Dear Prospective Volunteer,

Similar documents
CARSON CITY VOLUNTEER/INTERN APPLICATION. Volunteer/Intern Name: City, State, Zip: Day Phone: Night Phone: Cell Phone:

East Baton Rouge Parish Junior Deputy

Colorado Therapeutic Riding Center Mineral Road, Longmont, CO (303) FAX (303)

Dear Zoo Crew Applicant,

VOLUNTEER APPLICATION

The Family Crisis Center of East Texas, Inc. (Women s Shelter of East Texas)

U.S. Army Aeromedical Research Laboratory Gains in the Education of Mathematics and Science Program PARTICIPANT APPLICATION

REGISTRATION FORM 2018

AGREEMENT BETWEEN: LA CLÍNICA DE LA RAZA, INC. AND MOUNT DIABLO UNIFIED SCHOOL DISTRICT

Southern Colorado Animal Rescue DBA: Black Forest Animal Sanctuary at Hunting Crest Farms, LLC. VOLUNTEER AGREEMENT AND WAIVER FORM

Bond County Humane Society (BCHS) Volunteer Application Guidelines

Please complete this application by pen (print) or typewriter in its entirety. PERSONAL INFORMATION. First MI Last. Street City State Zip

Northside Baptist Church FAMILY LIFE CENTER POLICIES & PROCEDURES

Nurse Aide, Nursing Refresher (RN), Community Health Worker, and Dental Assistant Pre-Admission Application

Nurse Aide, Nursing Refresher (RN), and Dental Assistant Pre-Admission Application

VOLUNTEER WITH US. 332 Stable Lane Wentzville MO Phone (636) Fax (636)

TEEN VOLUNTEER APPLICATION (AGES 16-17)

Fairfield Medical Center volunteers serve in a wide variety of departments and are valued members of our healthcare team.

POLICY NO Volunteer Policy (Replaces Policy Adopted 1/26/1998)

- - ORIENTATION DATE:

An Equal Opportunity Employer. RECRUITMENT RANGE $0.00 /Hour

2013 Morehouse College Summer China Study Abroad Program Participation terms and conditions, release, and waiver May 13, 2013 June 3, 2013

Fairfield Medical Center volunteers serve in a wide variety of departments and are valued members of our healthcare team.

Cook Apprentice Exploratory Program: SAIT

Pipe Trades Exploratory Program: Piping Industry Training School Female Cohort

COMPEER PROGRAM VOLUNTEER APPLICATION

Response Team Volunteer Application

Fairfield Medical Center volunteers serve in a wide variety of departments and are valued members of our healthcare team.

POLICY NO Volunteer Policy (Replaces Policy Adopted 12/13/2011)

Volunteer Application (Please print)

Freya's Cat Rescue. a 501(c)(3) non-profit organization P. O. Box 264 Tennent, New Jersey Application for Volunteers and Interns

Roosevelt Care Center. Volunteer Service Application

2.3. Any amendment to the present "Terms and Conditions" will only be valid if approved, in writing, by the Agency.

Georgetown Police Department 2018 Junior Police Academy Application

Town of Madison Beach and Recreation Department After/Before School Program 8 Campus Drive Madison, CT Phone: (203) /Fax: (203)

Clinical Medical Assistant Pre-Admission Application

SANTA ROSA POLICE DEPARTMENT APPLICATION FOR "RIDE-ALONG" PROGRAM

How did you hear about us? (please circle one)

YMCA OF MIDDLE TENNESSEE AUTHORIZATION AND RELEASE FOR THE PROCUREMENT OF A CONSUMER AND/OR INVESTIGATIVE CONSUMER REPORT

Summer 2017 Multimedia Madness Youth Summer Camp Registration Form

P.A.W.S JUNIOR VOLUNTEER INFORMATION

2017 Recruit Class. Vernon Junior Police Academy

Defenders Motorcycle Club

Rotary Youth Volunteer Application - (YE - Rotarian Volunteers)

