Form

Rocky Mountain Great Dane Rescue, Inc.

Volunteer Application

** THIS IS A VOLUNTEER APPLICATION ONLY **

Today's Date *

- Month - Day Year

Full Name *

First Name Last Name

Home Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail *

Home Phone *

- Area Code Phone Number

Mobile Phone *

- Area Code Phone Number

Age *

I work *

Full Time Job Part Time Job Other

I can realistically help _____ hours per week *

I have health insurance *

Yes No

If you have health insurance, please note insurance company

If you do not have health insurance coverage, please understand that all expenses from possible injury will be paid for by you personally and not by RMGDRI.

Have you ever been investigated by Animal Control? *

Yes No

Have you been convicted of any animal abuse law? *

Yes No

If yes, please explain.

Have you worked/volunteered with a humane society, shelter, or animal care? *

Yes No

Is your involvement with the organization(s) current?

Yes No

Have you volunteered with Rocky Mountain Great Dane Rescue in the past? (adoption, volunteer, foster, surrender, etc) *

Yes No

If yes, please list organization(s)

Do you feel competent to identify a Great Dane, its color and markings, whether it is a purebred or mixed breed Dane? *

Yes No

Have you been trained in evaluating a dogs personality and/or temperament? *

Yes No

Have you completed obedience course(s), competed in dog sport or been involved in any public dog activities? *

Yes No

If yes, please describe.

I also understand that behavior of domestic animals is at times unpredictable and that some domestic animals are capable of inflicting property damage, serious personal injury and even death. I am well aware of the risk of handling domestic animals, and with such understanding, I hereby waive, release and forever discharge RMGDRI and its employees/volunteers, agents or trainers from any and all claims (whether present or future) arising out of the participation in the Volunteer Program.

If I am accepted into the volunteer program, I agree to adhere to RMGDRI procedures and policies *

Yes No

Please rank the Volunteer Opportunities below

Transporting Danes

	1	2	3	4	5
Not Interested						Very Interested

Socializing/Training Dogs

	1	2	3	4	5
Not Interested						Very Interested

Homechecks

	1	2	3	4	5
Not Interested						Very Interested

Grant Writing

	1	2	3	4	5
Not Interested						Very Interested

Graphic Design

	1	2	3	4	5
Not Interested						Very Interested

Events - Planning, Setup, Advertising

	1	2	3	4	5
Not Interested						Very Interested

Fundraising - Special Events, Raising Funds

	1	2	3	4	5
Not Interested						Very Interested

Administrative - Phone calls, Emails, Screening Applications, Computer Work

	1	2	3	4	5
Not Interested						Very Interested

Social Media - Facebook, website, etc.

	1	2	3	4	5
Not Interested						Very Interested

Marketing - Newsletter, Publications

	1	2	3	4	5
Not Interested						Very Interested

What do you do for a living?

Do you have access to a color copier? *

Yes No

Do you have experience/education in a field other than your current profession?

Does your company have a charitable employee matching program? *

Yes No

Do you have any contacts with promotional product companies? *

Yes No

Do you know any business owners, artists, etc, who may be willing to donate something for our silent auction fundraisers? *

Yes No

Do you have experience with website design or trafficking? *

Yes No

Do you have any connections with the media (print, TV, Internet)? *

Yes No

Do you have any experience writing? Would you be interested in helping with our newsletter? *

Yes No

Do you have any connections with large venues that may be willing to host upcoming events? *

Yes No

Do you have any background in animal rights? *

Yes No

Do you have any dog training experience? *

Yes No

Great Dane Transportation Information

If you can transport a Great Dane, how far are you willing to travel?

0 - 10 miles 11 - 25 miles 26 - 50 miles Over 50 miles

What type of vehicle would you use to transport a Great Dane?

Car SUV Other

If you answered "Other" above please elaborate on the type of vehicle you own.

Are you willing to sign and abide by the Rocky Mountain Great Dane Rescue, Inc. Code of Ethics?

