Volunteer Application - Godbey Creek Canine Rescue

Contact Information

Name*

First Last

Title

Street 1*

Street 2

Street 3

City*

State*

Zip*

Mobile Phone

OK to call me here

Home Phone*

OK to call me here

Work Phone

OK to call me here

Demographics

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.

Date of Birth

Education

Skills & Experience

In which of these areas do you feel you have moderate to excellent skill? Check all that apply.

Skills

Other(s). Please specify.

Availability

Please indicate the days and times you are usually available to volunteer.

Morning

Wednesday
Thursday
Friday
Saturday

Evening (5-9 PM)

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Please list any other days/times that you would be available to help our canine companions.

Assignment Preference

The following volunteer assignments may currently be available. You may click the assignment names to learn more about that assignment. Use this list to rank your top three assignment choices.

Assignment Preference

Adoption Coordinator
Bathing/Grooming
Dog Walking
Enrichment
Office Assistant
Photography
Fundraising

Other(s). Please specify.

Emergency Contact

In the event of an emergency whom should we notify?

Name*

First Last

Mobile Phone*

Home Phone

Work Phone

Relationship*

Employer

Please list your current or most recent employer, if applicable.

Are you employed?*

Yes
No

Employer Name*

*

First Last

Street 1*

Street 2

Street 3

City*

State*

Zip*

Work Phone*

Driver's License

Please provide a copy of your driver's license. This is required by the NC Department of Agriculture, Animal Welfare Division, who administer our license as a dog rescue and boarding facility. This can be a photograph or PDF file.

File Upload

Email

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.

Email*

What kind of email would you like to receive?

Electronic Newsletters
Recruitment Appeals

How did you hear about us?

Please indicate how you heard about Godbey Creek Canine Rescue: Through Facebook, Twitter, Website, Newspaper Article, E-Newsletter, TV, Radio, Magazine, Newspaper Ad, Flyer, Event, Share CLT, word of mouth, other (please indicate how below)

Through Facebook, Twitter, Website, Newspaper Article, E-Newsletter, TV, Radio, Magazine, Newspaper Ad, Flyer, Event, Share CLT, word of mouth, other (please indicate how below)

Why do you want to volunteer with Godbey Creek?

Please write a brief summary as to why you have chosen to volunteer with Godbey Creek Canine Rescue.

Other Information

Godbey Creek Canine Rescue requires all applicants to state any past criminal record and reserves the right to conduct a background check on any volunteers. (NOTE: No applicant will be denied the opportunity to volunteers solely on the grounds of a conviction for a criminal offense. The nature of the offense, the surrounding circumstances, and the relevance of the offense to the position(s) applied for may, however, be considered)
Have you ever been convicted of or pleaded guilty to a misdemeanor or felony, including sex-related or child abuse related offenses. Please answer yes or no.

Have you ever been convicted of or pleaded guilty to a misdemeanor or felony, including sex-related or child abuse related offenses. Please answer yes or no. If yes, please describe the nature of the crime(s), when and where convicted and the disposition of the case:*

Yes
No

If yes, please describe the nature of the crime(s), when and where convicted and the disposition of the case:

I Agree

I understand and agree that submitting this application form does not automatically register me as a Godbey Creek Canine Rescue volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.

By submitting this form, I attest that the information I have provided on the form is true and accurate. As an agency that houses homeless animals, Godbey Creek, often does not have a complete medical history for animals that volunteers may encounter. While some training is provided, a certain amount of risk is always involved, especially with unpredictable animals. We strongly recommend that all volunteers have current tetanus vaccinations.

In consideration of this opportunity to volunteer at Godbey Creek Canine Rescue, I agree to the following terms and conditions, intending to be legally bound by them:

1. I will abide with the mission, rules, regulations, policies, and programs of GCCR.
2. If I decide to remove myself as a volunteer at GCCR, or upon request by GCCR, I will promptly return all GCCR supplies, equipment, records, animals, moneys, and other items in good, clean condition.
3. I assume the risk of being bitten, scratched, or injured in connection with my GCCR volunteer work. GCCR is not liable for any injuries, damages, liabilities, losses, judgments, costs or expenses whatsoever, which I might suffer or sustain in connection with my GCCR volunteer activities, unless they are the result of the gross negligence or intentional misconduct of GCCR. I will indemnify, defend and hold the GCCR harmless from and against any claims, lawsuits, injuries, damages, losses, costs or expenses whatsoever, sustained by any animal or person in connection with my intentional misconduct or grossly negligent performance of my volunteer activities, or my breach of GCCR rules, regulations, policies, and programs.
4. I understand that GCCR may refuse or cancel volunteer applications for any reason.
5. I have accurately and truthfully completed this Volunteer Application and Agreement.
6. Any modification to this Agreement must be in writing and signed by both parties. This Agreement is binding upon the GCCR, me and the GCCR and my respective heirs, successors, assigns, executors, and personal representatives.

I understand and agree that submitting this application form does not automatically register me as a Godbey Creek Canine Rescue volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering. By submitting this form, I attest that the information I have provided on the form is true and accurate. As an agency that houses homeless animals, Godbey Creek, often does not have a complete medical history for animals that volunteers may encounter. While some training is provided, a certain amount of risk is always involved, especially with unpredictable animals. We strongly recommend that all volunteers have current tetanus vaccinations. In consideration of this opportunity to volunteer at Godbey Creek Canine Rescue, I agree to the following terms and conditions, intending to be legally bound by them: 1. I will abide with the mission, rules, regulations, policies, and programs of GCCR. 2. If I decide to remove myself as a volunteer at GCCR, or upon request by GCCR, I will promptly return all GCCR supplies, equipment, records, animals, moneys, and other items in good, clean condition. 3. I assume the risk of being bitten, scratched, or injured in connection with my GCCR volunteer work. GCCR is not liable for any injuries, damages, liabilities, losses, judgments, costs or expenses whatsoever, which I might suffer or sustain in connection with my GCCR volunteer activities, unless they are the result of the gross negligence or intentional misconduct of GCCR. I will indemnify, defend and hold the GCCR harmless from and against any claims, lawsuits, injuries, damages, losses, costs or expenses whatsoever, sustained by any animal or person in connection with my intentional misconduct or grossly negligent performance of my volunteer activities, or my breach of GCCR rules, regulations, policies, and programs. 4. I understand that GCCR may refuse or cancel volunteer applications for any reason. 5. I have accurately and truthfully completed this Volunteer Application and Agreement. 6. Any modification to this Agreement must be in writing and signed by both parties. This Agreement is binding upon the GCCR, me and the GCCR and my respective heirs, successors, assigns, executors, and personal representatives.*

I Agree