volunteer application

RPSM is dedicated to finding the best homes for our once homeless pets. To make sure we meet this goal, we carefully examine all applications. We will check all personal references, veterinarians, landlords. If you are serious about helping a pet from our organization please complete this application in full. (Required fields indicated with *)

All information on this application will be kept confidential.

Application Error: We are currently experiencing an issue with applications. If you would like to receive an application in Word format to complete and email back to us, Please kindly send an email to bod@rpsm.org to receive your blank application. We apologize for the inconvenience.

"*" indicates required fields

1PERSONAL INFO

2VOLUNTEER EXPERIENCE

X/Twitter

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Personal Information

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Home*

Cell

Email*

Emergency contact

Name*

First Last

Phone*

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Are you volunteering or have you ever volunteered for any organization working for the benefit of animals?

YES

How did you hear about RPSM?

Please check the types of Virtual volunteer work you would be willing to do.*

Online Fundraising

Clerical

Social Media

Please check the types of In-Person volunteer work you would be willing to do.*

Fostering

Events

Public Relations

Fundraising

Clerical

Social Media

Do you advocate spay/neutering of your own personal pets, unless there is a legitimate reason for delaying this surgery such as medical reasons campaigning in conformation, or other reasons?

YES

Consent*

I agree*

As a member of RPSM, I pledge the following: 1. To abide by the by-laws and operating procedures of RPSM. 2. To conduct any activities related to RPSM in a volunteer capacity, receiving no compensation or substantial personal gift for it. 3. To educate potential adopters, the general public and current pet owners about issues regarding spay and neuter, I.D., temperament, health, training, care, etc. 4. To complete any RPSM volunteer activities as promptly as possible and to promptly notify RPSM leadership if unable to complete a volunteer activity. 5. To conduct myself in a courteous manner in all facets of RPSM work such that my behavior brings credit to the image of RPSM and animal rescue in general. 6. To support the spay/neuter policies of RPSM and attempt to educate the public as to the importance of spaying and neutering. I have read and fully understand the above Code of Ethics and the Bylaws of Refurbished Pets of Southern Michigan. I understand that a breach of these may result in my removal as a volunteer in good standing.

Name*

By signing below, I agree to the following 1) I am a volunteer for RPSM and there is no employer/employee relationship between me and RPSM. 2) I fully understand and agree to assume all risks involved in any and all duties that I perform for RPSM in my volunteer capacity; I agree to hold RPSM and its officers, directors, volunteers, agents harmless for any injury(s), which I might sustain during the course of my volunteer duties. I agree that this waiver includes myself and all of my family members and waives my right to seek any legal action of any kind against RPSM or its representatives. 3) I agree to hereby release any property, copyright, or other intellectual property rights in any materials, and I further agree to relinquish to RPSM all documents or other materials of any kind upon request of RPSM or at the time I am no longer volunteering with RPSM.

First Last

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EMAIL US

CALL US

rpsmrescue@rpsm.org

855-795-7776

Refurbished Pets of Southern Michigan
P. O. Box 83
Coldwater, MI 49036