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					                    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: ___________________________________________________


________________________________________________________
_____________________
Signature
Date


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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posted:10/26/2012
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