Yes No

Reference 1: Name *

Reference 1: Phone *

Reference 2: Name *

Reference 2: Phone *

Volunteers are an important part of RMGDRI and we welcome those who wish to participate in our programs. Steps to becoming a volunteer at RMGDRI:

1. You must have an application on file and have attended any RMGDRI sanctioned event.

2. Anyone that will be volunteering must willingly sign this form.

Today's Date *

- Month - Day Year

Full Name *

First Name Last Name

Date of Birth *

- Month - Day Year

I certify that as of today's date, I am over 18 years of age. *

Clear

I certify that as of today's date, I am over 18 years of age *

Yes No

If between 16-18 years old: I certify that my guardian* will be with me at all times while I am volunteering for RMGDRI.

Clear

If between 16-18 years old: I certify that my guardian* will be with me at all times while I am volunteering for RMGDRI

Yes No

Guardian's Name

First Name Last Name

Guardian's Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Guardian's Phone

- Area Code Phone Number

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Guardian's Email Address

Volunteer Code of Conduct

All Board Members, consultants and volunteers of Rocky Mountain Great Dane Rescue Inc. (RMGDRI) shall act with honesty, integrity and openness in all their dealings with each other and as representatives for the Rescue. All activities will be performed in a professional manner and according to the policies, procedures, and guidelines set forth by RMGDRI. All Rescue activities will be done on a voluntary basis without any personal compensation (gift or monetary).

Respect and Courtesy

All RMGDRI Volunteers are entitled to express their views and beliefs in a safe environment without feeling attacked. Volunteers may not infringe on the rights of any other person to express themselves in a safe environment.

This policy includes:

Any harmful, threatening, abusive, harassing, defamatory, vulgar, obscene, libelous, hateful, or otherwise objectionable posts.
Any posts which are invasive of another's privacy.
Name calling or otherwise attacking the person posting rather than the content of the post.

Disagreement is encouraged, but you should only comment on the argument or position taken, never against the person posting their opinion or belief.

Privacy

No RMGDRI Volunteer may use our site to collect personal information about other RMGDRI Volunteers, or to post such information for others to view. This includes telephone numbers, addresses, etc.

Disruptive Posts

If posts are abusive, do not adhere to our Respect and Courtesy Guidelines, or otherwise violate the RMGDRI Code of Conduct, they will be removed. Members who repeatedly are posting inappropriate posts will be blocked from making posts.

Problems and Abuse Reporting

Do not respond to abusive posts or otherwise engage in the furthering of inappropriate topics and posts. If you encounter a member that is abusing our system, report them directly using the 'Flag' tool so that appropriate action can be taken.

Baseless Allegations

Volunteer allegations made with reckless disregard for their truth or falsity will be dealt with accordingly.

Investigation

All relevant matters, including suspected but unproved matters, will be reviewed and analyzed, with documentation of the receipt, retention, investigation and treatment of the complaint. Appropriate corrective action will be taken, if necessary, and findings will be communicated back to the reporting person.

Please contact Tracy Corwin (tlcorwin@rmgreatdane.org) with any misconduct issues.

Volunteer Agreement

I, in consideration for being permitted to be a volunteer of Rocky Mountain Great Dane Rescue, Inc. (RMGDRI) and the benefits attendant thereto, do hereby state that I am over eighteen (18) years of age (or my parent or legal guardian is consenting to my volunteering as evidenced below), and I understand and agree as follows:

I understand there are different techniques and philosophies regarding the care and training of Great Danes. I understand that RMGDRI has set guidelines and procedures. RMGDRI encourages discussion of guidelines and procedures and invites all volunteers to discuss concerns with its Board Members. In the event that I should disagree with any RMGDRI guidelines, procedures, techniques, I agree to comply with said procedure and/or guideline providing that my personal safety is not compromised. Further, I agree that until I discuss the matter with the President or his/her designees, I will refrain from criticisms or objections (orally or in writing) to any director, officer, volunteer, member, agent, affiliate, or third party persons or entities (Agents) until such time as the matter has been discussed with the President and a resolution reached.

