Farley Foundation, Inc. Volunteer Application
Volunteer Application, Agreement & Release of Liability
Volunteers must be 16 years of age or older. Volunteers under the age of 18 must have the written consent/release of a parent/legal guardian. A parent/guardian must be present for orientation.
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Name
Email Address
Street Address
City
State
Zip Code
Phone (Day)
Phone (Evening)  
Phone Number  (Other)
Date of Birth
Medical Conditions in Case of Emergency
Emergency Contact Name, Phone Number & Relationship
Secondary Emergency Contact & Phone Number
Volunteer & Other Relevant Experience
Do you wish to volunteer for a specific number of hours?
If yes, how many hours weekly or less often?
What days and hours are you available for volunteer work and what types of work interest you?
Will this volunteer service fulfill a requirement of a school, club, or other group?
If yes, please name the school, group, or agency and deadline for completion (if any).
Please describe in detail any physical limitations you may have (all Volunteers working directly with animals must be able to handle and control dogs weighing up to 75 pounds as determined by the COO):
Have you ever been convicted of a crime other than a minor traffic violation?
If yes, please explain (all information supplied is kept confidential)
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