Youth in Philanthropy STUDENT APPLICATION

EQUINE PROGRAM SUMMER VOLUNTEER APPLICATION HOME PHONE: T-SHIRT SIZE (circle one): SMALL MEDIUM LARGE X-LARGE XX-LARGE

C OMMUNITY, C OUNSELING, AND C ORRECTIONAL S ERVICES, I NC. WATCH West PROGRAM Visitor Application

New Volunteer Candidate Processing Form

Springfield Police Department CITIZEN RIDE-ALONG PROGRAM

Volunteer/Staff Information Form and Health History General Information

Registry of CPE Providers Application

Peoria PlayHouse Children s Museum Volunteer Application

Dual Credit: Olds College: Hospitality and Tourism

Children s Hospital Los Angeles Application for Summer Junior Volunteer Program 2018 (15-17 years of age)

COUNTY OF SACRAMENTO Probation Department 3201 FLORIN-PERKINS ROAD, SACRAMENTO, CALIFORNIA TELEPHONE (916) FAX (916)

AGENCY RECRUITMENT ONBOARDING PROCEDURE GROUP FIVE RECRUITMENT CENTRE OF EXCELLENCE. Conditions precedent in respect to conducting business with:

Please Print Affiliation (school, company name, etc): Mailing Address: City: Postal Code: Home Phone: Cell Phone: Work: Date of Birth (DD/MM/YY):

Ray Haugh Vocational Scholarship Application Due Thursday, April 12, 2018

Frank Augustus Miller Middle School. Color Guard Team

Must provide copy of college/university enrollment confirmation.

APPLICATION PROCESS. Form D-1CL Rev. 10/22/14

STUDENT VOLUNTEER APPLICATION *Minimum Age for volunteers is 16*

VOLUNTEER APPLICATION ~ INSTRUCTIONS

El Salvador Mission/Study Trip Application

REQUEST FOR PROPOSALS. For: As needed Plan Check and Building Inspection Services

COPPIN STATE UNIVERSITY Volunteer Acknowledgement

RESEARCH APPLICATION RESOURCE GUIDE

Volunteer Application

Student Name: Home Address: Street. City State Zip County of Residence. Student HS Graduation Year: Name of High School: GPA:

REQUEST FOR PROPOSALS RFP# CAFTB

Albuquerque Police Department Applicant Additional Documents. Name: Page 1 of 9

complete the required information. Internet access is provided in our office, if needed.

COUNTY OF SACRAMENTO Probation Department

August 19-24, 2014 (Tuesday-Sunday)

2018 JUNIOR POLICE ACADEMY

Our Terms of Use and other areas of our Sites provide guidelines ("Guidelines") and rules and regulations ("Rules") in connection with OUEBB.

*** Program Guidelines ***

GUIDELINES FOR BUSINESS IMPROVEMENT GRANT PROGRAM BY THE COLUMBUS COMMUNITY & INDUSTRIAL DEVELOPMENT CORPORATION

HIGH-SCHOOL STUDENT VOLUNTEER PROGRAM

First name Last name. Address. City Postal Code. Address #2 (If applicable) Address. Gender Date of Birth / / Age at registration

2015 Summer Camp Counselor Staff Application Monday, June 29, 2015 Friday July 31, Camp Closed: FRIDAY, July 3, 2015

NORTH CAROLINA 4-H VOLUNTEER APPLICATION

Culture Projects Grant Program

Parma High School Washington, DC Trip 2018

Community Dispute Resolution Programs Grant Agreement

Return Completed Application To: ARISE & Ski, 635 James Street, Syracuse, NY 13203

Applicant Name: First Middle Last. Age: Birth Date: Applicant Cell Phone: Address Phone: Number & Street Name City Zip Code

Keene Family YMCA CAMP REGISTRATION PACKET 2018

5. Name: Last First MI. Street Number and Name or P.O Box. City State ZIPCODE. City State ZIPCODE

Alexander Bands. o Required forms packet (Medical Form, Code of Conduct, Drug Testing Awareness, Attendance Policy, Video/Photo Permission)

