Volunteer ApplicationPaul Klein2018-02-13T14:03:41+00:00Step 1 of 7 - Volunteer Application Information0%EntryIDApplication InformationName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Mobile Phone*Home PhoneEmail* Enter Email Confirm Email Other InformationPreferred Method of Contact*Mobile Phone - VoiceMobile Phone - Text/ChatHome PhoneEmail Age (Years)*Emergency Contact InformationName* First Last Address* Same as Applicant Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Mobile Phone*Home Phone*If under the age of 18, do you have an adult who can chaperone?*YesNoChaperoneEmergency Contact Same as Chaperone?YesNoRelationship*ParentSiblingRelativeOtherName* First Last Address* Same as Applicant Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Enter Email Confirm Email Phone* DiscoveryHow did you hear about this volunteer opportunity?* In Store Friend/Family VolunteerMatch.org Referral OtherIf In Store, please specify store Location*PetSmart - Chandler, AZ - 2860 E Germann Rd, Chandler, AZ 85286PetSmart - Tempe, AZ - 6426 S. McClintock Dr, Tempe, AZ 85283PetSmart - Ocotillo / Chandler, AZ - 3939 S Arizona Ave, Chandler, AZ 85248PetSmart - Mesa, AZ - 6632 E McKellips Rd Mesa, AZ 85215OtherIf Other Store Location, please specify store*If Referral, please specify individual's name*If Other, please specify*ExperienceDo you have prior experience volunteering for rescues or shelters?*YesNoIf Yes, with whom and when?*Describe any other prior volunteer experiences*Please describe why you are interested in volunteering with us* Preferred Adoption CenterPetSmart LocationsPetSmart - Chandler, AZ - 2860 E Germann Rd, Chandler, AZ 85286PetSmart - Tempe, AZ - 6426 S. McClintock Dr, Tempe, AZ 85283PetSmart - Ocotillo / Chandler, AZ - 3939 S Arizona Ave, Chandler, AZ 85248PetSmart - Mesa, AZ - 6632 E McKellips Rd Mesa, AZ 85215 BackgroundHave you ever been charged with animal neglect or abuse?*YesNoIf Yes, please explain*Have you ever been convicted of any crime?*YesNoIf Yes, please explain*Do you have health conditions /restrictions that may change your ability to volunteer?*YesNoIf Yes, please explain*Are you volunteering as part of required service hours?*YesNoIf Yes, how many hours must you compile?*Do you anticipate continuing to volunteer for SOL once you service hours are completed?*YesNoTell us a little about yourself including your experiences with animals* Volunteer Agreement When becoming a volunteer of Saving One Life (which includes also volunteering with any other cats in the adoption center that may be placed there by an affiliate rescue, you will be required to abide by this Volunteer Agreement and Waiver form. Please read it CAREFULLY. Once received, you will be contacted with any questions and / or to schedule formal training and orientation. When volunteering for Saving One Life (or an affiliate rescue utilizing the PetSmart Adoption Center in conjunction with Saving One Life), I understand that I am expected to abide by the following statements, and that by signing this agreement and waiver form, I acknowledge that I have read and understood this form.I will treat all animals, fellow volunteers, PetSmart employees, and customers of the store with respect, and I will work as a team member with everyone involved. I understand that the rescue of animals is the primary objective of Saving One Life and that all activities must be done collaboratively for this mission to be accomplished.I am aware that as a volunteer of Saving One Life, I am acting as a representative of the organization and agree to act responsibly at all times by maintaining a professional demeanor. I understand it is important to protect the reputation of Saving One Life at all times, and that even though sometimes people can be grumpy and rude, I will always do my best to be understanding, helpful, and use good customer service.I agree to be supervised as appropriate by Saving One Life personnel and will report any problems that arise directly to the proper Saving One Life representative. I will take any complaint or concern directly to the appropriate Coordinator, not to any other volunteer or member of the public.I agree that any animal rescued by Saving One Life is owned solely by and is the property of Saving One Life, and as a volunteer of this organization, I will not withhold, sell, or give away any animal entrusted to me by the organization. I will abide by all rules regarding animal release and adoption.I understand the possible risk of transferring disease-causing microorganisms during animal handling activities from Saving One Life animals to myself and to my personal animals or vice versa (examples: distemper, giardia, toxoplasmosis, and other parasitic or fungal conditions such as ringworm). I agree to take all precautions to avoid such transfer, and I agree to the importance of having myself and my pets current on all current vaccinations, and that I should be in particular up to date on my tetanus vaccination and covered by a health insurance plan. I understand that Saving One Life will not be responsible to pay for any medications, for my pet or myself.I understand that I will not be reimbursed for any expense that I incur while volunteering