First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

County*

Email*

Cell Phone

Please select one:*
Choose one: Adult High School Volunteer (Under 18-High School Volunteers must have approval from Guidance Counselor and Parental Consent to volunteer on premises)

Name of Employer? or Self Employed?*

How long have you been employed here?

Please enter your employer's address*

Please enter your employer's phone number. If Retired or not employed, enter your own phone number.*

If you have worked at current employer less than 10 years, please enter prior employer.

May we contact your immediate supervisor? Please enter name or N/A*

Please enter your supervisor's phone number.

Where did you hear about Big Cypress German Shepherd Rescue?*

What type of volunteer work are you interested in doing? Please select all that apply.

If you selected Other volunteer work, please explain here:

Do you have any experience or training in the following areas? Please select all that apply.

Please explain any other experience or training you have here and Please provide specifics of any of the areas of experience you selected above. *

Do you have a specific time available to volunteer or are you flexible?*

What specific talents do you possess that you think would be a benefit to the rescue?

Have you ever volunteered at another rescue or animal related facility and/or do you hold any animal organization memberships? If so, please explain:*

Would you be willing to place and maintain one (1) or more canisters and/or distribute flyers at local businesses to help with fundraising/*

Have you ever been charged/convicted of a crime related to animal abuse/abandonment? If so, please explain.*

Have you ever been charged/convicted of any crime? If so, please explain.*

Is there any other information that we should know about to get to know you better?*

Please list any dogs you own now - Breed, Name, Age*

Do you have any cats now? If so, list Names and Ages.*

Are there any other pets in the home? Please list.*

Are there any pets in your home now that are NOT owned by you? If yes, please explain.*

Please note that all pets that you currently have in the home must be up to date on their vaccinations and be spayed or neutered to be considered as a foster home. If there is a medical reason why they are not up to date, spayed or neutered, please explain here:*

Are all pets in the home spayed and/or neutered? If not, please explain why.*

Please list three personal references (not family members) you have known for at least three years. We will contact them in reference to your relationship with animals.

PLEASE CONTACT ALL YOUR REFERENCES IMMEDIATELY AND LET THEM KNOW WE WILL BE CALLING THEM!

Personal Reference 1: Name*

Personal Reference 1 email address*

Personal Reference 1 phone number*

Personal Reference 2 Name:*

Personal Reference 2 Email Address*

Personal Reference 2 Phone Number*

Personal Reference 3 Name:*

Personal Reference 3 Email Address:*

Personal Reference 3 Phone Number:*

Please enter the web address of your personal or business website if applicable. If none, please enter "none"*

Please enter your Facebook username below or enter "none"*

Please enter your Instagram username below or enter "none"*

Please enter your Twitter username below or enter "none"*

Volunteer Agreement

In consideration of this opportunity to volunteer, I agree to the following terms and conditions, intending to be legally bound by them:

(please answer yes or no)

I will abide by the mission, rules, regulations, policies, procedures and programs of Big Cypress German Shepherd Rescue animal rescue while I am a volunteer; a copy of which will be made available for me to review.*

If I stop being a volunteer for Big Cypress German Shepherd animal rescue for any reason or upon the rescue's request at any time, I will promptly return all of the Rescue's supplies, equipment, records, moneys, and other items in good clean condition.*

I assume the risks of being bitten, scratched, injured, or frightened by the dogs and puppies in connection with my volunteer work for the rescue. Big Cypress German Shepherd Rescue is not liable to me for any injuries, damages, liabilities, losses, judgments, cost or expenses whatsoever, which I might suffer or sustain in connection with the performance of my volunteer activities for the Rescue, unless they are the result of the Rescue's gross negligence or intentional misconduct. I will indemnify, defend and hold the Rescue harmless from and against any claims or losses in connection with my gross negligence or intentional misconduct in my performance of volunteer activities for the Rescue or my intentional breach of Rescue rules, regulations, policies, procedures and programs.*

I understand and agree that the Rescue may refuse volunteer applications for any reason. *

If I will be rescuing or providing foster care or boarding for any of the Rescue's animals in. my home or business, I consent to the Rescue visiting my home or business from time to time to observe the animals and their living quarters.*

I give my permission to the Big Cypress German Shepherd Rescue to run a criminal background check.*

I have accurately and truthfully completed this Volunteer Application and Agreement.*

Any modification to this Agreement must be in writing signed by both parties. This agreement is binding upon the Rescue, me and the Rescue's and my respective heirs, successors, assigns, executors, and personal representatives.*

Permission and Release of Liability for High School Volunteers Under the Age of 18

In consideration of the Rescue offering this volunteer opportunity, I/we agree to the following, intending to be legally bound:

(please answer yes or no)

My/our child(ren) or child(ren) under my/our legal guardianship has enough experience with dogs and puppies and is mature enough to volunteer with the Rescue and to participate with dogs/puppies of all sizes. *

Whenever my/our child(ren) or child(ren) under my/our legal guardianship participate(s) in the Rescue, it's directors, officers, employees, agents and volunteers and its/their heirs, successors, assigns and personal representatives from and against liability for any injuries, damages, liabilities, losses, judgments, costs or expenses whatsoever (the "Losses"), which such child(ren) or any pet or other person might suffer or sustain, except any losses which are the result of the Rescue's gross negligence or intentional misconduct. *

I/we acknowledge that there are risks that the child(ren) could be bitten, scratched, injured or frightened by the dogs and/or puppies and I/we assume such risks.*

I understand and agree that the Rescue may refuse volunteer applications for any reason.*

I have accurately and truthfully completed this Permission and Release Form.*

This Permission and Release Form is binding upon me, my spouse, partner, and my and his/her respective heirs, successors, assigns, executors, and personal representatives.*

I accept all conditions set forth in this document and submission of this form is my signature.*

Please type your legal name and date in the space provided.*

If Under 18 years of age, please put Parent or Guardian's name.*

Emergency Contact Name:*

Emergency Contact phone number:*

Emergency Contact Relationship:*

Please add your shirt size and design choice in the box below. Please select one choice from A and one choice from B. A. Small Medium Large XL 2XL 3XL B. Unisex Crew Neck or Women’s V Neck*