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Foster Application Form – Single Page
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Foster Application Form – Single Page
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Applicant Name
*
First
Last
Email
*
Phone
*
Address
*
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Hawaii
Idaho
Illinois
Indiana
Iowa
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Louisiana
Maine
Maryland
Massachusetts
Michigan
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North Carolina
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Over 18?
*
Yes
No
How did you hear about Safe With Us Animal Rescue?
Petfinder
Adopt-A-Pet
Friends/Family
Social Media
Other
Why do you want to volunteer with us?
Do you have prior shelter or rescue volunteer experience?
Yes
No
What was your prior experience, and why are you no longer with that organization?
Do you have prior non-shelter or non-rescue volunteer experience?
Yes
No
What was your prior experience, and why are you no longer with that organization?
How many hours a week are you able to volunteer?
Selected Value:
0
This is approximate!
Which areas are you interested in volunteering your time in?
Fostering
Transport
Events
Home visits
Photography
Application processing
Graphic design
Fundraising
Other
Other? Please detail
Personal reference #1
Name
*
First
Last
Phone
*
Email
Relationship length and type
How long have they known you, and in what capacity?
Personal reference #2
Name
*
First
Last
Phone
*
Email
Relationship length and type
How long have they known you, and in what capacity?
Personal reference #3
Name
*
First
Last
Phone
*
Email
Relationship length and type3
How long have they known you, and in what capacity?
Volunteer Agreement
As a volunteer with Safe With Us Animal Rescue, I am fully aware that some volunteer roles will be in direct contact with dogs of various ages, breeds, activity levels, and behaviors. I agree to release Safe With Us Animal Rescue and any of its employees, volunteers, managers, directors, or owners of any and all liability. I am aware that with the nature of working with rescue dogs there is a possibility for bodily injury, and personal property damage. I agree to release Safe With Us Animal Rescue and any of its employees, volunteers, managers, directors, or owners of any and all liability. I agree that as a volunteer of Safe With Us Animal Rescue, I am representing the organization and I agree to always represent myself and the rescue in a professional manner. I understand that any unprofessional behavior of any kind will not be tolerated. I expressly assume any and all risks associated with volunteering for Safe With Us Animal Rescue.
Release and Waiver of Liability
I, the undersigned, wish to participate as a volunteer with the Safe With Us Animal Rescue, a non-profit organization. As a volunteer, I understand that there is a potential risk involved while participating in events/volunteer duties. Volunteer duties include, but are not limited to, transporting live animals, performing evaluations on live animals, overseeing/conducting meet and greets with live animals and potential foster or adoptive families, providing medical care to live animals, fostering live animals, performing meet and greets with multiple live animals, walking live animals, temporarily caring for live animals, doing home visits with or without live animals, processing applications, entering data, being present and handling live animals at adoption events or fundraising events, etc. I understand that Safe With Us Animal Rescue represents the temperament of each dog to the best of our knowledge however animals can be very unpredictable. I understand that Safe With Us Animal Rescue board members, volunteers, foster families and affiliates are not responsible for the behavior, response, or action of any animal in any given situation whether or not alleged to be caused or contributed to by the NEGLIGENCE of Safe With Us Animal Rescue or its volunteers. I acknowledge the risks involved in adopting or taking custody of rescue animals or any animals due to their natural propensities. As a volunteer I will follow every safety precaution to keep myself, the animals and others safe. I understand that I handle all animals at my own risk. I also understand that I volunteer and participate in events at my own risk. I voluntarily and knowingly sign this waiver, releasing Safe With Us Animal Rescue, and its board members, volunteers, foster families and affiliates of any and all liability, expense, damage, loss or cost as a result of any claim brought against Safe With Us Animal Rescue whether as a result of negligence, willful action or recklessness. I will not hold Safe With Us Animal Rescue liable for any emotional, physical, personal or property damage suffered while volunteering, both directly and/or indirectly. I further agree that no other person, including but not limited to a spouse, family member, friend or other volunteer/member on my behalf, will hold Safe With Us Animal Rescue liable for any accident, damage, bodily injury or even death (including attorney’s fees) that arises from my voluntary service for Safe With Us Animal Rescue.
Check any of the following that apply:
I certify that I am of at least eighteen (18) years old and sign this waiver of my own free will.
I certify that I have my own health insurance to cover any and all medical bills that I might incur while volunteering both directly and indirectly for Safe With Us Animal Rescue.
I certify that I do not have health insurance and will not sue for any medical bills that I might incur while volunteering both directly and indirectly for Safe With Us Animal Rescue.
I certify that I have my own automobile insurance and valid driver’s license to cover any and all medical and property damage expenses in the unlikely event of a car accident while in the service of volunteering for Safe With Us Animal Rescue.
Applicant Name
*
First
Last
Date
*
Submit