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WALKER COUNTY ANIMAL SHELTER AND ADOPTION CENTER (Walker County Government)

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WCASACVOLUNTEERAPPLICATION PAGE1of6

o Treat

staff,visitors,andotherswithcourtesyandrespect

o Treattheanimalsin

aprofessionalandcaringmanner

o Beproudofyourprofessionalappearance,language,andbehavior

o Observeallpoliciesandprocedures

o Worksafelyatalltimes, especially when in contact with the animals at our facility.

WALKER COUNTY ANIMAL SHELTER

AND ADOPTION CENTER

5488 North Marble Top Road

Chickamauga, Georgia 30707

(706)375-2100

s.robinson@walkerga.us

VolunteerApplication

MISSIONSTATEMENT

The Walker County Animal Shelter and Adoption Center (WCASAC) serves the North Georgia community

by providing animal control and humane care for the animals that are lost, abandoned and unwanted.

We strive to place every adoptable animal into good loving homes and encourage good pet guardianship

through programs such as spay/neuter, micro-chipping and rabies/ vaccine clinics to help end the

homeless plight of our companion animals.

WHYAREVOLUNTEERSNEEDED?

Asanonprofit, county funded facility,wealwaysneedsupportandhelp.Byvolunteering,youwillmake

thejobsofourstaffeasier,allowthesheltertorunsmoother,andmostimportantly,helptheanimals.

Therearemanyareas of need at our facility. More information on these areas is provided below.

PERSONALCONDUCT

WCASACexpectsitsvolunteerstomaintainahighstandardofconductandworkperformancetomake

surewemaintainagoodreputationwiththecommunity,supporters,andpatrons.Goodpersonal

conductcontributestoagoodworkenvironmentforall.

Please keep these things in mind as you volunteer:

WCASACVOLUNTEERAPPLICATION PAGE2of6

TobecomeaWCASACVolunteer:

• Youmustbeatleast18yearsoldtovolunteer

• No children under 18 are permitted toaccompanyavolunteer

• Completeavolunteerapplicationandassessmentform(forfirst‐timevolunteers)

• Emailaddress and telephone numberisrequired

• Bringa pictureID

• AttendaVolunteerOrientationClass

• Spreadthemessageaboutresponsiblepetownershipandanimalprotection

Volunteerassignmentswillbemadeinaccordancewithyourinterests,abilities,andvocational goal s

andinaccordancewiththeneedsofour facility.

TheonehourorientationclasswillhelpyoufeelcomfortableinyournewroleasaWCASACVolunteer

andprovideyouwithanoverviewofourcause,policies,volunteeropportunities,facility,andhands‐

onanimalhandlinginstruction.Whenyoucompleteandsubmitthisapplicationyoucanchooseto

volunteeryourtimefornon‐animalrelatedservicessuchasconstructionoradministrativehelp.

When you submit your application you agree to:

• Signinandouteverytimeyouvolunteer

• Promote a positive and upbeat atmosphere at the facility

• Refrain from any negative speech or social media posting involving WCASAC

• AcceptandabidebythepoliciesofWCASAC

• Wear appropriate and unoffensive attire at any all volunteer opportunities including our facility

• RepresentWCASACasavolunteerinaresponsibleandrespectablefashion

• Beingoodhealth,orhaveanotefromdoctorifyouhavecertaindisabilitiesorillnesses.

Ifyouhaveanyquestionsaboutourvolunteerprogram,pleaseemailusanytimeat

s.robinson@walkerga.us.

WALKER COUNTY ANIMAL SHELTER

AND ADOPTION CENTER

5488 North Marble Top Road

Chickamauga, Georgia 30707

(706)375-2100

s.robinson@walkerga.us

WCASACVOLUNTEERAPPLICATION PAGE3of6

VOLUNTEERAPPLICATIONANDASSESSMENTFORM

WhydoyouwanttovolunteerattheWCASAC?

