HEART Youth Volunteer Application

Applicant's Name:

Email Address (required)

Cell Phone

Parent(s)/Guardian Name:

Parent(s)/Guardian Phone:

Age:

I am generally available at the following times (check all that apply):
Wednesday from 1:45-4:451st Saturday from 1:45-4:452nd Saturday from 11:45-4:453rd Saturday from 11:45-4:454th Saturday from 11:45-4:45

I can get transportation to and from the following stores (check all that apply):
Vancouver Plaza PetSmartGresham PetSmart

How many events are you interested in working per month?

I am interested in helping with non-event tasks, such as planning, fund-raising, paperwork and simple projects:
YesNo

I want to volunteer with Second Chance Companions because:

I am most excited to help with:

I understand that my participation in Second Chance Companions (SCC) is on a volunteer basis and does not include coverage against any bodily harm or other incident, liability, injury or damage that may occur to me or my property. I release SCC, its agents, contractors, volunteers and assigns from any and all liability against same. I will secure authorization prior to incurring any expenses for which reimbursement will be requested. My agreement insures my willingness to comply with all SCC policies and procedures, and gives my permission for SCC to contact any of the above agencies or individuals for reference, and guarantees that all statements are true and correct to the best of my knowledge.

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