EGRR Volunteer Application First Name Last Name Street City State WA AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code ** One of three phone numbers is required Phone Day Phone Evening Phone Cell Best time to call Email Best way to contact you Occupation Pets I currently own Golden Retriever experience, please give number of years. Pet 0 1-5 6-10 11-15 16-20 20+ Therapy Work 0 1-5 6-10 11-15 16-20 20+ Search and Rescue 0 1-5 6-10 11-15 16-20 20+ Agility 0 1-5 6-10 11-15 16-20 20+ Conformation 0 1-5 6-10 11-15 16-20 20+ Hunting 0 1-5 6-10 11-15 16-20 20+ Obedience 0 1-5 6-10 11-15 16-20 20+ Breeding 0 1-5 6-10 11-15 16-20 20+ Other dog experience (please explain): What are your skills and interests? What would you like to do? Grooming Shelter Visitation Fundraising Publicity Education Administration Art/Graphic Design Writing/Communication Computer/IT Web Site Telephone Screening Home Visit Transportation Foster Care Transportation - please note days of the week and distance you're able to travel and if you have crates to use for transport. How much time on average would you be able to dedicate to your volunteer work each week? Please be specific as to the days of the week, etc so that we can work within your schedule. Is there anything else you would like us to know about you, your family or your own dogs? The Evergreen Golden Retrieve Rescue is composed totally of volunteers who are dedicated to the care of Golden Retrievers in neen of a new home. Although there are a variety of jobs that volunteers can do, Rescue work is not right for everyone. In an effort to make this a positive and worthwhile experience for you, we request that you read and check each of the following points. Depending on the volunteer work you choose to do, there amy be other guidelines you will be required to read and agree to. ** All boxes must be checked. ** I acknowledge that it is my decision to volunteer for EGRR and I will not hold EGRR liable for any damage, injury or harm caused directly or indirectly through my volunteer activities with EGRR. I understand that as a volunteer for EGRR I am not authorized to speak for the organization or to enter into any agreements for the organization. I also understand that when I act as a volunteer for EGRR, the public will view my words and actions as representing EGRR as an organization. Should I choose to engage in any action that could be considered to be political in nature, I will do so as an individual and not as an EGRR volunteer. I agree to follow the guidelines regarding reimbursement for any expenses incurred as a volunteer for EGRR and understand that if I purchase an item without prior approval I may not be reimbursed. I understand and accept that EGRR cannot guarantee or be held responsible for the healt, temperment or behavior of the Rescue dogs that I may handle ot come in contact with. I also understand that I must keep any dog securely and safely contained while under my care and agree to not hold EGRR responsible for any damage caused by a Rescue dog while under my care. Should I transport a dog or myself on EGRR business I understand that I must carry and be covered by my own auto insurance. I understand that my position as a volunteer may be terminated if my conduct as a volunteer is deemed to be detrimental to the best interests of EGRR. I agree to communicate openly and in a professional and timely manner with the Coordinator of the committee I've chosen to work with and to notify him/her as soon as possible if I am unable to or no longer interested in working with EGRR. Initials Security Code