THIS AGREEMENT made effective this day of, 20. BETWEEN: NOVA SCOTIA HEALTH AUTHORITY ("NSHA") AND X. (Hereinafter referred to as the Agency )

Helping others grow and excel through their interaction with horses 3498 Barclay Messerly Road Southington, Ohio 44470

Name: (Last, First, Middle Initial) Home Street Address: City: State: Address: Date of Birth: In Case of Emergency Notify: Name:

2017 FBI TEEN ACADEMY APPLICATION Dallas Division

New Volunteer Candidate Processing Form

1) INFORMATION ABOUT THE PARTICIPANT AND ACTIVITY

Mary Washington Hospice Volunteer Application Form 5012 Southpoint Parkway Fredericksburg, VA BUS: (540) FAX: (540)

2017 Summer Volunteen Program Application Checklist

2018 Recruit Class. Denville Junior Police Academy

Summer 2018 IP Summer Contract

Transcription:

Dear Prospective Volunteer, Vaughan Animal Services would like to take this opportunity to thank you for your interest in our volunteer program. Please note we currently have three volunteer programs to choose from; Our Junior Volunteer Program (JVP) for individuals interested in assisting around the shelter that are between the ages of 16 and 17. Our JVP members will assist with Cat socializing but, unfortunately this program does not allow our youth to work with the dogs. JV s will be helpful with socializing the shelters adoptable cats. This program allows our youth s to get involved at an early stage in life. Some may be interested in working in the animal welfare field and are looking to gain experience. Volunteers must commit to a scheduled 1 hour shift, once a week. Our Adult Volunteer Program (AVP) is for individuals interested in assisting at the shelter that are 18 years of age or older. These volunteers will have direct contact with the cats or the dogs based on the applicants interest. AV s will socialize adoptable cats and walk adoptable dogs. Some may be interested in getting a feel for the animal welfare field, applying to graduate schools involving animal related studies or simply looking to full-fill some spare time by helping the animals. Our AVP does not allow volunteers to clean cages in the shelter. Volunteers must commit to a scheduled 1 hour shift, once a week Please take a moment to fill out the attached application form and deliver it to the shelter. Again, we would like to thank you in advance for your interest. You will be contacted by the program coordinator to arrange an interview. Acceptance in any volunteer program will be determined after the interview and orientation session(s) associated with each individual program interest. Please note that all volunteer applications take a minimum of 4-6 weeks to be processed. We appreciate your interest and patience during this time. We do process our applications on a first come, first serve basis. Thank You, Vaughan Animal Services 70 Tigi Court Vaughan, ON L4K 5E4 Phone: (905) 832-2281 animal.services@vaughan.ca

Vaughan Animal Services Volunteer Application When applying to the Animal Services Volunteer Program, all applicants must adhere to the following guidelines: Must abide by all City Policies and By-Laws Take part in a mandatory Orientation, directed by the Program Coordinator at the Animal Services Shelter Take Part in a mandatory Orientation, directed by the City of Vaughan s HR Department **Please Note: Successful applicants under the age of 18 must be accompanied by a parent/guardian** Commit to a scheduled 1 hour shift once per week APPLICANT INFORMATION First & Last Name: Address: City: Home Phone: Email Address: Please list any allergies: EMERGENCY CONTACT INFORMATION: Relationship to Applicant: First & Last Name: Address: City: Home Phone: Email Address: Birthdate: Postal Code: Cell Phone: Postal Code: Cell Phone: Which volunteer program are you applying to? (Please Check One) Junior Volunteer (Ages 16-17) Adult Volunteer (18+) When are you available to start: Day: Month: Year: Do you have a current First Aid / CPR Certificate? Yes No If so, date of expiry: Education / Certificates:

What type of volunteer work interests you? (Please check all that apply) Dog Walking (must be 18+) Cat Socialization (must be 16+) Please tell us about your animal-related background (education, work, volunteer opportunities, skills/hobbies etc.) Do you currently have any pets? If yes, please tell us about them. Breed Sex Spayed / Neutered Age Do you still have the animal? If no, please explain Please note days and times you are available to volunteer. Check all that apply. Dog Walkers: Monday Tuesday Wednesday Thursday Friday Saturday 9am-10am 10am-11am 2pm-3pm 3pm-4pm Cat Socializers: Monday Tuesday Wednesday Thursday Friday Saturday 10am-11am 1pm-2pm 3pm-4pm Are you able to commit to a regularly scheduled shift? YES NO Please let us know if you have a preferred time (please note that this will not necessarily reserve this time slot for you)

AUTHORIZATION FOR COLLECTION OF PERSONAL INFORMATION REFERENCE CHECKS I,, authorize the Corporation of the City of Vaughan to contact the persons, organizations, academic institutions and associations listed below for the purposes of obtaining reference information, including information contained in my personnel file, for the purpose of verifying my suitability for employment with the City of Vaughan. These persons are authorized to disclose such information: (Please list at least two references) Name: Position Title: Organization/Company: Telephone Number: Name: Position Title: Organization/Company: Telephone Number: Name: Position Title: Organization/Company: Telephone Number: Name: Position Title: Organization/Company: Telephone Number: The personal information above is being collected under the authority of Municipal Act, 2001, S.O. 2001, c.25, as amended and will be used for assessing your suitability for employment. Questions about this collection should be directed to the Director of Human Resources, 2141 Major MacKenzie Drive, Vaughan, ON, L6A 1T1 (905) 832-8563. Signature: Date:

Volunteer Acknowledgement of Confidentially Vaughan Animal Services recognizes that in the course of their departmental operations, volunteers might have access to confidential, sensitive and privileged information to maintain the integrity of Vaughan Animal Services. However, with each individual volunteering in the shelter there is an expectation of trust relative to this information should volunteers inadvertently come into contact with it. Volunteers must recognize the responsibilities in preserving this confidentiality of this information with appropriate conduct at all times. It is the responsibility of every Vaughan Animal Services volunteer to know and abide by the following: You must not remove or cause to be removed copies of any official record or report from any file from the office where it is kept. You must not discuss any information you inadvertently obtain while volunteering at the shelter with anyone other than shelter staff and/or management at any time. You must not seek to benefit personally or permit others to benefit personally by any confidential information which has come to you as a result of your volunteer assignment. When transporting information that is confidential, sensitive or privileged you must employ appropriate security measures to ensure the material remains protected. If, as a volunteer, you come into contact with or are provided information that is deemed to be of a sensitive and or confidential nature, by staff or members of the public, you are obligated to report this to management immediately. You understand you are not an employee of Vaughan Animal Services or an extension of the staff of the animal shelter and are not authorized to have knowledge of confidential information. I have read this confidentiality agreement and I understand its meaning as a volunteer of the Vaughan Animal Services. I agree to abide by the confidentially agreement. I further understand that should I improperly release or disclose confidential, sensitive or privileged information or come into contact with such information and fail to report it to management, that I will be found in violation of this agreement, and management will immediately and permanently terminate my volunteer service. Volunteer Signature Program Coordinator s Signature Date Date

Permission Slip and Liability Waiver For Youth Volunteers Only (Under 18 years of age) Because we value your children, we want to ensure their safety while they are volunteering at Vaughan Animal Services. We welcome parents or guardians who want to work with their child during their volunteer time to help build a parent-child relationship. Any volunteers under the age of 18 must have a guardian permission slip signed in order to volunteer at the Shelter. I [ ], the parent of [ ], do hereby give permission for my minor child to volunteer at Vaughan Animal Services. I understand that my child will be working with and around animals and may be asked to do physical labor such as sweeping, mopping, cleaning, and will be walking dogs and handling cats, kittens and puppies. I hereby knowingly, freely, and voluntarily waive any right or cause of action of any kind whatsoever arising as a result of such activity from which, and liability may or could accrue, against the City of Vaughan, Vaughan Animal Services, its agents, directors, or employees jointly or individually. Parent s Signature: Date: Parent s Name Printed: My Emergency Contact Information In case of an emergency, Vaughan Animal Services will act immediately to contact your preferences below: Primary Contact: Relationship: Phone Number: Please note: The behavior of animals may be unpredictable and some animals are capable of inflicting serious personal injury or death, as well as extensive property damage. Knowing the risks of handling animals, I agree to assume those risks and to release, indemnify and hold harmless Vaughan Animal Services, the city of Vaughan and/or its officers, directors, employees, agents or contractors, for any and all personal injury and property damages resulting from my child s volunteer work. All Volunteer Placements are subject to approval and are at the sole discretion of The City of Vaughan Animal Services Management.

Volunteer Agreement Form Name: Address: City: Daytime Phone: Email Address: Postal Code: Evening Phone: Emergency Contact Name: Emergency Contact Number: The parties agree that: A.) The Volunteer agrees to abide by all City of Vaughan policies as they relate to Animal Services. B.) The Volunteer has attended a mandatory training and orientation session before commencement of any volunteer placement. C.) The Volunteer will wear I.D at all times while on site and will sign in and out of the shelter. D.) The Volunteer will sign in and out a key to the shelter before and after each shift E.) The Volunteer will not solicit for donations for the shelter without approval of the administration. F.) The Volunteer will abide by all municipal by-laws as they relate to Animal Control. G.) The Volunteer will not take photographs of animals in the shelter without management approval. H.) The Volunteer understands that the behavior of animals is sometimes unpredictable and that there are some animals capable of inflicting serious personal injury or death, as well as extensive property damage. Knowing these risks the Volunteer agrees to defend indemnify and hold harmless the City of Vaughan Animal Services Unit, it s Officers, Directors, Employees, Agents or Contractors from any direct or indirect and consequential damages arising out of this arrangement. I.) The volunteer understands that any abuse of the shelter animals including but not limited to striking, yelling and throwing a shelter animal will result in immediate removal from the program. J.) Volunteers will at all times uphold a professional mannerism inside and outside of the shelter. This contract represents the entire agreement between the parties and any modifications will be made in writing and signed by both the Volunteer and a representative of City of Vaughan Animal Services Management. Volunteer Applicant s Signature Program Coordinator s Signature Date Date The personal information of this form is collected under authority of the Municipal Act, 2001, S.O. 2001, c. 25. The information will be for volunteer agreements, animal licensing and enforcement. Questions about the collection of personal information should be directed to the Director of Enforcement Services, City of Vaughan. 2141 Major Mackenzie Drive. Maple Ontario L6A 1T1 (905) 832-8505.

Please Read and Sign the Following: I understand that since I will handle animals, it is important to discuss being vaccinated against tetanus with my physician. I release Vaughan Animal Services, and the City of Vaughan from all responsibility that may occur because of my not pursuing this matter further, and I understand whatever decision I make is my own risk. I understand that the behavior of animals may be unpredictable and that some animals are capable of inflicting serious personal injury or death, as well as extensive property damage. Knowing the risks of handling animals, I agree to assume those risks and to release, indemnify and hold harmless Vaughan Animal Services, the City of Vaughan and/or its officers, directors, employees, agents or contractors, for any and all personal injury and property damages resulting from my volunteer work. Signature of Applicant: Date: Thank you for considering a volunteer opportunity with the City of Vaughan Animal Shelter!!! The personal information of this form is collected under authority of the Municipal Act, 2001, S.O. 2001, c. 25. The information will only be used to evaluate applications and eligibility to participate in Volunteer or Foster Agreements. Questions about the collection of personal information should be directed to the Director of Enforcement Services, City of Vaughan 2141 Major Mackenzie Dr, Maple Ontario L6A 1T1. INTERNAL USE ONLY: Date Received: Reviewed By: - Approved: Yes No Reason For Denial: Interview Date: Orientation Date: Training Date: Comments: