King's Harvest Shelter is currently closed due to COVID-19 restrictions
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KING'S HARVEST MINISTRIES SERVING THE POOR AND HOMELESS IN THE QUAD CITIES
Pet Rescue Volunteer Application
Today's Date
*
MM slash DD slash YYYY
Name
*
First
Last
Birthdate
*
MM slash DD slash YYYY
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Email
*
Home Phone
Cell Phone
Do you own a vehicle?
*
Yes
No
Vehicle Make
*
Year
*
Do you have any medical conditions/physical limitations that we should be aware of (seizures, etc)?
*
Yes
No
Please describe
*
Emergency Contact Information
Name
Phone
Relationship
Availability and Interests
I am available to work at the Shelter (check all that apply)
*
Mornings
Afternoons
Weekdays
Weekends
Schedule Vaies
I can work (check days available)
*
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays
Every Week
Other
Other Options
*
I like to work with:
*
Dogs Only
Cats Only
Both Dogs & Cats
I have experience in the following areas/positions:
Accountant
Secretary
Advertising
Public Relations
Public Speaking
Dog Trainer
Vet Tech
Pet Groomer
Computer Skills
Plumber
Carpenter
Grant Writing
General Handy Person
Web Page Designer
Photographer
Check all that apply
I am interested in doing the following:
*
Petting Cats
Taking cats to the vet
Grooming cats
Cleaning litter boxes
Walking dogs
Taking dogs to the vet
Grooming dogs
Pet Food Giveaway
Answering the phones
Doing shelter laundry
Shopping for supplies
Giving medications to dogs/cats
General cleaning chores
Doing small handyman repairs
Painting
Trapping feral cats
Snow removal
Fostering pets
Helping organize special events/fundraising projects
I am interested in working during shelter open hours
I am willing to do anything that needs to be done, just ask!
Check all that apply.
Volunteer Agreement
This section must be completed by an individual 18 years or older. If the volunteer is under 18, please have a parent or legal guardian complete this portion of the form.
I, the volunteer, am under the age of 18, a parent or legal guardian is completing this section.
*
Yes, I am under the age of 18
I am 18 years or older
Please Note
I agree to conform to King's Harvest Pet Rescue policies and procedures.
I also agree to participate in training as required by my assignment.
I understand that my failure to follow King's Harvest Pet Rescue's policies and procedures may result in the termination of my service from King's Harvest Pet Rescue's volunteer program.
As a volunteer or the parent/legal guardian of a minor working in the capacity of a volunteer at Kings Harvest Pet Rescue, I do hereby release from any liability or responsibility concerning an injury, illness, or death caused by any animal, or event that is connected to the Kings Harvest Pet Rescue in any way, weather it would be on Kings Harvest Pet Rescue's property or elsewhere.
Agreement
*
I agree
I do not agree
Electronic Signature of applicant 18 years or older or parent/guardian
*
By checking the "I agree" box above and typing your name here, you are agreeing to the King's Harvest Pet Rescue Volunteer Agreement.
Today's Date
*
MM slash DD slash YYYY
Guardian's Phone (Day)
*
Guardian Phone (Evening)
*
Guardian Phone (Cell)
*
Newsletter signup
*
Yes, sign me up for updates
No, I do not wish to be added to your mailing list
CAPTCHA
