volunteer by ajizai


									                    Second Chance Bird Rescue

                        Adult Volunteer Application
                  You must be 18 or older to be a volunteer.

(Complete and forward to Barb, secondchancebirdrescue@rochester.rr.com

Date of Application: __________________________________
Name: _____________________________________________
Address: ____________________________________________
Home Phone: _______________________ Work Phone: ________________________
Position: ________________________________________________________________
What are your interests/hobbies?
How did you hear about Second Chance Bird Rescue?

What qualities do you have that would make you a good Volunteer? ________________

What experience do you have working with birds? ______________________________

Do you have birds of your own? ________________
If so, What? ___________________

Would you be interested in volunteering at the different fundraisers? _____________

Would you be interested in volunteering to be on a fundraising planning committee?

What capacity would you like to volunteer?

When are you available to volunteer (days/hours)?

When are you NOT available to volunteer(days/hours)?
Have you ever been convicted of a misdemeanor or felony? ____________
If so, what charge?

References: (Please do not list relatives)

Name: _____________________________________ Phone:
Address: ______________________________________________ Relationship:
                                                        to you

Name: _____________________________________ Phone:
Address: _____________________________________________ Relationship:
                                                       to you

Emergency Contacts:
Name: ______________________________________________________________
Address: ____________________________________________________________
Phone: ____________________________________________________________

Relationship to you: ___________________________________________________


I hereby certify the facts set forth in the above application are true and complete
to the best of my knowledge. My signature authorizes Second Chance Bird Rescue
to contact my references and conduct a background check. By signing this form I
consent I understand the birds under the care of Second Chance Bird Rescue,
while caged and somewhat domesticated, are still wild animals and may bite. I
acknowledge and agree that I will not hold Second Chance Bird Rescue or its
owner accountable for any injury sustained while volunteering at the rescue.
Furthermore, I agree that I am releasing Second Chance Bird Rescue from any
liability that my incur due to slips, trips, falls, bites, and any other injury that
may occur.

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