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Help Us

Core Volounteers
Project Volunteers
Community Service
Schedule a Program
Sponsor an Animal
Donate Stuff
Donate Money
Land Fund
Buy Gifts at the Online Store
Fundraisers for You and Us
Advertise With Us

VOLUNTEER APPPLICATION

We appreciated your interest in helping us care for injured and orphaned wildlife. Since Vanishing Species receives no Federal or State funding, we must rely upon public donations and volunteers to support our work. Thank you for caring about wildlife!

Please complete this application, bring a copy of your driver's license or photo ID and remember you will be asked to sign the application and the waiver at the bottom of this page when you arrive at the facility..

You may alternatively download this form and fax it to us.

Please Note: If volunteer is under age 18, the printed application must be signed by a parent and notarized.

Contact Information

First Name
Last Name
Street Address
City, State, Zip Code
Home Telephone
Work Telephone
Email
May we contact you there?	YES NO
Social Security Number
Driver's License #
Date of Birth

Background

Occupation
Briefly explain your experience in working with wild animals.
Do you have related knowledge, experiences, or studies?
Do you have any special interests or talents?
Why do you wish to be a volunteer at Vanishing Species?
Does your workplace have an employee newsletter?	YES NO
Does your workplace have a matching gift program for non-profit organizations?	YES NO

PREFERRED TASKS

Please check which tasks you prefer. Training for volunteers will be provided as needed.

Building and Maintenance
Electrical
Painting
Plumbing
Construction
Yard work
Auto Repair
Building Repair
Carpentry

Fundraising
Special Events
Canister Program
Selling Raffles
Soliciting donations of services/items
Fundraising Committee

Clerical Work
Data Entry
Computer Service
Mass Mailings
Telephones

Publications
Graphic design
Printing
Sign making & design
Writing
Photography
Illustration
Calligraphy
Picture Framing
Production

Education
School presentations
Adult community presentations

Availability

Which days and times are you available?
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Mornings
Afternoons
Evenings

Volunteer Commitment
Project by project
One day per week
Twice per month
Once per month
Schedule varies greatly
Any time you need me

Background Check

In order to protect our wildlife a background check will be run on each volunteer.
Do you have any objections to such inquiry? YES NO

Medical Survey

It is not the intent of Vanishing Species to invade your privacy. However, as a volunteer within our organization, we must be aware of any medical history that may impact upon your services. In answering the following questions you will not necessarily be rejected as a volunteer. We simply wish to ensure your safety, as well as the safety of the wildlife we protect.

Do you or have you ever had any of the following:

SKIN
Itching
Rash/Hives
Ulcers

DIGESTIVE
Hepatitis
Jaundice
Liver Disease
Ulcers

PSYCHIATRIC
Nervousness
Irritability
Depression
Nervous Breakdown

HEART
Rheumatic Fever
Heart Murmur
Chest Pain
Heart Attack
High/Low Blood pressure
Congenital Heart
Heart Surgery
Pacemaker

ENDOCRINE
Diabetes
Thyroid/Goiter
Hypoglycemia

BLOOD/IMMUNE SYSTEM

Easy Bruising or Bleeding

EYES/EARS/NOSE/THROAT

Visual Change
Glaucoma
Hearing Loss
Ringing in Ears
Frequent Sore Throats
Frequent Ear Infection
Frequent Nose Bleeds
Sinus Problems
Allergies

BONE/MUSCLES
Fracture
Joint Disease
Artificial Joint
Muscle Pain or Weakness

NERVOUS SYSTEM
Headaches/Migraine
Dizziness/Fainting
Epilepsy/Seizure or Convulsion
Paralysis

RESPIRATORY
Tuberculosis
Emphysema
Bronchitis
Chronic Resp. Infection
Asthma/Wheezing
Persistent Cough

OTHER DISORDERS
Circulatory Disorders
Anemia
Radiation / Chemotherapy
Back Problems
Spleen Disorders
Cancer
Stroke
Chemical Dependency

Do you have any drug allergies or have you ever had an adverse reaction to any medications? YES NO
If so, what?

Are you taking any medications at this time? YES NO
If so, what?

(WOMEN) Do you suspect that you are pregnant? YES NO

Is there any other information about your medical history that we should know?

Liability Waiver

The following is our liability waiver which you will be asked to sign at orientation or your first day of volunteering

VANISHING SPECIES WAIVER AND RELEASE OF LIABILITY

WHEREAS, VANISHING SPECIES, INC. is a Florida non-profit, registration No. CH26825 engaged in the benevolent enterprise of aiding sick, abused, neglected, and ailing wildlife of all genuses and species; and
WHEREAS, VANISHING SPECIES, INC. is dependent upon the monetary contributions of its benefactors and the contributions of time given by its dedicated and concerned volunteers; and
WHEREAS, the undersigned volunteer recognizes the inherent danger in working with ailing wildlife, and recognizes that the undersigned may be endangered by said wildlife which may injure and transmit disease and other microbiological dangers; and
WHEREAS, the undersigned volunteer assumes the risks of working with ailing wildlife and all the inherent dangers associated therewith.

NOW, THEREFORE, in consideration of these premises and of the privilege and opportunity of being permitted to volunteer and lend assistance to Vanishing Species, Inc. to further its charitable and benevolent cause and purpose, the undersigned does hereby agree as follows:

The above representations are true and correct and made a part hereof.
The undersigned volunteer has been apprised of and understands the dangers inherent in handling the wildlife handled by Vanishing Species, Inc., and voluntarily enters into this waiver and release of liability in the interest of promoting the best interest of Vanishing Species, Inc/
The undersigned volunteer hereby holds Vanishing Species, Inc. and/or its representatives harmless for any and all damages that the undersigned has incurred or may incur in the future as a result of performing services for Vanishing Species, Inc. and waives any and all causes of action, claims for damages, and any and all other rights of the undersigned volunteer arising from or which may result for the voluntary activities associated with performing volunteer services for Vanishing Species, Inc.
The undersigned volunteer hereby agrees not to file a legal action against Vanishing Species, Inc. and/or its representatives for any damages that the undersigned has incurred or may incur in the future as a result of performing or otherwise in connection with the voluntary services of the undersigned for Vanishing Species, Inc.