Doyouhaveanydisabilities, allergies, or sensitivities to chemicals, pet dander, pollens,

weather, or any other substance that need to beaccommodated?Ifso,pleaseexplain:

Doyouownpets?Dogs_____Cats_____Other______‐Spayed/Neutered?(circleone)YESNO

Describeyourexperienceworkingwithanimals:

WALKER COUNTY ANIMAL SHELTER

AND ADOPTION CENTER

5488 North Marble Top Road Chickamauga, Georgia 30707

(706)375-2100

s.robinson@walkerga.us

Applicant Name: ______________________________________ Date: ____________________________

Date of Birth: ____________________________ Telephone Number: _____________________________

Email Address: _____________________________________ T-Shirt Size: _______________ (unisex sizing)

Street Address: _________________________________ City: ______________ State: _____ Zip:

________

Describe any previous volunteer/ animal care experience.

WCASAC VOLUNTEERAPPLICATION

PAGE4of6

Availability:Duringwhichtimesareyouavailable?

Explainavailabilityschedulefurtherplease:

YES NO

1. Doyouhaveacomputerconnectedtotheinternetathome?

2. Time1–willyoubeabletoworkfromhome?(Virtual)

YES

3. Ti

me2–

wi

llyoubeabletocomeintoour facility?

YES



Pleaseindicatetheareasthatinterestyou‐Checkallthatapply:

 Administration/OrganizationalSupport____________________________________________

 Communications/Marketing_____________________________________________________

 Construction/Maintenance______________________________________________________

 AnimalServices________________________________________________________________

 Education____________________________________________________________________

 SpecialEventSupport___________________________________________________________

 Transportation________________________________________________________________

 Other: ______________________________________________________________________

WALKER COUNTY ANIMAL SHELTER

AND ADOPTION CENTER

5488 North Marble Top Road Chickamauga, Georgia 30707

(706)375-2100

s.robinson@walkerga.us

Please indicate the skills you have:

Sunday

Monday Tuesday Wednesday Thursday

Friday

Saturday

Morning Morning Morning Morning

Morning

Afternoon

Afternoon Afternoon

ening Evening Evening

Evening

Clerical

Mailing, Filing, clerical duties Telephone/Email Support Grant Writing

Transportation

To vet appointments To Rescues To Foster/Permane

nt Homes Supply Pick-up/Drop-off

Animal Care

Walking Dogs Cat room entertainment Grooming/Bathing Training Kennel Cleaning

Other Activities

Photography/Videography Home Visits

Fundraising

Supply Drives Adoption Events

Experience handling large/ powerful breeds: _______________________________________

WCASACVOLUNTEERAPPLICATION PAGE5of6

WALKER COUNTY ANIMAL SHELTER

AND ADOPTION CENTER

5488 North Marble Top Road Chickamauga, Georgia 30707

(706)375-2100

s.robinson@walkerga.us

Evaluation

Pleaseselectalltheoptionsthatapplytoyou:

IhavecarefullyconsideredmyscheduleandIknowIcanmakeacommitmenttovolunteeringat

WCASAC

IknowthatsomeoftheanimalsarerecoveringfromillnessandinjuryandIamcomfortableworking

withthem

IamawarethatImayneedtopickup/cleanupafteranimalfecesandurine.

ItreatmyvolunteercommitmentswiththesamerespectthatIdomyworkobligations

IhopemyvolunteerworkwithWCASACwillleadtoajobwiththedepartment

Iaminbetweenjobsandamhopingtousemyfreetimetobeofservice

Ihopetomeetotherpeopleandexpandmysocialnetwork

Iamseekinganopportunitytogainexperienceinasheltertoaddtomyresume

I am seeking to volunteer to gain information for a school/ college project.

Allnewvolunteersarerequiredtocompleteavolunteerapplication,andattendaVolunteer

OrientationClass.Thevolunteerorientationclassis1hourlong.

