edit  APPLICANT 
Do you have a Driver's License? *

 

  edit  ADDITIONAL INFORMATION
How did you hear about us? *
Are you on Facebook? *
Have you volunteered for any other animal organizations? *
What type of Volunteer Work are you interested in? (You can choose any (no limit) from our volunteer opportunity list or tell us what talent you possess that you would like to incorporate with our group (list below)):
What is your preferred timing for volunteering (check all that apply): Any Notes or Comments (please list below)
Do you have any conditions or limitations that would prevent you from specific volunteer activities that we should be aware of? *
Have you been convicted of a felony (or have any pending litigation for a felony involving a minor, embezzlement or animal cruelty) within the last seven (7) years? *
  edit  EMERGENCY CONTACT INFORMATION (Primary)

Please enter the Information below for an Emergency Contact.  If desired, a second Emergency Contact maybe listed.

  edit  EMERGENCY CONTACT INFORMATION (Secondary)
  edit  WAIVER OF LIABILITY 
I understand as a volunteer with Adopt Me! Bluegrass Pet Rescue, I may come in contact with animals with unknown histories. *

I understand these animals may have undiagnosed diseases, conditions, and/or behavioral problems that are unknown to Adopt Me! Bluegrass Pet Rescue. *

I am willing to undertake the risks of working with animals of unknown history and/or temperament. *

I do not hold Adopt Me! Bluegrass Pet Rescue, its Board or volunteers responsible for any injuries or illnesses that I may encounter while volunteering. *

I understand the risks involved and willingly participate in volunteer activities on behalf of Adopt Me! Bluegrass Pet Rescue. *

I hereby grant Adopt Me! Bluegrass Pet Rescue permission to use photographic images of me, or photos that may include my image, for use in publications, including social media and website. *

  edit  CODE OF ETHICS & CONDUCT 
COMPLIANCE WITH LAW: Volunteers must work to protect the organization by complying with all laws, state and federal. Legal action may be taken in cases of theft, embezzlement, corruption, or other unlawful actions. *

SAFETY: All volunteers should respect each other and our potential adopters. Any discriminatory behavior or harassment will not be tolerated. Additionally, any volunteers dealing with our rescue dogs and cats should treat each with respect and use common sense in remembering these are animals and can act out when scared or startled. You must report any safety violations or incidents to a Board Member immediately. *

INTEGRITY: Each volunteer must show integrity and professionalism in every aspect of conduct, including social media, always remembering they are representing AMBPR. Please note: Adopt Me! Bluegrass Pet Rescue reserves the right to request a background check on any applicant. *

CONFLICT OF INTEREST: Each volunteer must protect AMBPR’s tax-exempt interest. The organization is charitable, and, in order to maintain our federal tax exemption, all volunteers must engage primarily in activities which accomplish one or more of its tax-exempt purposes. *

PROPRIETARY INFORMATION AND ASSETS: All Adopter lists, applications, communications, social media, assets (including, but not limited to, animals, monies, equipment, food, buildings, and medicines), documents, and/or anything else the Board deems proprietary, shall be deemed the sole property of AMBPR. Any misuse or abuse, including sharing or using for one’s own gain, of said information or assets may result in termination and/or legal action. *

  edit  SIGNATURE 

 

* Agreement:  By entering my name in the box above, I confirm that to the best of my knowledge, all information furnished in this application is true and correct.