First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Work Phone
x

Cell Phone

What is your preferred pronoun?

Are you at least 18 years old? *In order to volunteer with All Breed Rescue, you must be at least 18 years old. If you are not yet 18, we appreciate your interest in volunteering but cannot accept your application. Please reapply when you’re 18!*

Are you able to control an 80lb dog on a leash? Volunteers walk dogs and many of our dogs are heavy and very strong. If you are unable to confidently select 'yes' then this is not a good fit for you.

All Breed Rescue 491 Industrial Ave. Williston, VT 05495 VOLUNTEER CONSENT FORM AND LIABILITY RELEASE/WAIVER AGREEMENT Thank you for volunteering with All Breed Rescue (ABR). In order to protect our organization and our rescued animals, we ask that you agree to the following: In consideration of being allowed to use ABR's facilities and/or interact with and/or supervise ABR's dogs as a volunteer, I, _______________________________________________, hereby agree, to the fullest extent permitted by law, as follows: TO WAIVE ALL CLAIMS that I have or may have against ABR arising out of my volunteer activities, including but not limited to all claims related to any premise-related injuries, any equipment or vehicle related injuries, any animal-inflicted injuries, and any communicable, transmissible or infectious illnesses, diseases, infections or conditions of any kind, whether mental or physical or a combination thereof. I specifically understand and agree that I am releasing any and all claims that arise or may arise from any negligent acts or omissions of ABR, its officers, directors, employees, agents, or other volunteers to the fullest extent permitted by law. TO ASSUME ALL RISKS of my volunteer activities, even those caused by the negligent acts of conduct of ABR, it's officers, directors, employees, agents, or other volunteers. I understand that there are inherent risks of interacting with rescued animals that may be foreseen and unforeseen and that may result in serious physical injury of death, and I expressly assume all such risks. TO RELEASE ABR, its officers, directors, employees, agents, and other volunteers from all liability for any loss, damage, injury, death, claim or expense that I may suffer or incur arising out of my volunteer activities, including all liability for any negligence attributable to ABR, its officers, directors, employees, agents, and other volunteers. TO INDEMNIFY ABR, its officers, directors, employees, agents, and other volunteers from all liability for any loss, damage, injury, death, claim, or expense that I may suffer or incur arising out of my volunteer activities, including all liability for any negligence attributable to ABR, its officers, directors, employees, agents, or other volunteers. I am aware that, as a volunteer of ABR, I am acting as a representative of the organization and agree to act responsibly at all times by maintaining a professional demeanor and protecting the organization's rescued animals from any harm by practicing common sense while they are within my possession, custody, or control. I understand and agree that any animal rescued by ABR is owned solely by and is the property of ABR, and as a volunteer of this organization, I will not withhold, sell, or give away any animal entrusted to me by the organization. I will not rescue any animal as a stray or a shelter in the name of ABR without prior authorization from a director, officer, or employee of the organization. I understand that ABR is not charging a fee for allowing me to engage in volunteer activities. I also understand and agree that, as an unpaid volunteer, I will not receive compensation or remuneration of any kind from ABR for any work or services I perform as a volunteer. I have freely chosen to volunteer my services to ABR and I expect nothing in return. I understand and agree that I am not an "employee" of ABR for any purpose and that ABR may terminate, rescind, and/or revoke my volunteer status at any time and for any reason whatsoever, with or without prior notice. Full name_______________________________________________ Date ___________________ * In order to sign the waiver and be eligible to volunteer- please copy and paste the text above, into the field below, with all required information (your full name twice and the date) filled in. Don’t just type your name twice and the date in this box it won’t count as complete and we will reject the application* thank you! *

I am digitally signing the above waiver by selecting 'Yes'

Why would you like to volunteer at All Breed Rescue?

What kind of experience do you have owning or working with animals?

Have you ever volunteered or worked professionally with animals?

If yes, in what capacity?

How often would you like to volunteer?
Choose all that apply: More than once a week Once a week Twice a week Every other week Special events, as needed Once a month

Are you able to commit to at least 4 months of consistent volunteering?

If not, how long will you be available to volunteer with us?

All volunteers are required to complete a cleaning shift prior to handling our dogs, is this ok with you?

In order to be an active volunteer, you are required to be present when you are scheduled (unless you email the volunteer coordinator in advance). We are happy to work with your availability, whether it be once a month or three times a week. What days and times are ideal for you to be scheduled with us?*

We would love to showcase any special skills, or utilize any certifications that you may have. Is there anything specific that you would be interested in executing to benefit All Breed Rescue?

Volunteers have the option to assist with special events by bringing dogs off-site to meet the public. Special events are a lot of fun, and a big way we earn funding. Are you interested in participating in events?

Is there any additional information you would like to share with us?

Reference: Please provide the name and contact information for one reference.

Name:*

Relationship:

How long have you known this person?*

Phone #1*

Phone #2

Do you have any criminal history? Please note that all volunteer applicants may be subject to a criminal background check. Individuals convicted of violent crimes are ineligible to volunteer with All Breed Rescue.*
Choose one: Yes No

If yes, please explain.

Are you applying to volunteer with All Breed Rescue as part of mandatory community service? Please be aware that we cannot track hours for all volunteer work performed.

The dogs and staff  thank you deeply for applying to volunteer at All Breed Rescue.  If your application has been approved, you will receive an email with information about upcoming orientation sessions- please check your junk folder! Attending an orientation is the first step in becoming a volunteer.