VOLUNTEER APPLICATION Father John s Animal House IMPORTANT NOTE! You MUST be at least 18 years old to work directly with the animals but there are ways for everyone to help. In order to become a volunteer there is a Membership Fee. Your membership helps provide for the daily needs of our animals. Please fill out the Membership Form attached to this packet. Date: City, State Zip: Home Phone # Cell Phone # E-mail: Date of Birth: Phone #: Relationship: Emergency Contact Information Name of person to contact in case of an emergency: May we add your e-mail to our volunteer database to receive e-mails? Yes No All volunteers are required to attend a mandatory interview and orientation session. Volunteer Application Page 1 of 5 Revised June 2013
Availability Hours to volunteer are: Sun, Mon, Tue, 8:30-1:00 and WED-SAT 8:30-5:00 Days available (circle all that apply): Mon Tues Wed Thurs Fri Sat Sun Times available (circle all that apply): Morning Afternoon Frequency available (circle all that apply): Daily Weekly Monthly VOLUNTEER ACTIVITIES Please select from the list below, the activities that you would like to volunteer for. Do you prefer working with Dogs or Cats Dogs Cats Both Help with training dogs Yes No Walk Dogs Yes No Bathe dogs Yes No Bush/cuddle cats Yes No Clean cat rooms (Done daily from 8:30 11 am) Yes No Help at adoption days Yes No Take photos/videos of animals Yes No Organize a fundraiser Yes No Help with fundraising events Yes No Help with advertising events Yes No Solicit merchandise for fundraisers Yes No Help with supply drives Yes No Sell raffle tickets Yes No Stuff envelopes for mailings Yes No Help with gardening Yes No Help with building maintenance Yes No Other ways I would like to help at FJAH: Volunteer Application Page 2 of 5 Revised June 2013
Form must be signed for each release. Name of Volunteer: Release of Liability I, the undersigned, release Father John s Animal House and its employees and other persons connected with this shelter from any and all liability for damage and injury to myself and I accept full responsibility for any and all such damage and injury. I understand the risks of working with animals and accept these risks. Signature of Volunteer: Date: Tetanus Waiver Father John s Animal House feels it is important to have a tetanus vaccination before joining the Volunteer Team. To emphasize the importance, we ask you to read and sign the following waiver. I understand that because I may handle animals, it is important to discuss being vaccinated against tetanus with my physician. I release Father John s Animal House from all responsibility for events that may occur if I do not pursue this matter further. I realize that whatever decision I make is at my own risk. Signature of Volunteer: Date: Rabies Waiver I, have been advised of the risks of rabies and have agreed to the following: I will have the three pre-rabies vaccinations at my own cost. I have refused the rabies pre-rabies vaccinations. I release Father John s Animal House from all legal responsibility and responsibility for any medical care that may be necessary due to injury at the shelter or while I am on shelter business. Signature of Volunteer: Date: Volunteer Application Page 3 of 5 Revised June 2013
APPLICANT S AGREEMENT In signing this application, I understand and agree to the following terms: 1. I agree to abide by the policies and procedures presented to me at the volunteer orientation. 2. If I have any ideas, constructive comments, suggestions, criticism, and\or concerns regarding any aspect of the shelter, I will bring them directly to the shelter manager. 3. If communication problems develop between employees and myself, as a volunteer, I will report these problems to the shelter manager as soon as possible. 4. I understand that if I am injured while acting as an unpaid volunteer, I am not covered by New Jersey State Worker s Compensation Law. Signature of Volunteer: Date: PLEASE SEE ATTACHED PAGE FOR MEMBERSHIP FORM TO HELP WITH THE DAILY NEEDS OF OUR ANIMALS Volunteer Application Page 4 of 5 Revised June 2013
FATHER JOHN S ANIMAL HOUSE Web: www.fatherjohnsanimalhouse.org Email: FJAnimalHouse@embarqmail.com Your membership will help provide for the daily needs of our animals. A membership is required to become a volunteer. You can also join through our website www.fatherjohnsanimalhouse.org by clicking on Membership and using PayPal... Date: Father John s Animal House Membership Form City, State Zip: Email: Do you wish to receive e-mails from FJAH? Yes No Choose Membership Level: $ 15.00 Student/Senior Level $ 25.00 Individual Level $ 35.00 Family Level $ 100.00 Benefactor Level $1,000.00 Guardian Angel Level Lifetime Member Please mail the completed form with your check payable to: Father John s Animal House 50 Father John s Lane Lafayette, NJ 07848 Volunteer Application Page 5 of 5 Revised June 2013