Form Center

2. 
4. **Please note: To volunteer onsite, you must be 16 years or older. We do have other volunteer opportunities for those younger than 16**

6. Thank you for your interest in volunteering for the Norfolk Animal Care & Adoption Center (NACC). We are always looking for motivated animal lovers to join our team. While previous experience working with animals is wonderful, it is not required. We have a training program to help you learn and grow with us. Please set aside about 40 minutes to watch the Virtual Volunteer Orientation in the link below, then fill out the on-boarding paperwork. Once you have completed the video and paperwork prompts it will be sent to our Volunteer & Outreach Coordinator where they will create, then email you, your personalized Better Impact log in where you will sign up for training shifts. If you have any other questions, please feel free to email volunteerNACC@Norfolk.gov We hope you will choose to become a part of our team!

   
   

8. On-Boarding Paperwork
10. Electronic Signature*

    I certify that I have watched the NACC Volunteer Orientation Video in its entirety and will fully abide by, and be legally bound, by all requirements listed therein. 

    
    

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date. 

    1. I Agree
12. Is your interest in volunteer for NACC in order to gain pre-court date community service hours or Court ordered community service hours?*

    1. Yes
    2. No
14. I acknowledge that my application does not guarantee placement into the volunteer program and that falsifying any information on this form will immediately disqualify me from volunteering at NACC.*
18. Legal First Name*
19. Legal Last Name*
21. Preferred Name: *
22. Date of Birth:*
    Date of Birth:
24. Home Address:*
26. Apt #
28. City
29. State
30. Zip
32. City*
33. State*
34. Zip*
36. Primary Phone Number:*
37. Secondary Phone Number:
39. Email*
41. Emergency Contact Legal Name (First and Last):*
42. Relationship to Applicant:*
44. Emergency Contact Phone Number:*
45. Emergency Contact Secondary Phone Number:
49. Parent/Legal Guardian Name (if under 18 years old):
51. Parent/Legal Guardian Home Address:
53. City
54. State
55. Zip
57. Parent/Guardian Phone Number:
58. Parent/Guardian Secondary Phone Number:
62. VOLUNTEER CONTRACT

    Welcome to the Norfolk Animal Care and Adoption Center.  The concern and love for animals that led to your generous offer to share your time and talents is greatly appreciated. 

    We will honor your volunteer commitment by providing you with the appropriate orientation and training, on-the-job supervision, and support in your work to provide you with a rewarding experience while the Center benefits from your donation. 

    While working as a volunteer for Norfolk Animal Care and Adoption Center, you will be expected to perform your duties as assigned and directed by your supervisor.   You are also expected to be supportive of the Center’s policies and procedures. 

    If an accident or injury occurs while you are fulfilling your volunteer responsibilities, you should notify your supervisor immediately.  You hereby authorize Norfolk Animal Care and Adoption Center to seek medical treatment on your behalf. 

    In the event of an injury, volunteers are NOT eligible for Worker’s Compensation benefits accorded city employees.

    Please note that as a volunteer, you are not an employee of the Norfolk Animal Care and Adoption Center and as such, you do not qualify for benefits under any City of Norfolk group plans such as: Group Medical, Life, Accident, or Disability Insurance. 

    As part of your volunteer commitment, we ask that you volunteer for a minimum of once a week to the Center.  If you are unable to fulfill your volunteer responsibilities, please call the Center at 757-441-5505. 

    The Norfolk Animal Care and Adoption Center reserves the right to change or terminate this contract at any time without notice. 

    I hereby release Norfolk Animal Care and Adoption Center its agents, employees, Directors and Officers from all losses, damages and claims of any kind arising out of my own negligence or misconduct. 

    I have read and understand this contract, and do hereby agree to its terms.  I am devoting my time to the Norfolk Animal Care and Adoption Center on a purely voluntary basis and primarily for my own benefit. 

    I have never been convicted of animal cruelty, neglect, or abandonment.

64. Volunteer's Electronic Signature*
66. Parent/Legal Guardian Signature (if Volunteer is under 18 years old)
70. VOLUNTEER CODE OF ETHICS

    Volunteers play a necessary and essential role in our organization and in our daily operations. By volunteering your time and talents, you make a positive contribution and difference in the lives of the animals at the shelter.  

    Being a Norfolk Animal Care & Adoption Center Volunteer also means that you are a representative for the City of Norfolk.   Your conduct and interaction with staff, other volunteers and the public should always be professional and courteous. Your commitment to shelter animals and staff should reflect integrity, honesty, and compassion.   

    These expectations are further clarified below: 

    As a Norfolk Animal Care and Adoption Center volunteer, I pledge to: 

    • Offer courtesy and respect to all people.
    • Hold myself responsible for my personal safety, the safety of the public, and the safety of shelter animals.
    • Report all injuries immediately.
    • Respect and follow shelter operational rules and guidelines.
    • Ask for assistance in the event of uncertainty.
    • Acknowledge and adhere to my physical and emotional limits.
    • Honor my service commitment to the Volunteer Program.
    • Communicate openly and honestly.
    • Promote a positive service environment through my attitude and behavior. 

