Volunteer application

L.E.A.S.H. Squad INC. (herein referred to as L.E.A.S.H.) is dedicated to helping eliminate the overpopulation of dogs in the CSRA through education and stray/unwanted animal adoptions. We always welcome new volunteers into our group and are delighted you are interested in helping out with our efforts. Please take the time to complete this form and return it to leashsquad@gmail.com or 1040 Ergle St, Graniteville SC 29829. After reviewing the information you provide, we will contact you regarding your time availability and the volunteer activities for which you expressed an interest. Please understand that the completion of this application does not assure placement. L.E.A.S.H. fills the positions and time slots that are needed. Accuracy and completeness of this form are important in determining the acceptability for a volunteer position with us. Personal Information Name: _____________________________ Date of Birth: ___/___/_____ Todays Date: ___/___/_____ Street Address: _____________________________ City: _______________ State: ____ Zip: ________ Home Phone: ____________ Cell Phone: ____________ Email Address: ____________________ How did you hear about the volunteer program at L.E.A.S.H.? ______________________________ _________________________________________________________________________________ Why do you want to volunteer with L.E.A.S.H.? ________________________________________ _______________________________________________________________________________ ______________________________________________________________________________ Emergency Contact Name: ____________________________ Daytime Phone: ____________ Relationship: _________ Skills and Experience Have you had any formal educational/training in pet care or animal welfare? If so: Where: __________________________ When: _________ Type of training/education: ______________ Where: __________________________ When: _________ Type of training/education: ______________

Have you done any other volunteer work with any other rescue organizations? If so: Where: __________________________ When: _________ Type of work performed: ________________ Where: __________________________ When: _________ Type of work performed: ________________

Areas of Interest Please check all that apply. ____ Kennel Assistant ____ Foster Care (must fill out foster application) ____ Animal Rescue ____ Dog & Puppy Socialization ____ Other Transportation What type of vehicle do you have for transporting animals? ____________________________________ Are you willing to accept any risk involved in transporting dogs inside your vehicle? Yes ____ No ____ Do you own any crates? Yes _____ No _____ Availability Please check all that apply. ____ Monday AM ____ Tuesday AM ____ Wednesday AM ____ Thursday AM ____ Friday AM ____ Saturday AM ____ Sunday AM Miscellaneous Do you have any allergies or conditions that may affect your ability to work? Yes ____ No ____ If so, please describe: _____________________________________________________________ Do you have a valid drivers license? Yes ____ No ____ References Please list two personal or business references. Name: __________________________ Phone: ________________ Relationship: ____________ Name: __________________________ Phone: ________________ Relationship: ____________ ____ Monday PM ____ Tuesday PM ____ Wednesday PM ____ Thursday PM ____ Friday PM ____ Saturday PM ____ Sunday PM ____ Walking Dogs ____ Special Events ____ Grooming / Baths ____ Emergency Assistance

Agreement & Release of Liability This is to acknowledge that I, ____________________________, am voluntarily providing my time and efforts, of varied nature to L.E.A.S.H. Squad INC. I understand that my privileges and license to enter and use the facilities carries certain risks, such as, personal injury, property damage, disability or death, and I hereby assume fully all risks from my use of said facilities as a volunteer. In exchange for the privilege to enter the facilities, I do hereby release and forever hold harmless L.E.A.S.H. Squad INC. and their respective personnel, officers, management, employees, volunteers and agents from any injury, disability, death or damage to my person or property and from any other claim, which may arise from or during my use of the facilities. ______ Initial I am aware that this Agreement and Release of Liability is a contract between myself and L.E.A.S.H. Squad INC. intended to protect L.E.A.S.H. Squad INC. to the fullest extent possible from any and all claims for injury, damage, disability and death, or any other claim, which I, my representatives, my beneficiaries, my dependents and my heirs and assigns (collectively or independently) may make and which may arise out of my use of the facilities. ______ Initial If accepted as a L.E.A.S.H. Squad INC. volunteer, my signature below indicates that I have read, understand and agree to the following: I will treat all animals and other volunteers with respect and I will work as a team member with all volunteers. I am bound by a non-disclosure agreement. Anything stated whether in writing, in email, private groups or vocally cannot be discussed outside of the team designated. All information shared with in L.E.A.S.H. is confidential and on a need to know basis. I will abide by all L.E.A.S.H. Squad INC. policies and procedures and follow the directions/instructions of the L.E.A.S.H. Squad INC. Directors and Senior Managers. I agree to be supervised by the appropriate Senior Managers and will report any problems that arise directly to them. I understand the possible risk of bringing home illnesses from the kennels to personal pets or vice versa and must have current vaccinations for animals at home. I understand the potential safety risks of working with animals and that I may not bring friends or relatives with me while working at the shelter facility. I am current on my tetanus vaccinations. If I fail to abide by the terms of this Agreement or am otherwise unable to meet the requirements of the volunteer program, which are subject to change by L.E.A.S.H. Squad INC. from time to time, I understand that I will be terminated from the program. I also understand that I may, at any time, be removed from my position as a volunteer at the sole discretion of the Executive Directors and Senior Managers.

Volunteer Signature: __________________________________ Worker Signature: __________________________________

Date: _____________ Date: _____________