VolunteerTO BE ELIGIBLE TO VOLUNTEER YOU MUST FIRST FILL OUT THE VOLUNTEER APPLICATION AND SIGN THE CONFIDENTIALITY FORM BELOW. YOU WILL THEN BE CONTACTED WITH FURTHER INSTRUCTIONS. THANKS FOR WANTING TO HELP ANIMALS. Volunteer ApplicationPlease enable JavaScript in your browser to complete this form. - Step 1 of 3Full Name *Email *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Date of Birth *Occupation & Employer(s):Secondary Language(s):Emergency Contact Name & Relationship: *Please list two references not related to you.1 Name, Relationship & Phone Number: *2 Name, Relationship & Phone Number: *NextDetailsHave you ever been convicted of a crime? *YesNoIf Yes, please explain How did you hear about Colorado Voters for Animals? * Why are you interested in volunteering with Colorado Voters for Animals?Please describe any volunteer experience you have, including working with or on behalf of animals:Please list some animal welfare issues that particularly concern you: Please select the types of volunteer activities you would like to perform: *FundraisingPetition signature coordinatorResearching issuesEvent PlanningMembership Booths and OutreachData entryTalking with LegislatorsVideo or PhotographySocial Media DevelopmentOther Volunteer Activities not listed above?About how many hours a week would you be available to volunteer?Please check our availability to volunteer: *Monday AMMonday PMTuesday AMTuesday PMWednesday AMWednesday AMThursday AMThursday PMFriday AMFriday AMSaturday AMSaturday PMSunday AMSunday PMNext By signing below, you attest that the information provided on this application is true to the best of your knowledge. You acknowledge that any false statements or failure to provide a response to applicable questions may constitute grounds for rejecting your application or revoking your status as a volunteer. You also acknowledge that you are a volunteer and not an employee of Colorado Voters for Animals (CVA), and this application is not to be construed as an application for employment. You hereby give your consent to Colorado Voters for Animals to verify the information provided on this volunteer application. *Clear SignatureSignature I am the parent or legal guardian of the applicant, who is under age 18. I am freely signing this agreement and understand by signing I am giving up legal rights and remedies that I or the volunteer on whose behalf I am signing may have against CVA and its directors, officers, volunteers and agents. (copy)Clear SignatureSignatureVolunteer Agreement and Waiver of LiabilityIn consideration of this opportunity to volunteer, I agree to the following terms and conditions, intending to be legally bound by them: I will abide by the mission, rules, regulations, policies and programs of Colorado Voters for Animals, (hereinafter referred to as CVA) while I am a volunteer. I fully understand the nature of the volunteer activities that I will be performing on behalf of CVA and hereby confirm that I am qualified, in good health, and in proper physical condition to participate in such activities. I further agree and promise that if at any time I believe conditions associated with such activities are unsafe, I will immediately discontinue further participation in such activities and will advise CVA of the perceived unsafe conditions. I assume all risks in connection with my volunteer work for CVA. I acknowledge and agree that CVA, its directrs and officers, its volunteers or any of its representatives, are not liable to me for any injuries, damages, liabilities, losses, judgments, costs or expenses which I might suffer or sustain in connection to the performances of my volunteer activities for CVA. On behalf of myself, my heirs, person representatives and assigns, I hereby release, discharge, indemnify and hold harmless CVA and its directors, officers, employees, volunteers and agents from any claims, causes of action and demands of any nature, whether known or unknown, arising out of or in connection with my volunteer work for CVA. I will indemnify, defend and hold CVA harmless from and against any claims, lawsuits, injuries, damages, losses, costs or expenses sustained by any animal or any person in connection with my participation in CVA activities, including but not limited to my intentional misconduct or grossly negligent performance of volunteer activities for CVA, or my breach of CVA rules, regulations, policies and programs. If I suspend volunteer activities, or upon request, I will promptly return all CVA supplies, equipment, records, moneys and other items in good, clean serviceable condition. I acknowledge and agree that CVA shall have the right to terminate my involvement with CVA at any time with or without prior notice. Any modification to this Agreement must be in writing and signed by both parties. The Agreement is binding upon CVA, CVA representatives, me and my respective heirs, successors, assigns, executors and personal representatives. Photography Release: I grant and convey to CVA all right, title and interest in any and all photographic images in which I appear including video or audio recordings, made by CVA or others on CVA’s behalf during my volunteering or work for CVA, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings. I expressly agree that this Waiver is intended to be as broad and inclusive as permitted by the laws of the State of Colorado, and that this Waiver shall be governed by and interpreted in accordance with the laws of the State of Colorado. I agree that in the event that any clause or provision of this Waiver shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable. I agree to all the terms stated above. I will abide by them and not dispute or take issue with them in any way. *Clear SignatureSignature I am the parent or legal guardian of the applicant, who is under age 18. I am freely signing this agreement and understand by signing I am giving up legal rights and remedies that I or the volunteer on whose behalf I am signing may have against CVA and its directors, officers, volunteers and agents.Clear SignatureSignatureConfidentiality I acknowledge and confirm that as a volunteer I may acquire information on the organization, its board and volunteers, and about certain matters that are of a confidential nature and that such information is the exclusive property of the organization and will remain in the strictest confidence. I affirm that the information referred to above could be used to the detriment of the organization and the volunteer activities and thereby undertake to treat as confidential all information, contracts or resources. I agree not to disclose the same to any third party either during the term I am volunteering for the organization or at any time thereafter unless required by law to do so. I agree that any knowledge of sensitive issues gained as a result of my position will remain in strictest confidence. I agree to exercise due care to ensure that any information I may give to others in the course of my duties as a volunteer or otherwise is information that is required to be given and is given to a party entitled to receive such information. I agree I will not discuss the details of my volunteer work with any representatives of the media or publicize any of the confidential aspects of my work orally or by written work or any other medium of communication. I confirm that I have read the above statements and agree with them, and I will therefore adhere to all confidential requirements contained in this agreement or as may be otherwise directed to me in writing by my supervisor as a volunteer. Please note that you cannot sign on behalf of a minor online. If you wish to sign for a minor please contact Lori at lori@covotersforanimals.org, or Roland at roland@covotersforanimals.org. *Clear SignatureCommentSubmit