Today's Date:

Name:

Address,City, State, Zip:

Date Of Birth:
(If under 18)

Home Phone:

Cell Phone:

Other:

Email:

How did you hear about Great Lakes Rabbit Sanctuary?

Current employer - name, address, telephone number:

Do you have previous experience working at an animal sanctuary, shelter or humane society? If yes, please give name, address and telephone number:

What were your responsibilities?

Have you ever volunteered anywhere else before? If yes, please give name, address and telephone number:

What were your responsibilities?

Do you currently have any companion animals? If yes, please note the type of animals, sex, age, if they are spayed or neutered, and where you obtained them from:

Please describe any rabbit experience you have.

Please indicate your area of interest in assisting the sanctuary (check all that apply):
Feeding breakfast or dinner
Socializing new and needy animals
Pick up and delivery of produce donations
Gardening/grounds maintenance
Construction or electrical projects
Publicity/Newsletter
Teaching rabbit care classes
Driving animals to and/or from veterinarian
Cleaning pens/cages/barns
Performing health checks
Photography
Fundraising or Grant Writing
Volunteer recruitment
Grooming

Would you be interested in working when there is a special need or project?

Yes
No

If so, what kind of project (if known)?

Please check if you have any of the following skills:
Electrical
Plumbing
Mechanical
Carpentry

Proposed schedule. Are you interested in volunteering - please choose only one:
volunteering on a regular schedule, e.g. once a week or more
volunteering on a regular schedule, less than once a week
volunteering on an occasional basis, when I have the time

What days and times are you available?

Do you prefer:
working alone
working with others
doesn't matter

What do you hope to gain from volunteering at Great Lakes Rabbit Sanctuary?

Comments/any additional information you would like us to know (please include special skills, allergies, physical restrictions):

Volunteer Agreement

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

1. I will abide by the mission, rules, regulations, policies and procedures of Great Lake Rabbit Sanctuary, Inc. (“the Charity”) while I am a volunteer.
2. If I stop being a volunteer for the Charity for any reason, or upon the Charity’s request at any time, I will return all supplies, equipment, records, moneys or other items in good, clean condition.
3. I assume the risks of being bitten, scratched, injured or frightened by rabbits, ducks, cats or other animals in connection with my volunteer work for the Charity. Great Lakes Rabbit Sanctuary is not liable to me for any injuries, damages, liabilities, losses, judgements, costs or expenses whatsoever, which I might suffer or sustain in connection with my volunteer activities, unless they are the result of the Charity’s gross negligence or intentional misconduct. I will indemnify, defend and hold the Charity harmless from and against any claims, lawsuits, injuries, damages, losses, costs or expenses whatsoever, sustained by any companion animal or any person in connection with my intentional misconduct or grossly negligent performance of volunteer activities for the Charity, or my breach of the Charity’s rules, regulations, policies, procedures and programs.

Signature (please type your full name here):

Date:

This electronic signature is considered as binding as a formal handwritten signature.