CHAART Volunteer Application Community of Hillsborough Animal and Agricultural Response Team Volunteer With CHAART
Name:
Email Address:
Address:
City, State, Zip Code:	,  Florida Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ,
Home Phone Number:
Alternate Phone Number:
Animal Handling Experience:	Dogs  Cats  Birds     Reptiles -  Types: Exotic Animals - Types:
What Previous Animal Related Experience Do You Have?
Does Any Of Your Experience Include Helping Animals During A Disaster?	Yes    No
What Would Your Availability Be During A Disaster?	Mornings    Afternoons    Evenings Weekdays  Weekends    Anytime
What Specific Pet Friendly Shelter Location Are You Interested In Volunteering At? Click Here for shelter location map	Bartels Middle School Burnett Middle School Shields Middle School Sickles High School
AS A VOLUNTEER WITH CHAART, YOU MUST AGREE TO THE FOLLOWING: To represent CHAART in a professional manner while volunteering. To follow the rules and procedures outlined during the volunteer training workshop taught by CHAART. To respect CHAART's right to terminate me as a volunteer, should it be determined that I am in conflict with the goals of CHAART to help animals during disasters. CHAART has the right to also terminate volunteers if it's determined to be a threat to their health and well being. To return to CHAART any property belonging to the organization upon request. Any property not returned will be billed to me for the full value. A person cannot volunteer again until all equipment is returned in good condition. To use equipment and facilities belonging, or being used by CHAART, in a manner not to damage or destroy them. Volunteers are responsible for replacing and/or repairing any property they intentionally damage or destroy. To not represent CHAART to the media without approval of the Director of CHAART. To not abuse or neglect any animals in the care of CHAART during a disaster. To not cause bodily harm to any other volunteers, CHAART 's staff members, or other individuals cooperating with the Pet Friendly Shelter relief efforts. Under no conditions will volunteer be allowed to bring guns, hunting type knives, or bows and arrows to a Pet Friendly Shelter . Alcohol and illegal drugs are not permitted to be used at anytime when you are volunteering with CHAART. If a volunteer violates either, they will be dismissed as a volunteer. Smoking is not permitted in any Pet Friendly Shelter that CHAART is working in, especially when handling animals. This is for the protection of the animals and other volunteers. There will be areas designated for smoking, if it is determined to be safe. Gas leaks can be a real threat following a disaster. Smoking is not permitted during rescue work either, especially when working in areas where there is a threat of gas or other fuel leaks. By submitting, I acknowledge having read the above mentioned conditions and I agree to abide by them while a volunteer with CHAART and that all information entered was done accurately & truthfully. I accept: