Volunteer Application - Humane Society of Pagosa Springs, CO

Read about the volunteer opportunities available or fostering an animal.

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Name(Required)

First Last

I have read and certify that:(Required)

I am NOT a community service volunteer.

Community Service volunteers must sign up at the Thrift Store. Using this form or failing to notify staff will result in not receiving credit for time served.

Date of Birth(Required)

MM slash DD slash YYYY

Are you under 18?(Required)

I wish

Yes

Age

If you are under 16, you must be accompanied by a parent or guardian while volunteering.

Name of parent/guardian (if under 18)

Parent/guardian phone

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Enter Email Confirm Email

Phone(Required)

Alternate Phone

Are you a seasonal resident?(Required)

Yes

Months generally available to volunteer

January

February

March

April

May

June

July

August

September

October

November

December

Name of person who referred you (if any)

Volunteer Opportunities (check all interested in)

SHELTER

Dog walking

Cat socializing

Fostering kittens/cats

Fostering puppies/dogs

Photography

Cleaning cat kennels

Transportation (driving animals to other shelters)

TNR (feral cat Trap-Neuter-Release program)

Landscaping/yard work

Maintenance/repairs

Other (please include below)

EVENTS/ADMIN

Event set-up and clean-up

Event kitchen/food/bar help

Event photography

Writing stories/articles (emails, newsletters, etc.)

Stuffing newsletters or mailings

Posting and distributing event flyers

Other (please include below)

THRIFT STORE

Sorting, tagging, restocking

Cleaning

Designing store displays

Maintenance/repairs

Other (please include below)

Other (Have a special skill we didn't list? Tell us about it.)

Code of Ethics Consent(Required)

I have read and agree to follow the Volunteer Code of Ethics.

As a Volunteer, I WILL:
• Treat all volunteers, employees and community members with respect, courtesy and dignity.
• Give suitable notice to HSPS staff or volunteer leader when not available or unable to attend.
• Act at all times in the best interest of HSPS and not for personal or third-party gain or financial enrichment.
• Follow all rules and policies set forth by a staff member or supervising volunteer.
• Observe safe work habits & be aware of the safety of others.
• View volunteer leaders as having the same authority as staff when staff are not present.
• Conduct and participate in a smoke-free, drug-free and alcohol-free environment.
• Treat all animals with kindness, patience and empathy.

As a Volunteer, I WILL NOT:
• Criticize fellow volunteers or their opinion.
• Use any insensitive or offensive language.
• Engage in physical or emotional violence toward others.
• Engage in any form of sexual harassment.
• Use the organization for my personal advantage or that of my friends or relatives.
• Accept gifts, gratuities, free trips, honoraria, personal property, or any other item of value from any person or entity as a direct or indirect inducement to provide special treatment to such donor with respect to matters pertaining to HSPS.
• Discriminate, but shall be respectful of ethnic, national, political, religious, and cultural differences.

Should I be found to be in violation of any of the tenets, I will be removed from participating in further volunteer activity.

Indemnification Agreement Consent(Required)

I have read the Liability Release and Indemnification Agreement, understand and agree to its contents with full knowledge of its significance.

This agreement is made between the Humane Society of Pagosa Springs (hereinafter “HSPS”) and you, as a non-paid volunteer (hereinafter ”Volunteer”). This Volunteer Indemnification Agreement results from Volunteer’s agreement to volunteer services by working on a non-paid basis with the animals at the Humane Society of Pagosa Springs.

Volunteers authorize HSPS to use any pictures taken of them in our newsletter or any other publication.

Volunteer acknowledges by signing below that there is a risk of personal injury or death to Volunteer due to working with HSPS animals, some of which are feral or aggressive, such as but not limited to bites, scratches, tears, trips, falls, infections, diseases, death, emotional distress, or other injuries which may result in financial losses to Volunteer.

Volunteer and HSPS agree that HSPS is not liable for any effects, direct or indirect, such as but not limited to bites, scratches, tears, trips, falls, infections, disease, death, emotional harm, loss of income due to injuries, the uninsured cost of medical or psychological care due to injuries or other injuries to Volunteer that may result from volunteer working at theHumane Society of Pagosa Springs or with animals in the care of Humane Society of Pagosa Springs at any location. By clicking the consent box below, Volunteer acknowledges and assumes the risk associated with working with HSPS animals. Volunteer hereby agrees to indemnify HSPS and hold it fully harmless from any and all liability of any kind that may result from Volunteer working with HSPS animals. This Indemnification Agreement shall hold HSPS and any of its officers, directors, paid and nonpaid employees, other volunteers, agents, or representatives harmless and shall fully indemnify them from all claims, demands, obligations, actions, causes or action, damages, costs and expense which may result from Volunteer working with HSPS animals.

BINDING EFFECT
This agreement shall be binding upon Volunteer’s executors, administrators, personal representatives, heirs, successors and assigns.

GOVERNING LAW
This agreement shall be construed and interpreted in accordance with the laws of the State of Colorado.

LEGAL CAPACITY
By checking the box above, Volunteer represents that he/she has read this Indemnification Agreement, understands it, has the legal capacity to enter into it, and agrees to be bound by its terms.

Non-Discrimination Policy: The Humane Society of Pagosa Springs does not and shall not discriminate on the basis of race, creed, color, religion, gender, age, national origin, physical or mental health, sexual orientation, or any characteristic protected by law, and is in compliance with all requirements of law and regulations with respect to the provision of all our Shelter and Thrift Store services, employment decisions, and volunteer participation.