* 1. Date of completion:

* 2. Full Name:

* 3. Address:

* 4. Contact number(s) 

* 5. Email:

* 6. Which BARK programs are you interested in volunteering?

* 7. What is your availability to volunteer?

* 8. What interests you about BARK NZ?

* 9. How do you think you could contribute to BARK NZ?

* 10. Will you be joining us with a dog?

* 11. If you are volunteering with a dog please complete the following: Will you be using your own dog? 

* 12. Primary Dogs name:

* 13. Primary Dogs Date of Birth

* 14. Primary Dogs Breed (as registered with local council)

* 15. Primary Dogs Status (please complete as at application date):

* 16. Does your primary dog have any challenges with the following:

* 17. Secondary Dogs Name:

* 18. Secondary Dogs Date of Birth:

* 19. Secondary Dogs Breed (as registered with local council)

* 20. Secondary Dogs Status (please complete as at application date):

* 21. Does your secondary dog have any challenges with the following:

* 22. Is there any information we might need to know that could impact your ability to work with children?

* 23. Is there any information (medical or otherwise) that could impact your ability to fulfill any BARK duties?

* 24. Do you currently volunteer for any other organisations? If so, please list below.

* 25. Have you ever been asked to leave a position (paid or voluntary). If so, where and under what circumstance?

* 26. Please provide a personal character referee: (Please state name, phone and/or email and relationship)

* 27. Please provide a professional referee: (Please state name, phone and/or email and relationship)

* 28. Please provide details for an emergency contact person: (Please state name, phone and/or email and relationship)

* 29. As a BARK NZ volunteer I agree to:

• abide by and support the philosophy, policies, and guidelines of the organisation
• act in the best interests of the organisation
• maintain confidentiality
• abide by safety and risk management requirements
• carry out the tasks outlined in the Role Description
• attend on agreed times and days
• participate in orientation, meetings, and training as required
• maintain a record of my volunteer hours and ensure that information is given/posted the volunteer co-ordinator
• raise any matters of concern with the volunteer co-ordinator or organisation director
• use a warranted, registered and insured vehicle when driving for the organisation
• Notify the organisation of loss of license or driving related charges immediately

BARK NZ agrees to:

• provide information about the organisation
• provide orientation, support, training and supervision
• provide opportunities for input into the organisational plan and evaluation
• reimburse for pre-approved expenses only
• acknowledge and recognise the contribution of volunteers to the organisation

T