Volunteer Application - Kibblez Of Love

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Primary Phone*

Alt. Phone

Emergency Contact*

First Last

Relation*

Emergency Contact Phone*

Are you presently employed*

Yes
No
Retired

Are you presently in school*

Yes
No

Name of School & Grade*

Do you have a valid driver's license*

Yes
No

Driver's License Number and State*

Do you have your own transportation?*

Yes
No

Do you have pets?*

Yes
No

Have you ever been convicted of a crime?*

Yes
No

Please explain*

Have you ever had an animal cruelty or neglect charge brought against you?*

Yes
No

Please explain

How long are you able to commit to Kibblez of Love?*

Our volunteer positions are listed below. Please check any areas that might interest you

Special Event Support
Adoption Event Support
Foster Care
Animal Transport
Fundraising/Outreach
Administrative Duties

Do you have any animal shelter or rescue experience?

Yes
No

Please provide the names and locations of the shelter/rescue organizations you have worked with*

Check all sizes of dogs you are comfortable working with*

Small
Medium
Large

List any other volunteer experience you have, including organizations and what kind of work you performed.

Please feel free to list any special skills that might benefit our rescue

Do you have any allergies, special needs or other medical conditions or limitations that may cause problems in performing volunteer tasks?*

Yes
No

If yes, please explain and we will try to accommodate you*

How did you hear about Kibblez of Love?*

I certify that the facts set forth in this volunteer application are true and complete to the best of my knowledge. I understand that any false statement, omission or misrepresentation in my application or placement interview may result in the rejection of my application or discharge from our volunteer program. I understand that Kibblez of Love has the right to deny application at their discretion. I acknowledge that my services are provided strictly on a volunteer basis, without pay or compensation of any kind, and without liability of any nature on behalf of Kibblez of Love. All services will be performed at my own risk. I recognize that in handling animals and performing other tasks, therein exists a risk of injury, including physical harm caused by the dogs (bites, scratches, accidents or injuries). On behalf of myself, my heirs, personal representatives and executors, I hereby release, discharge, indemnify and hold harmless Kibblez of Love, its volunteers and members of the Board of Directors from any responsibility.

Digital Signature*

First Last

Digital Signature of Parent/Guardian (if required)

First Last

Untitled

First Choice
Second Choice
Third Choice