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Volunteer Form
Thank you for your interest in helping Stray from the Heart. We appreciate that everyone has something unique to contribute. We make every effort not to overburden our volunteers with our needs so please be very specific about the areas you are willing to help in when completing this form. The information will help us determine who to contact when needs arise. Feel free to check any item that applies to you. We welcome new ideas, so feel free to include your suggestions.
NOTE:
Please
PRINT
this form before you hit the submit button and bring your signed copy to your first orientation. We will contact you on dates and times. If you have any trouble with this online form, please complete, print, sign and mail it to:
Stray from the Heart
PO Box 11
New York City, New York 10024-0011
You may also call us at 212.726.DOGS and ask how you can volunteer.
General Information
Email:
First Name:
Last Name:
Home Address:
City:
State:
>>
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip:
Home Phone:
Occupation:
Times
What are the earliest and latest times that you may be contacted during the day?
Earliest time to call: Weekday:
AM
PM
Weekend:
AM
PM
Latest time to call: Weekday:
AM
PM
Weekend:
AM
PM
What days are you available to volunteer?
Weekdays
Weekends
What times are you available?
Mornings
Afternoons
Evenings
Positions
We are looking for somebody who can help transport things like mattresses, crates and other oversized items. Please check the type of work you would like to help with:
Adopt/Foster Counselors
Community Outreach
Phone Calls
Transporting Items
Sales/Fundraising
Angels
Website Design/Development
Specialized Skills/Professions
Marketing
Other/General
Have Car?
Yes
No
Background
Please list 2 references (include addresses and phone numbers):
Do you have any special skills that may be useful?
Have your ever had a dog?
Yes
No
If so, what kind?
What other experience do you have with dogs?
Why do you want to volunteer for Stray from the Heart?
How did you hear about Stray from the Heart?
Have you met or spoken with anyone at Stray from the Heart? If so, who?
IMPORTANT INFORMATION / Signature
I agree to assist Stray From the Heart on a volunteer basis and to interact with their dogs at my own risk, and release Stray From the Heart of any and all liability arising from damages to person(s) or property caused by any dog in my care or the care of their representatives.
RELEASE AND INDEMNIFICATION AGREEMENT
"In consideration of Stray from the Heart allowing me to be a Volunteer (foster parent, dog walker, dog handler, adoption counselor, etc.), I promise and agree to be solely responsible for any damages to people or property caused by any dog(s) under my care and supervison while acting as a Stray from the Heart Volunteer. I further promise and agree to indemnify and release Stray from the Heart, its Officers and Directors, of any and all liability arising from any known, unknown, or any unanticipated damages to people or property while the dog(s)is under my care and supervision. I am fully aware of, understand, and agree to all the terms and conditions of this RELEASE AND INDEMNIFICATION AGREEMENT, and that it is a BINDING CONTRACT, ENFORCEABLE BY LAW."
.....................................................................
signature
Be a "
Friend
"
We suggest a contribution of $25.00 to become an honorary "Friend of Stray from the Heart". Friends will receive our newsletter and advance notice of all upcoming events. All donations are tax deductible. Please make checks payable to "Stray from the Heart" and mail to the above address, or
donate online
now. I want to be a friend of Stray from the Heart. I am donating at least $25. I cannot join at this time. Thanks anyway.
Please PRINT this form before you hit this button and bring your signed copy to your first orientation. We will contact you on dates and times. ~ Thanks
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| www.StrayfromtheHeart.org | PO Box 11 NYC, NY 10024-0011
Stray from the Heart / copyright 2010 / A 501(c)(3) nonprofit rescue organization