for Saving One Life, unless it has been preapproved by the Director or Board of Directors.I understand that although Saving One Life will make every attempt to ensure the safety of their volunteers and animals, animals are by nature unpredictable in their behavior. Therefore, I assume the risk of being bitten, scratched, injured, or frightened by cats, kittens, dogs, and puppies in connection with my volunteer work for Saving One Life. Neither Saving One Life, or any of its Directors, volunteers, fosters, or other affiliates are liable to me for any injuries, damages, liabilities, losses, judgments, costs, damage to property or expenses whatsoever that I might suffer or sustain in connection with the performance of my volunteer activities for Saving One Life. I indemnify, defend, and hold harmless the Saving One Life organization, directors, volunteers, fosters, or other affiliates including but not limited to PetSmart from and against any claims, lawsuits, injuries, damages, losses, costs, or expenses whatsoever sustained by any foster animal or any person in connection with my intentional misconduct or grossly negligent performance of volunteer activities for the Saving One Life or my breach of Saving One Life rules, regulations, policies, and programs.I hereby grant and convey unto Saving One Life all right, title, and interest in any and all photographs, images, and video or audio recordings made by Saving One Life during volunteer activities, including but not limited to any royalties, donations, proceeds, or other benefits derived from such photographs or recordings. I further permit Saving One Life to publish said images, recordings, and videos at will on the website, newsletter, and in other media for advertising and other use as Saving One Life deems appropriate.I understand I may not bring friends or family members with me while volunteering for Saving One Life, unless they have submitted a Volunteer Agreement and Waiver of Liability, or prior arrangements have been made in advance with Saving One Life Personnel. I also understand that if I choose to bring a minor that I am a legal guardian of, while volunteering, that I am responsible for that minor and will take all precautions necessary for the protection of them and Saving One Life animals. If I am younger than 18, I must be accompanied by an adult at all volunteer events you participate in for Saving One Life.I understand my services to Saving One Life are provided strictly in a voluntary capacity as a volunteer, and without any express or implied promise of salary, compensation or other payment of any kind whatsoever. I understand my services are furnished without any employment-type benefits, including employment insurance programs, worker compensation accrual in any form, vacations or sick time.If I am unable to make my chosen shift, I will notify the volunteer coordinator and manager at Petsmart as well as remove my shift from the Saving One Life Volunteer calendar.All information that I have supplied to Saving One Life in my application and agreement, or elsewhere is accurate and truthful to the best of my knowledge. I will notify Saving One Life of any changes in this information.I understand that if I fail to abide by the terms of this Agreement and Waiver form, or am otherwise unable to meet the requirements of the volunteer program, which are subject to change by Saving One Life at any time, I understand that I can be terminated from the program. I also understand that I may, at any time, be removed from my position as a volunteer at the discretion of Saving One Life Personnel. However, as we are an all-volunteer organization, we really need you and like having you around. If you are nice to the animals all the time and to us and all the other volunteers most of the time, you will be appreciated. We love our volunteers and can not do this without them!I authorize Saving One Life or its affiliates to seek emergency medical treatment for me in case of accident, injury or illness.I confirm that I am 18 years of age or older (or have parental consent with signature).I have read, reviewed and agree tothe above Volunteer Agreement*YesNo Legal Disclaimer On behalf of myself, and my heirs, personal representatives and assigns, I hereby release, discharge, indemnify and hold harmless Saving One Life and its directors, officers, employees, agents and affiliate rescues from any and all claim, causes of actions and demands of any nature, whether known or unknown, arising out of or in connection with my volunteer activities on behalf of Saving One Life. I hereby for myself, my heirs, executors, administrators or anyone else who might claim on my behalf, covenant not to sue, and hereby waive release and forever discharge Petsmart INC., Petsmart Charities INC., its directors, officers and employees, in anyway associated with my volunteer and/or work requirements, any claims or liability of any kind whatsoever, including but not limited to injuries, bites, scratches, or other wounds while volunteering. I have read, reviewed and agree to all stipulations described above*YesNoSubmit ApplicationCaptcha This iframe contains the logic required to handle Ajax powered Gravity Forms.