WELCOME TO BARTRAM TRAIL VETERINARY HOSPITAL: AS A VOLUNTEER, YOU WILL BE REPRESENTING US TO OUR CLIENTS AND WILL BE REQUIRED TO DRESS AND ACT IN A PROFBSSIONAL MANNER. WE WANT TO THANK YOU FOR THE TIME YOU PLAN TO SPEND WITH US. YOUR HELP WILL BE GREATLY APPRECIATED. DRESS CODE: WHILE VOLUNTEERING AT THE HOSPITAL, YOU WILL NEED TO DRESS CASUAL, BUT IN NICE ATTIRE. SCRUB SHIRTS ARE AVAILABLE; HOWEVER, COLLARED SHIRTS AND KHAKI PANTS MAY ALSO BE WORN. JEANS AND / OR T- SHIRTS ARE UNACCEPTABLE. INTRODUCTION: ON YOUR FIRST VISIT TO THE HOSPITAL, YOU WILL BE GIVEN A TOUR OF ALL AREAS. YOU WILL BE INTRODUCED TO ALL THE DOCTORS, TECHNICIANS, ASSISTANTS, AND RECEPTIONISTS. AFTER YOU ARE AQUAINTED, YOU WILL BE GIVEN A FEW DUTIES TO HELP KEEP THE HOSPITAL CELAN AND IN RUNNING ORDER. FOR YOUR SAFETY, YOU WILL NOT BE ABLE TO PERFORM THE FOLLOWING TASKS: RESTRAIN ANIMALS DO ANY TYPE OF LAB PROCEDURES BE IN THE RECEPTION AREA KEEP IN MIND: DISCUSSION ABOUT CLIENTS AND PATIENTS IS RESTRICTED OUTSIDE THE HOSPITAL TO PROTECT THEIR PRIVACY. WE ALSO ASK THAT YOU REFRAIN FROM OFFERING ANY TYPE OF ADVICE OR OPINIONS TO ANY OF THE CLIENTS. IF THE CLIENT HAS A QUESTION IT SHOULD BE DIRECTED TO A DOCTOR OR A STAFF MEMBER. SCHEDULING: PLEASE SCHEDULE YOUR VOLUNTEER DAYS WITH DR. DAVIS IT WOULD BE APPRECIATED IF YOU CALL TO NOTIFY US OF ANY CANCELLATIONS. PLEASE FEEL FREE TO ASK QUESTIONS AND AGAIN WE THANK YOU FOR YOUR HELP AND INTEREST.Volunteer ApplicationName First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhonePhoneSchool Age Grade How many pets does your family have?CatsDogsOtherDo you plan on entering the field of Veterinary Medicine? Yes No Schedule Availability for volunteeringDays able to volunteer:Times Add RemoveReleaseI hereby give my permission for my son/daughter to work as a volunteer with bartram Trail Veterinary Hospital. I understand that I will be responsible for their transportation. I also release Bartram Trail Veterinary Hospital from any responsibility as to the safety of my child.Parent/Legal Guardian SignatureDoctor/Manager SignatureDate MM slash DD slash YYYY Date MM slash DD slash YYYY Parental Consent Form* lf you are 18 or over, you do NOT need a parental consent form.I, the parent or guardian (undersigned name below) give my consent to his/her participation at Bartram Trail Veterinary Hospital from (Start Date written below) to (End Date written below) as a volunteer. I hereby release Bartram Trailveterinary Hospital and its officers, employees and agents from any and all liability resulting from events beyond control. In the event of an accident, injury, or illness, the name stated below and its agents do not assume any responslbility or obligation to provide financial assistance or other assistance, including but not limited to, medical, health, or disability insurance, in the event of an accident, injury, illness, death or property damage. In the event of an accident, injury, or illness, the name stated below and its agents will make every effort to contact parents/guardians immediately if necessary. Furthermore, I release Bartram Trail Veterinary Hospital and its officers, employees and agents and volunteers for any loss, personal injury, accident, misfortune, or damage to the name stated below or his/her property, with the understanding that reasonable precautions shall be taken to ensure the health and safety of the above name.Volunteer's Name Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Signature of Parent/GuardianPrinted Name of Parent/Guardian PhoneDate MM slash DD slash YYYY Participation WaiverIn consideration for participating in (the event stated below) during the dates (start date mentioned below) to (end date mentioned below), I assume responsibility for all my actions while at Bartram Trail Veterinary Hospital's facilities, traveling to and from the facility, or engaged in an activity under the supervision of my adult team leader, and/or Bartram Trail Veterinary Hospital staff. Furthermore I, (name stated below), hereby release Bartram Trail Veterinary Hospital and their officers, employees and agents for any loss, personal injury, accident, misfortune or damage to myself or my property, with the understanding that reasonable precautions shall be taken to ensure the health and safety of myself and my property.Event Name Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Signature of ParticipantSignature of WitnessPrinted Name of Participant Printed Name of Witness Date MM slash DD slash YYYY Date MM slash DD slash YYYY NameThis field is for validation purposes and should be left unchanged.
