Hope Animal Rescues                                        Godfrey, Illinois
On-Line Volunteer Application (v2023)

This is strictly an application to volunteer for Hope Rescues.  This is not the Adoption Application.

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Date: (DD/MM/YYYY)
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Volunteer Interest:
Name: (First, MI, Last) *
Present Street Address: *
City: *
State: *
Zipcode: *
Home Phone Number: (XXX-XXX-XXXX)
Cell Phone Number: (XXX-XXX-XXXX)
Personal E-mail address (not school or work): *
Are you over 18 years of Age? *
Do you have any physical limitations?
Information of Current and Past Pets
Are any of your pets kept outdoors? *
If you answered Yes to having pets that are kept outdoors, please tell us which animals and why.
Are all of your pets spayed or neutered? *
If you answered No to the question above, please tell us which pets are not spayed or neutered and why.
Veterinarian Information
Name of Veterinarian: *
Veterinarian Address: *
Veterinarian Phone Number: *
Pet History
Have you adopted any pets from a rescue group or shelter in the past? *
If yes, please list the name of the rescue(s) or shelter(s).
Where is this pet now?
Where does your current pet(s) live: *
Do you leave your pet(s) outside while you are gone for long or short periods? *
Do you use a tie-out or chain to secure your dog? *
When left by itself, your pet(s) stay.... *
Where do your pet(s) sleep at night? *
Use this space for any additional comments you may have:
Medical Information:
In case of emergency, I authorize Hope Rescues to notify the contacts listed below.  Personal/Professional emergency contacts (2) (include Name, telephone number, and relationship to you)
1st Contact - Name/Phone Number/ Relationship to you *
2nd Contact - Name/Phone Number/Relationship to you *

By my signature below, I am confirming that:

·         I am 18 years of age or older

·         I am not associated with any breeding of dogs or cats

·         I assume full responsibility for any and all injuries I may sustain while Volunteering with Hope Animal Rescues

·         I agree with Hope Animal Rescues’ mission:

o   We believe that all pets should be treated with dignity, respect, and kindness. We believe in showing compassion and working to rehabilitate abused and abandoned pets. We believe in educating people and our communities about the importance of these principals as well as the importance of spaying and neutering to reduce the number of abandoned pets. 

·         If Volunteering for Community Service Hours that

o   I must keep track of all my days/times

o   When completed I will email a copy of my days/times and any additional needed forms to Sanctuary30765@gmail.com for required sign offs.

Hope Rescues has advised me that all animals are inherently unpredictable and may subject me to health and safety risks and that pets within the Hope Rescues Program have been neglected, mistreated, or abused and that special care or precautions may be required.

On behalf of myself, my heirs, personal representatives and executors, I hereby release, discharge, indemnify and hold harmless Hope Rescues, its board of directors, officers, staff and all other persons and organizations in any way connected with Hope Rescues from any and all claims, causes of action, or demands, of any nature or cause, including costs and attorney’s fees incurred by Hope Rescues in
connection with the same, based on damages or injuries which may be incurred or sustained by me in any way connected with my services for Hope Rescues, including but not limited to animal bites, accidents, or injuries.

Initial Below :

 *
By Typing my Signature and submitting this application, I acknowledge I have read, understand and agree to all terms and I understand that my Electronic Signature is the equivalent of a hand written Signature. *
Signature: *
Date: (MM/DD/YYYY) *
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Restrictions and Process
: In order to be considered to volunteer  1) be at least 18 years of age and 2) understand that this volunteer application must be approved.  Once your application is approved, you will be sent an acceptance letter via e-mail along with a Volunteer Handbook and a Volunteer Liability Waiver which must be completed, signed and brought with you on your first day
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