list how many hours you need. *
Do you have prior volunteer experience working with animals? *
If so, where? You only need to answer if you do have previous animal experience.
What days and times are you available? *
Have you ever been convicted or plead guilty to a criminal offense (misdemeanor or felony)? * Falsification of this to any other information on the application is grounds for immediate termination from the Volunteer program. A conviction does not necessarily disqualify you from volunteering.
Please provide with any additional information that you feel will help us know more about you. *
Signature *
Below will be a list of volunteer positions. Please check which the boxes of the ones you would be interested in. If you have any experience please select that as well. *
Adoption Assistant: Help shelter pets find their perfect home. Work with animals and potential adopters to find them a forever home. Conduct home visits and meet/greets with adopters and their animals. (Requires specialized training and management approval)
Animal Care Team/Training Team: Help us provide a clean, safe environment for the animals in our care. Work side by side with shelter staff.
Animal Grooming Assistant: Help our animals look their best when they meet their prospective new families. They want to make a good first impression with your help.
Community and Adoption Events: We can always use an extra pair of hands at events to man a booth and talk to the public about the services of the Animal Shelter of Sullivan County.
Disaster Preparedness: In the event of a disaster, volunteers would assist the staff with animals intake, transportation and care.
Enrichment Team: The Enrichment team will provide designated enrichment to the cats and dogs at the shelter. This can include walking and spending time with our shelter dogs in designated areas to provide exercise, human contact, and mental stimulation. Designated daily enrichment will be directed per supervisors. Playing and socializing cats will occur in the community space.
Fostering: Provide a loving and nurturing home for a shelter animal until they are ready to be adopted or brought into the shelter. Foster volunteers must complete a separate orientation and agree to a home visit prior to approval for fostering of shelter animals.
Fundraising: Assist with fundraising at events or other income generating opportunities. These funds help provide for the animals' basic care as well as the "extras" to make their stay with us more comfortable.
Office Work: If you don't want to work directly with the animals, we have some light office work that needs doing, such as assembling packets of information or adoption kits, folding brochures, filing, etc.
School Groups and other volunteer groups: We welcome groups to volunteer by donation of supplies, fundraising, and other opportunities. Groups of children must always be accompanied by adults.
Sewing and Crafting: Utilize items donated to the shelter to sew or craft bedding and kennel covers for our shelter animals.
Socialization and training coach: Teach the animals social skills and basic commands to increase their adoptability. (Requires specialized training and management approval)
Transport Team: Will be called upon to transport animals to and from veterinarians, events, and retail locations. Must be 21 and have a valid driver's license and current automobile insurance.
I acknowledge receipt of the Volunteer Handbook and liability waiver. I agree to abide by the terms and conditions therein. Please sign and date. *
I agree that I will act at all times to preserve confidentiality of all business and personal information in regards to the Animal Shelter of Sullivan County and it's staff, customers, volunteers, visitors, and animals. Volunteers, may be exposed to information which is confidential and/or privileged in nature. It is the policy of The Animal Shelter of Sullivan County that such information must be kept confidential both during and after volunteer service. Volunteers are expected to return any materials containing privileged or confidential information at the time of separation from volunteering. I understand that I shall be responsible for any direct or consequential damages resulting from any violation of this Agreement. Unauthorized disclosure of confidential or privileged information is a serious violation of this policy and will subject the person(s) who made the unauthorized disclosure to appropriate discipline, including removal/dismissal. *
I/We, the parents/guardians of the individual names below give permission for him/her to participate as a volunteer for the Animal Shelter of Sullivan County. I/We understand that for volunteers under sixteen (16) years of age, there must be an adult accompanying the volunteer. *
*	I understand that I am not an authorized representative of the Animal Shelter of Sullivan County (ASoSC) and have no authorization to answer questions or provide information about the agency.
*	I understand and agree that if accepted as a volunteer, all services performed by me will be performed on a strictly volunteer basis, and that I will receive no compensation of any kind; that I will not be an employee of ASoSC, and that the ASoSC shall incur no liability of any nature as a result of my volunteering for the ASoSC.
*	I understand that public relations are in important part of volunteering with the ASoSC. I give the ASoSC permission to us and publish photographs taken of me as a volunteer for it's use in it's public relations effort.
*	I understand that I may come run to contact with bleach as well as various other cleaning supplies and /or animal bodily fluids and therefore my clothing could be stained, torn, or ruined.
*	I acknowledge that in handling animals and performing other volunteer tasks, there exists a risk of injury, including physical harm or death, and that all services performed by me will be done at my own risks.
*	I understand that I may be unable to adopt any pets during my first three (3) months of service except at the director's discretion.
*	In case of emergency, I authorize ASoSC to arrange emergency medical treatment before attempting to notify the contact listed above.
*	I hereby release, discharge, indemnify, and hold harmless the ASoSC, Sullivan County Government employees and representatives from all claims causes of action or demands of any nature of cause whatsoever, including costs and attorney fees, arising out of or relating to my volunteering at the ASoSC, including but not limited to animal bites, accidents, or injuries.
*	I have carefully read this waiver and of liability agreement and fully understand and agree to the contents thereof and agree that this is a legally binding agreement.
Are there any medical conditions or allergies that the volunteer(s) have for which the staff should be made aware of? *
If yes, please list
Parent/Guardian Name *
Date *
Volunteer's Date of Birth *
Volunteer's age *

Together we can do great things for the homeless animals of Sullivan County