Houston Pets Alive! · Volunteer Sign Up

Contact Information

Must be 18 years of age or older to complete this application.

Name

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First Name

Last Name

Date of Birth

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MM/DD/YYYY

Email

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Verify Email

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Cell Phone

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Home Phone

Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Emergency Contact Name and Number

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Will you be volunteering with a minor?

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*Note: Minors must be 14+ and accompanied by a parent or guardian 18 years or older.*

Yes

No

Minor's Name

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Minor's Birthday

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(mm/dd/yyyy)

Which team(s) would you like to volunteer for?

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Please check up to three (3) primary areas of interest.

Dog care at Antoine (shifts include 8-10am & 6-8pm daily)

Cat care at pet stores (shifts include 9:30-11:30am & 6-8pm daily)

Medical (flexible shifts between 7am-3pm Tues through Thurs)

Thrift store (shifts include 10am-1pm & 1-4pm, Tues through Sat)

Adoption counseling

Transport

Fundraising

Excluding traffic violations, have you ever been convicted of a criminal offense?

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Please explain

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Please describe any other skills, training, or experience you have that could benefit HPA!

Eg., computer programming, fundraising, office skills, etc.

Current Employer

How did you hear about HPA!?

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If other, please explain

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Expectation for Behavior of Volunteers at Partner Municipal Shelters

BARC and Harris County PHES Veterinary shelter are open- admission animal control facilities. The city has invited HPA! in to the shelter to help more animals leave alive. Animal Control is much different than animal welfare. It is critical to understand that the function of Animal Control is to protect the public first, and to help animals second. There may be actions that you witness that you do not agree with. It is critical that you do not intervene in any situation at either shelter. If you have a concern, please write it down and email it to Sharon Cosimano (sharon.cosimano@houstonpetsalive.org) so that she can address the concerns or issues with shelter supervisors, if appropriate. HPA! is here to help animals leave the shelter alive, and we can’t do that if we get at cross- purposes with the shelter staff or animal control officers. First and foremost, we all must work together to accomplish great things. It is grounds for termination if any altercations occur between HPA! volunteers and shelter staff/ volunteers or if any negative publicity is produced in person or through public or private social media that could tarnish the reputation of these shelters, its staff or volunteers. I understand that the good relationship between these two shelters and HPA! is critical to making Houston a No Kill City and that I cannot cause any kind of negative issue while I am at either shelter representing HPA!

Volunteer Agreement

In consideration of this opportunity to volunteer for Houston Pets Alive! ("HPA!"), I agree to the following terms and conditions: [1] I have been provided and will abide by the mission, rules, regulations, policies, and programs of HPA! while I am a volunteer. [2] I agree to be supervised by an HPA! Manager or designee and will work as a team member with all volunteers. [3] I will treat all animals, other volunteers, staff, and the general public with dignity and respect. [4] If I will be sheltering or providing foster care or boarding for any of the HPA! animals in my home, I consent to an HPA! representative visiting my home from time to time to observe the animals and their living quarters. [5] Under no circumstances can volunteers disclose any confidential information, including HPA! data and staff/volunteer/animal/medical related information. [6] I have accurately and truthfully completed this Volunteer Application and Agreement. [7] I understand that all HPA! volunteers must be at least 18 years of age or accompanied by a parent or guardian at all times. By signing this agreement, I am signing on behalf of the minor.

Volunteer Release & Waiver

I understand and agree that as a volunteer for Houston Pets Alive!: [1] I assume all risks of loss or injury, including death to myself or damage to my property while on the property of HPA! and elsewhere, while participating in the volunteer program. [2] I understand and agree that all services performed by me will be performed on a strictly voluntary basis, and that I will receive no remuneration, pay, or compensation of any kind. [3] I understand and agree that I will not be an employee of HPA! and will not receive any benefits normally available to employees of HPA! I understand and agree that HPA! shall incur no liability of any nature as result of my volunteering for HPA! [4] I understand that in handling animals and performing other volunteer tasks there is a risk of injury, including physical harm or death, and that all services performed by me will be done at my own risk. [5] I understand HPA! strongly recommends that I keep current my tetanus immunization. [6] I further understand that HPA! recommends that any dogs and cats that I live with should be immunized by my veterinarian, and that these immunizations remain up-to-date during the time that I volunteer for HPA! [7] THEREFORE, ON BEHALF OF MYSELF, MY HEIRS AND PERSONAL REPRESENTATIVES, I HEREBY RELEASE, DISCHARGE AND INDEMNIFY AND HOLD HARMLESS HPA! THEIR ASSIGNS, SUCCESSORS, AGENTS, STAFF, OFFICERS, BOARD OF DIRECTORS, EMPLOYEES, CONTRACTORS AND REPRESENTATIVES FROM ANY AND ALL CLAIMS, CAUSES OF ACTION OR DEMANDS OF ANY NATURE OR CAUSE WHATSOEVER, REGARDLESS OF WHETHER OR NOT CAUSED WHOLLY OR IN PART BY THE NEGLIGENCE OF HPA!, INCLUDING COSTS AND LEGAL FEES ARISING OUT OF, OR RELATING TO, MY VOLUNTEERING WITH HPA!, INCLUDING, BUT NOT LIMITED TO, ANIMAL BITES, DISEASE, ACCIDENTS, PROPERTY DAMAGE, OR INJURIES.

Please enter your name below as an agreement to the Expectation for Behavior of Volunteers at Partner Municipal Shelters, Volunteer Agreement, and the Volunteer Release & Waiver

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Today's Date

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(mm/dd/yyyy)

I agree, attest to, and certify that the submitted information is true and correct.

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By submitting this application you are also subscribing to the HPA! emailing list, from which you may opt out at any time.