RMCR Volunteer Application


	Your Information

*Volunteer’s Name:

*Street Address:

Street Address 2::

*City:

*State:

*Zip Code:

*Home Phone:

- -

Cell Phone:

- -

*Work Phone:

- - x

*Email Address:


	Two Personal References (Non-related please)

*Reference #1 Name:

*What is your relationship with Reference #1?:

*How long have you known Reference #1?:

*Reference #1 Street Address:

*Reference #1 City:

*Reference #1 State:

*Reference #1 Zip Code:

*Reference #1 Home Phone Number:

- -	At least one phone number is required. If Reference #1 only has a cell phone, place the number here.

Reference #1 Cell Phone Number:

- -

Reference #1 Work Phone Number:

- - x

*Reference #2 Name:

*What is your relationship with Reference #2?:

*How long have you known Reference #2?:

*Reference #2 Street Address:

*Reference #2 City:

*Reference #2 State:

*Reference #2 Zip Code:

*Reference #2 Home Phone Number:

- -	At least one phone number is required. If Reference #2 only has a cell phone, place the number here.

Reference #2 Cell Phone Number:

- -

Reference #2 Work Phone Number:

- - x


	Volunteer Interests

*Would you consider fostering a Cocker Spaniel
in the future?:

Yes

No

*Please mark all that apply.:

Make selections and click add:

Please mark all that apply.:

Other:

* We always need assistance in these areas, so if you can offer a little time (or a lot of time!), it will be greatly appreciated.

*Are you a good networker?:

Yes

No

*Do you have any contacts with a large venue
that might be willing to host a fundraising
event?:

Yes

No

*Do you know of anyone that may provide
monetary donations, dog food/supplies,
veterinary care, or silent auction items?:

Yes

No

*Do you know of any attorneys that may be
willing to do pro-bono work for RMCR?:

Yes

No

*Do you know of any accountants that may be
willing to do pro-bono work for RMCR?:

Yes

No

*How did you hear about our organization?:


	Waiver of Liability by Volunteer

I, (hereinafter referred to as "Volunteer") hereby waive any claim against Rocky Mountain Cocker Rescue (hereinafter referred to as “RMCR”) which I may now have or which may arise for any reason, including the negligence of the RMCR, in the course of my working as a Volunteer for RMCR. In particular I acknowledge that in working with dogs, there is a risk that any dog may bite or scratch, and that exposure to such risk is a necessary part of working with dogs and that RMCR shall not be responsible for any damages, losses, or other injuries to person, pet, or real or personal property occurring in the course of my working as a Volunteer for RMCR.

I therefore agree to indemnify and hold the Rescue Service, its principals, agents, officers, directors, members, employees, representatives, agents, volunteers, other foster parents, and assigns, past or present, (“the Releasees”) harmless for any loss I may suffer as a Volunteer. Should I, despite the provisions of this Waiver of Liability, bring legal action against any of the Releasees for any such loss, then I agree to pay the costs, including attorneys’ fees, incurred in defending any such action I may bring.

*Waiver Acceptance:

Yes

No


	Rocky Mountain Cocker Rescue Code of Ethics

As a volunteer for Rocky Mountain Cocker Rescue, I will agree to represent and promote their mission and policies in full.

As a volunteer for Rocky Mountain Cocker Rescue, I understand it is my responsibility to be educated about the Cocker Spaniels that this organization represents.

As a volunteer for Rocky Mountain Cocker Rescue, I will treat my fellow volunteers with respect and compassion.

As a volunteer for Rocky Mountain Cocker Rescue, I will have my personal pets up-to-date on all vaccinations (including Bordatella) and in good health prior to attending any public event or fostering for the organization.

As a volunteer for Rocky Mountain Cocker Rescue, I declare that any of my personal pets that I bring to public events are both human and dog friendly. I will take full personal responsibility for their behavior and actions.

As a volunteer for Rocky Mountain Cocker Rescue, I will not use choke chain, pinch collar or shock collars at any public event. The preferred alternative is a Gentle Leader, Easy Walk Harness or regular leash and collar or harness.


	Signature Certification

By clicking on the Submit button below, I hereby certify that the information I have provided herein is true, correct, and complete to the best of my knowledge, experience, and belief, and that I have not concealed or failed to disclose any pertinent information herein. In addition, I understand that Rocky Mountain Cocker Rescue (RMCR) processes and evaluates applications based upon the information provided herein, and that RMCR will rely specifically and solely upon the truthfulness and completeness of the information I provide in this Application in deciding whether to accept and approve my Application. In the event that any provision of this Application becomes the subject of litigation, I agree to pay RMCR’s legal fees, costs, and expenses incurred in its enforcement. If any provision of this Application is found to be unenforceable, all others shall remain legally binding.