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2. 
4. Instructions

   We are excited that you are interested in volunteering with our team at the Miami County Animal Shelter. Once we receive your application, a staff member will reach out to you to begin the interview process. 

   Please be sure to complete all required fields. Otherwise, you will be unable to submit your application. 

6. First Name*
7. Last Name*
9. Address1*
11. Address2*
13. City*
14. State*
15. Zip*
17. Date of Birth*
    Date of Birth
18. Drivers License #*
20. Email*
21. Best Contact Number*
23. How would you prefer we contact you? *

    1. Email listed above
    2. Phone listed above
    3. Text listed above
24. Are you currently employed by Miami County?*

    1. Yes
    2. No
26. Emergency Contact Name*
27. Emergency Contact Number*
28. Relationship to You?*
32. Tell us about your previous experience with animals.*
34. Why do you want to become a volunteer at the Miami County Animal Shelter?*
36. How did you hear about our Volunteer program?*
38. Are you interested in volunteering to fulfill a community service requirement?

    1. Yes
    2. No
39. If you are fulfilling a community service requirement, please state the number of hours needed and specifically what group/reason the hours are for?
41. Have you worked or volunteered with other animal shelters or rescue groups?*

    1. Yes
    2. No
42. Tell us about that experience, including which organization it was and the dates you were involved.
44. Which days of the week are you available?*

    Please select all that apply.

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday

    1. Friday
    2. Saturday
    3. Sunday
45. Are you interested in volunteering on a regular basis?*

    1. Yes
    2. No
47. What hours are you available? *

    Volunteers hours are Monday through Sunday 8a-4:30p and Wednesdays 8a-6:30p, except federal holidays.

    On occasion we do have events that may be at a separate location from the shelter and might be as late as 5p-10p.

    Provide your availability, this does not mean you have to volunteer these times. You can list specific hours or time periods such as morning, afternoon, etc. 

49. Please indicate your areas of interest below.*

    Check all that apply.

    1. Cleaning/Feeding Dogs
    2. Cleaning/Feeding Cats
    3. Walking Dogs
    4. Socializing Cats
    5. Training Dogs

    1. Grooming/Bathing Dogs
    2. Organizing
    3. Laundry/Dishes
    4. Answering Phones
    5. Filing

    1. Adoption Events
    2. Community Outreach
    3. Special Events
    4. Whatever is Needed
51. Is there anything else you would like to share with us?
55. VOLUNTEER AGREEMENT

    Terms and Conditions

    1. My services to MCAS are provided strictly in a voluntary capacity as a Volunteer and without any express or implied promise of salary, compensation, or other payment of any kind whatsoever. 
    2. My services are furnished without any employment-type benefits, including employment insurance programs, worker’s compensation accrual in any form, vacations, or sick time. 
    3. I will familiarize myself and comply with MCAS’s policies and procedures applicable to Volunteers. In particular, I fully understand that MCAS expects high standards of moral and ethical treatment of the animals under its care. I will adhere strictly to these standards in my capacity as a Volunteer. 
    4. I understand that MCAS, without notice or hearing, may terminate my services as a Volunteer at any time, with or without reason. 
    5. I agree not to post any pictures or information regarding any animals at the Miami County Animal Shelter on any rescue website.

    Release

    1. I understand that the handling of animals and other Volunteer activities on behalf of MCAS may place me in a hazardous situation and could result in injury to me or my personal property. On behalf of myself, and my heirs, personal representatives and assigns, I hereby release, discharge, indemnify and hold harmless MCAS and its directors, officers, employees, and agents from any and all claims, causes of action, and demands of any nature, whether known or unknown, arising out of or in connection with my volunteer activities on behalf of MCAS. 
    2. Understanding that public relations are an important part of a Volunteer’s activities on behalf of MCAS, I hereby authorize MCAS to use any photographs of me in its possession for public relations purposes. I ask that MCAS use reasonable efforts to give me advance notice of any such use, but such notification is not a condition to release photographs for public relations purposes.
57. VOLUNTEER SIGNATURE*

    By selecting "yes" below, I hereby accept a position as a Volunteer for the Miami County Animal Shelter (MCAS), upon the following terms, conditions, and understandings.

    1. Yes
    2. No
Leave This Blank:


59. 1. Receive an email copy of this form.
60. Email address

    This field is not part of the form submission.

61. Submit

* indicates a required field