Mississippi Animal Rescue League | Volunteer Application

Applicant Information

Name (Required)

First Name

Last Name

Birthdate/Age (Required)

(Volunteers must be 16 or older, under 18 has to approval of guardian)

Birthdate

Age

Phone (Required)

Home Phone

Cell Phone

Occupation

Address (Required)

Street Address

Apt #

City

State

Zip

Emergency Contact

Name

Relationship

Phone

Street Address

City

State

Zip

Why do you want to volunteer with MARL?

Skills & Experience

Have you had any formal education/training in pet care or animal welfare?

Where

When

Type of education/training

Have you done any other volunteer work?

Where

When

Type of work performed

Areas of interest:

Please check all that apply

Canine care

Feline care

Special Events

Fundraising

Petsmart Adoptions

Other (Please specify)

Specify other areas of interest

Do you know any MARL volunteers?

Name(s)

Relationship

Have you ever been a volunteer at MARL before?

Yes No

If Yes, when?

If yes, what was your reason for leaving?

Have you adopted an animal from MARL?

Yes No

If Yes, when?

Are you a member of any other animal welfare organization?

Yes No

If Yes, how do you participate??

Availability

Please indicate the days and times you are available for volunteer work :

Sunday:	CLOSED
Monday:	CLOSED
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
How often do you wish to work?:	1-2 times per week 1-2 times per month Other:

Miscellaneous:

Do you have any allergies or conditions that might affect your volunteer work? Yes No

If Yes, please describe?

Do you have a valid driver’s license? Yes No

Signature Page

ALL VOLUNTEERS MUST COMPLETE THIS FORM BEFORE WORKING FOR THE MISSISSIPPI ANIMAL RESCUE LEAGUE.

Volunteers of the Mississippi Animal Rescue League are NOT COVERED BY WORKMAN’S COMPENSATION, GROUP LIFE, OR ACCIDENTAL INSURANCE if injured while doing volunteer work for the Mississippi Animal Rescue League. This means that the Mississippi Animal Rescue League is not responsible and will not compensate for injury or damage.

I have read and understand this policy.

Printed Name:

RELEASE OF LIABILITY

I hereby waive and release the Mississippi Animal Rescue League, its employees, officers, members, and volunteers from any injury or damage resulting from the action of any animal, and I expressly assume the risk of such damage or injury while volunteering my service for the Mississippi Animal Rescue League, or while on the surrounding area thereto.

I have read and understand this policy.

Printed Name:

Parent or Legal Guardian, if under 18 years of age

Parent/Guardian Printed Name:

Parent/Guardian Signature

By signing below, you agree that you have read and understand the above policies, at to that the best of your knowledge the information given on this application is true and correct.

Date: