Thank you for your interest in volunteering at Canine Estates. We rely on the generosity and hard work of our amazing volunteers, and hope your experience with us will be fulfilling for both you and the animals. Volunteering is rewarding.

The following questions will help enable us to fit the right volunteering opportunities with your skills and personality. We appreciate your patience and will be in touch as soon as possible.


Date:


Are you 18 years of age or older?



Full Name:


Your Address:

Address line 1


Address line 2


City

State / Province

Zip / Postal Code
Your Phone Number: Area Code - Phone Number
Your Email Address:
Employer:
Occupation:
How did you hear about Canine Estates?
What is the greatest skill you can offer during your volunteering at Canine Estates?
What do you hope to get out of your experience while volunteering at Canine Estates?
Favorite Hobbies and/or Interests?


Please indicate the days and times you are available to volunteer: (example 8am - 5pm)

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday


Using a scale of 1 through 5, with 1 meaning NOT AT ALL COMFORTABLE and 5 meaning VERY COMFORTABLE, how comfortable are you...?

Working with the public?

Answering phones?
Working in a team environment?

Taking direction from others?
Assuming a leadership role?


CANINE ESTATES, INC IS A 501(C)(3) NON-PROFIT CORPORATION UNDER THE U.S. INTERNAL REVENUE CODE. A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1.800.435.7352 WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATION BY THE STATE.

Please read the following information closely. It is intended to make your experience at Canine Estates safe and informed. Please select "I Agree" after reading and understanding each of the below.

1. Animal Bites and or Scratches

I Understand that I must immediately report all bites and/or scratches to the designated person in charge.

2. Rabies

Many animals without proof of rabies vaccination will be received at Canine Estates. The risk of coming into contact with a rabid anima is extremely rare, however possible. Animals four months of age or older, which are placed for adoption, will have received their rabies vaccination. I understand that the pre-exposure rabies shots are available, but not required. I also understand that the pre-exposure vaccine does not prevent rabies; it merely reduces the number of injections require after contact with a rabid animal.

3. Tetanus

a. Canine Estates recommends you have a tetanus shot prior to volunteering.

b. If you do not have an up-to-date tetanus shot, nor do you intend to acquire a tetanus shot prior to volunteering, please read and sign the following important information:

If I am injured in any way including but not limited to; any open wound while volunteering for Canine Estates, I agree to seek immediate medical attention and receive a tetanus shot at the time along with any other treatment that is recommended by the medical provider.

I acknowledge that I am aware of the dangers of contracting Tetanus, and that Tetanus is completely preventable by immunization. Immunization is considered to provide protection for ten (10) years.

I am aware that the symptoms include spasms and tightening of the jaw muscles, stiffening of the neck and other muscles, spasms and rigidity of the back muscles, often causing aching, seizures, irritability, and fever. Other symptoms include excessive sweating, difficulty swallowing, hand and foot spasms, uncontrolled urination and defecation.

I am aware that complications of Tetanus are: airway obstruction, respiratory arrest, heart failure, pneumonia, vertebral fractures and sometimes death.

I do hereby acknowledge that Canine Estates has recommended that all volunteers receive a tetanus shot prior to volunteering. Booster shots are recommended every ten (10) years in order to be effective.




4. Terms and Conditions of Volunteering

a. I fully understand and agree to provide my services to Canine Estates without expressed or implied promise of salary, compensation, employment type benefits, including, but not limited to employment insurance programs, worker's compensation accrual in any form, vacations or sick time.




b. I fully understand that the dispositions of the animals which are handled at Canine Estates are not always knowan. I agree to hold Canine Estates harmless for any injury(s) that I may incur, including, but not limited to, animal bites and/or scratches which I may sustain from handling animals during the course of my volunteer duties.




c. I fully understand and agree to assume all risks involved in any duties that I perform for the Canine Estates in my volunteer capacity. I also agree to follow the policies and provedures of Canine Estates.





d. I fully understand that Canine Estates expects a high standard of moral and ethical conduct in the treament of the animals in their care. I agree to adhere strictly to these standards in my volunteer capacity while at or representing Canine Estates.




e. I agree to treat Canine Estate staff, fellow volunteers and public with honor and respect at all times.





f. I agree to provide a minimum 24-hour notice if I am unable to come in during a scheduled volunteer day.





g. I agree to wear proper attire while representing Canine Estates, which includes: non-revealing clothing, closed-tore shoes, sleeved shirts.





h. I fully understand and acknowledge that services are to be preformed subject to all rules and regulations of Canine Estates, that violations of said rules and regulations shall be cause for immediate dismissal of services.





5. Release of Liability

I acknowledge that all services are performed at my risk and that Canine Estates does not provide any type of insurance coverage for volunteers. On behalf of my heirs, my personal representatives or administrators, I hearby release, discharge, indemnify and hold harmless Canine Estates, it's agents, servants and employees from any and all claims, causes of action or demands or any nature of cause including costs and attorneys' fees incurred by Canine Estates in connection with the same based on damages or injuries which I may incure or sustain in any way connected with my services for Canine Estates, including but not limited to, animal bites or injuries.



Emergency Contact and Relationship



Phone



Volunteer Application Signature (Type Full Name)

Date