Signature_________________________________________Date________________

PleaseReadCarefullyBeforeCompleting,SigningandSubmittingthisApplication

Pleasecompleteandbringto our facility or email to s.robinson@walkerga.us

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WCASACVOLUNTEERAPPLICATION

PAGE6of6

WALKER COUNTY ANIMAL SHELTER

AND ADOPTION CENTER

5488 North Marble Top Road Chickamauga, Georgia 30707

(706)375-2100

s.robinson@walkerga.us

VolunteerWaiverandReleaseofLiability,Indemnificationand

HoldHarmlessAgreement

This Waiver and Release of Liability, Indemnification and Hold Harmless Agreement (“Agreement”) is between the Volunteer and Walker County

Animal Shelter and Adoption Center (WCASAC), 5488 North Marble Top Road, Chickamauga, Georgia 30707 and its directors, officers, members,

employees, agents, assigns, legal representatives and successors.

As a volunteer that is 18 years old or older, I hereby understand and agree to the following: I agree to WAIVE and RELEASE WCASAC from all

liability, manner of actions, causes of action, debts, contracts, claims and demands for or by reason of any illness, death, damage, loss or injury

to person and property, which has been or may be sustained as a direct or indirect consequence of the Volunteer’s volunteering at or for

WCASAC and notwithstanding that such damage, death, illness, loss or injury may have been caused partly by the negligence of WCASAC. I agree

to INDEMNIFY and HOLD HARMLESS WCASAC for any costs or liabilities which they may incur as a result of my volunteering at or for WCASAC.

I understand that because I may handle and/or come in contact with animals, it is important to discuss being vaccinated against tetanus with my

physician. I release WCASAC from all responsibility that may occur because of my not pursuing this matter further and I understand whatever

decision I make is at my own risk. I have read, understand and agree to the above tetanus information.

I acknowledge and understand that as a volunteer of WCASAC, I am not covered by workers' compensation or any other insurance policy

through WCASAC, for any damages or injuries I may sustain during volunteer activities. I understand that I am responsible for obtaining health

insurance coverage through an independent health insurance company.

I fully understand that as a part of my volunteer work for WCASAC, I will come into contact with animals either by directly handling them,

fostering or through assisting in their care and adoption. Further, I understand that working with animals carries a risk of injury, and that it is

possible that I may be bitten, scratched, and/or otherwise injured.

I fully understand that as a volunteer and/or foster home for WCASAC, my family may come in contact with animals at WCASAC events, and I and

my family and/or guests may come into contact with animals in my home if I am fostering an animal. I understand that working with animals

carries a risk of injury, and it is possible that my family and/or guests may be bitten, scratched and/or otherwise injured.

IacknowledgeandagreethatIhavecarefullyreadthisagreement,thatIfullyunderstandtheagreement,andthatIfreelyandvoluntarily

executethesame.IunderstandthatImayseekindependentadvicepriortosigningthisagreement.Iunderstandthatthisagreementisbinding

onme,myspouse,myexecutors,administrators,personalrepresentativesandassignsandthatthisagreementhasimportantlegal

consequences.Thetermsofthisagreementarecontractualandnotmererecitals.Thisagreementwillbeconstruedinaccordancewithand

governedbythelawsoftheStateofGeorgia.

SignatureofVolunteer:_____________________________________Date:________________

SignatureofWitness:________________________________________Date:________________

EmergencyContactPhone:_________________________________________________________

Relationshipofcontact:_____________________________________________________

Ifinsured,nameofmedicalinsurancecarrierandpolicynumber:

______________________________________________________________________________________

Thank you for completing this application and for your interest in volunteering with us. Please note, completing this form does not guarantee

placement as a volunteer with WCASAC.

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WALKER COUNTY ANIMAL SHELTER AND ADOPTION CENTER (Walker County Government)

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Completed 18 July 2020

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