Name
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First Name
Last Name
Email Address
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Phone
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(###)
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####
Are you 18 or older?
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Yes
No
How did you hear about Lilo's Promise Animal Rescue Volunteer Program?
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Message
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Have you trained your own personal dog in obedience?
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Yes
No
If yes, What type of training? Which training company did you train with?
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Reasons for wanting to volunteer with the LPAR?
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If wanting to volunteer in a hands on capacity with the dogs, are you comfortable working with pit bull type breeds?
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Yes
No
Are you able to physically handle strong dogs on walks, etc?
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Yes
No
Have you had any formal education/training in pet care or animal welfare or volunteered with an animal welfare orgnization?
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Yes
No
Where? When? Type of education/training?
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Have you done any other volunteer work?
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Yes
No
Type of work performed:
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Areas of interest: Please check all that apply.
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Canine care
Foster care
Marketing
Fundraising
Obedience Training
Other
Do you know any LPAR volunteers?
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Yes
No
Please let the name(s) & your relationship.
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Have you ever been a volunteer at LPAR before?
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Yes
No
If yes, when & what was your reason for leaving??
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Have you adopted an animal from LPAR?
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Yes
No
If yes, who did you adopt and when?
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Are you a member of any other animal welfare organization?
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Yes
No
If yes, how do you participate?
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Please list best days and times for you to volunteer.
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Do you have a valid driver’s license?
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Yes
No
Do you have any allergies or conditions that might affect your volunteer work?
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Yes
No
If so, please describe.
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Please list two personal or business references: Name, Relationship & Phone Number.
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Please list a contact in case of an emergency: Name, Relationship & Phone Number.
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Please understand that completion of this application does not assure you will be accepted as an LPAR Volunteer. Accuracy and completeness of this form are important in determining the acceptability for a volunteer position with LPAR. You may be requested to submit additional references and participate in additional interviews, all of which are considered part of the qualification process. All pre-placement inquiries are made for the purpose of establishing your qualifications for Volunteering with LPAR. LPAR Volunteer Agreement If accepted as a LPAR volunteer, you will be required to abide by the terms of our Volunteer Agreement. The agreement below details what LPAR will expect of you and what you can expect from LPAR.
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If accepted as a LPAR volunteer, my signature below indicates that I have read, understand, and agree to the following:
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I will treat all animals and other volunteers with respect and I will work as a team member with all volunteers.
Option TwoI will abide by all LPAR policies and procedures and follow the directions/instructions of the LPAR Executive Directors and Senior Volunteers.
I agree to be supervised by the appropriate Executive Directors and will report any problems that arise directly to the appropriate Executive Directors and the Volunteer Coordinator.
I understand the possible risk of bringing home illnesses from the Rescue to personal pets or vice versa and must have current vaccinations for my animals at home.
I understand the potential safety risks of working with animals and that I may not bring friends or relatives with me while working at the rescue facility.
I am current on my tetanus vaccination and covered by a health insurance plan.
I authorize LPAR to seek emergency medical treatment for me in case of accident, injury, or illness.
I agree to indemnify and hold harmless LPAR, its Board of Directors, officers, agents, and employees from and against any and all liability whatsoever arising out of or related to my duties under this agreement or for any negligent act or omission by LPAR, its Board of Directors, officers, agents, and employees.
If I fail to abide by the terms of this Agreement or am otherwise unable to meet the requirements of the volunteer program, which are subject to change by LPAR from time to time, I understand that I will be terminated from the program. I also understand that I may at any time be removed from my position as a volunteer at the sole discretion of the Executive Directors or the Volunteer Coordinator.
By typing your name below you are stating that you have been truthful and understand that this will serve as a digital signature for this agreement.
Date
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