Volunteer Application Name: Date: Address: Home Phone: Work Phone: Email: Birthday: In case of emergency, call (name): Phone: I am interested in the following volunteer activities: EducationHands on interaction with cats and dogs: walking, grooming, playing and TLC.Help with special events or fundraising: - Landscaping, special projects and maintenance - Pedal for Pooches - Yard sale What experience do you have that lends itself to the duties that interest you? Why do you want to volunteer at BAAC or NHES? How did you find out about BAAC or NHES? Schedule: Certain volunteer activities involve a regular weekly or biweekly commitment. Others may vary, such as school programs or special events. Whether you’re volunteering an a regular basis, such as four hours per week, or as programs and projects arise – we do ask for a commitment of eight hours per month. Days/Hour preferred: Please indicate 1st and 2nd choice. Days Hours References: 1. Name: Relationship: Phone: Known how long? 2. Name: Relationship: Phone: Known how long? Siganture Clear Date: To be completed by BAAC or NHES: Contact record: NHES and BAAC Volunteer Agreement If accepted as a volunteer, my signature below indicates that I have read, understand and agree to the following: I will abide by all BAAC and NHES policies and procedures. I agree to be supervised by the Director of Volunteers or designee and will directly report any problems that arise to the same. I agree to work on special events, unless I am terminated from the program. If I am unable to fulfill my regular scheduled hours, I will provide advanced notice to my supervisor and arrange for rescheduling. I authorize BAAC or NHES to seek emergency medical treatment in case of accident, injury or illness. I agree to indemnify and hold harmless BAAC, NHES the Board of Directors of BAAC and NHES, officers, agents, and employees from and against any and all liability whatsoever arising out of or related to my duties under this agreement or for any negligent act or omission by BAAC, NHES, or its affiliates, NHES and BAAC Board of Directors, or other officers, agents and employees. I understand I will receive no compensation for services provided to BAAC and I will not be reimbursed for any expenses I incur while performing volunteer services. I may be provided with a job description of my duties and will adhere to these tasks, understanding that performance evaluations are based on such compliance. I understand that as a volunteer my role is no less critical than that of a paid employee, and I will extend my services to the best of my ability. Volunteer: Printed Name: Signature: Clear Date: Witness: Submit