Subject to Paragraph 1, I agree to follow any and all RMGDRI guidelines, procedures, and techniques without deviation.

I understand that RMGDRI program Danes are adopted through the application process and that the adoption/placement process is established by the President. Further, that when two or more parties are interested in adopting an Dane, the decision is the President’s to make and said decision will be made in the best interests of the Dane and RMGDRI.

I agree not to interfere with an adoption or with the removal of a Dane from a foster or adoptive home.

If I learn of information that could potentially impact the care, health, safety or location of a Dane within RMGDRI program, whether while in foster care or after adoption, I agree to immediately and discreetly share that information with the President so that the information may considered by RMGDRI.

I understand that as a volunteer my first duty is to RMGDRI and the furtherance of its procedures, guidelines and efforts to care for and protect the welfare of the Danes coming into or in its program. If I ever feel I cannot place that obligation first in my words and actions relative to a situation, Dane, or person, I will voluntarily resign to avoid any conflict of interest or appearance of impropriety. I understand that my inability to follow such duty constitutes a conflict of interest.

I understand that I may not unilaterally accept a Dane on behalf of RMGDRI without prior express approval from the President. RMGDRI will not take responsibility, financial, custodial or otherwise for Danes accepted in violation of this provision.

I understand that the President has the authority to make decisions on behalf of RMGDRI regarding fundraising opportunities, the presentment of educational programs, to sign contracts on behalf of RMGDRI, or to speak with the media on behalf of RMGDRI. Volunteers presented with opportunities in these areas are encouraged to contact the President.

I understand that I am to follow the RMGDRI Code of Conduct attached to this Agreement and any infraction of this Code; this Agreement, or for any conduct contrary to the best interests of RMGDRI will be dealt with accordingly. In the event that I resign or am dismissed as a volunteer, I agree to fully cooperate and promptly make arrangements to return any and all Danes, cages/caging, equipment, supplies, etc. that are property of RMGDRI. I understand that a failure to do so may result in me being charged for the property’s replacement cost.

I acknowledge and agree that my activities as a volunteer will be performed strictly in an unpaid basis, without monetary compensation or other benefits, including, but not limited to workers’ compensation benefits.

I am aware of the nature of the activities to be performed by me as a volunteer and recognize that in handling Danes and performing other volunteer tasks, a risk of harm, injury, illness or disease exists, including physical harm, illness or disease caused by Danes. I agree that all volunteer activities are to be performed by me at my risk and I assume full responsibility therefore.

I consent and authorize RMGDRI to use any photographs, video, or likenesses of me for, but not limited to public relations, marketing, and for profit activities, products, or events.

I hereby certify that the information I have provided throughout this application is truthful and complete and that I have never been convicted of any criminal misdemeanor or felony in the States of Colorado, or any other U.S. State or the U.S. Military or under the jurisdiction of any Foreign Nation, State, Province, Municipality, or Military.

On behalf of myself, my heirs and personal representatives, I agree not to hold or attempt to hold RMGDRI, its Agents or employees responsible for any injury or damage sustained or incurred by me arising out of or in any way connected with my activities as a volunteer for RMGDRI and thereby release and discharge RMGDRI and its Agents or employees from any and all claims, demands, causes of action of any nature or cause, for any such injury or damage incurred or suffered by me.

Photography Release: I agree to allow pictures of myself to be used, without compensation, for the purpose of the promotion and publicity related to RMGDRI.

I accept the Code of Conduct, Volunteer Agreement and Photography Release. Consider acceptance as my signature *

Yes No

Signature *

Clear

Date

- Month - Day Year

Guardian's Signature

Clear

About Yourself

Great Dane Transportation Information

References

Volunteer Liability Release Form