    Should a volunteer display unprofessional, dishonest, disrespectful behavior, or exhibit a lack of self discipline, the volunteer will be asked to leave the premises. Such behavior could be grounds for termination of volunteer status.

72. Electronic Signature*
74. Parent/Legal Guardian Signature (if Volunteer is under 18 years old)
78. VOLUNTEER AGREEMENT

    I hereby agree to accept a position in a voluntary capacity as a member of the City of Norfolk Animal Care and Adoption Center’s (NACC) Volunteer Program. I understand that the term voluntary describes the way in which my actions or services are rendered to NACC, and that such actions and services are rendered through generous and charitable motives. No liability whatsoever will be incurred upon NACC by anyone who performs voluntary services.

80. I fully understand and agree that my services are provided strictly in a voluntary capacity and that I will receive no compensation, salary, employee benefits or payment of any kind for the services I render.*
82. I fully understand and agree the NACC makes no representations or guarantees regarding any animal’s health, behavior, or otherwise. Furthermore, I agree to hold NACC harmless from any injury(s) sustained from handling animals during my volunteer duties.*
84. I fully understand and agree to assume all risks involved in all duties performed as a volunteer for NACC. Furthermore, I agree to hold NACC harmless from any injury(s) sustained from performing these duties.*
86. I fully understand and agree to familiarize myself with NACC policies and procedures and will fully comply with both the letter and spirit of these policies and procedures.*
88. I fully understand and agree that my conduct towards all NACC animals will be compassionate and humane.*
90. I fully understand and agree that I will not represent the NACC outside my designated volunteer position and/or assigned task(s). This representation restriction includes verbal, written, and electronic communications.*
92. I fully understand and agree that failure to comply with any of the obligations outlined in this Volunteer Agreement may result in my termination from the Volunteer Program.*
94. Electronic Signature*
96. Parent/Legal Guardian Signature
100. VOLUNTEER DISCIPLINARY PROCESS

     Norfolk Animal Care & Adoption Center volunteers are subject to a formal disciplinary process, dependent upon the offense(s) and management’s discretion. The process for disciplinary action is as follows:  

     First Offense: Your first offense is considered a warning and will be documented with the volunteer coordinator. Depending on the offense, you may be required to attend a training session to further your knowledge in the area you were working. Our volunteer coordinator will document the offense. 

     Second Offense: If it is determined by the volunteer coordinator on your second offense that the safety of an animal or person (including yourself) was at risk, you may be permanently dismissed as a Norfolk Animal Care & Adoption Center volunteer. However, if no one’s safety was at risk, you will be required to attend a mandatory training session in the area you were working. Our volunteer coordinator will document the offense and you will receive a final warning via email. 

     Third Offense: Your third offense will result in an automatic and permanent dismissal as a Norfolk Animal Care & Adoption Center volunteer. You may be required to meet with our volunteer coordinator for an exit interview. You have the right to request a copy of all documentation regarding your offense(s) during your exit interview and it will be provided to you.  

     Grounds for Immediate Dismissal: Any action by a volunteer that intentionally puts the safety of our animals, volunteers, staff, or customers at risk is considered grounds for immediate and permanent dismissal. Intentionally compromised safety will not be tolerated and will not be held to the 3-step disciplinary process as stated above. 

     The decision for immediate dismissal will be made by the volunteer coordinator and/or the management team.  You may be required to meet with our volunteer coordinator for an exit interview. You have the right to request a copy of all documentation regarding your offense(s) during your exit interview and it will be provided to you.  

     Reasons for involuntary dismissal include, but are not limited to:  

     • Defamatory or slanderous comments about NACC (including, but not limited to: e-mails, social media, and verbally) 
     • Any abuse or harm of animals and/or humans
     • Harassment of any kind 
     • Reporting for duty under the influence of alcohol or other substances 
     • Utilizing the Norfolk Animal Care & Adoption Center’s property for any illegal purposes 
     • Theft in any form 
     • No Call/No Show for scheduled shift three times 
     • Non-compliance with rules and regulations of the Norfolk Animal Care & Adoption Center 
     • Walking dogs that are not of your approved color level.
102. Electronic Signature*
104. Parent/Legal Guardian Signature
108. MINOR VOLUNTEER CONSENT

     Volunteers that are under 18 years old must have a completed ‘Minor volunteer consent form’ from their parent or legal guardian prior to their first day of volunteering. Without it, the minor will not be able to volunteer. A parent/ legal guardian must volunteer alongside and not leave the minor unattended at any time. 

     A parent or legal guardian of each minor must read and agree to the following:

     By signing this form, I, the parent or legal guardian of the minor named below, consent to the child’s participation in the volunteer program of the Norfolk Animal Care & Adoption Center (aka NACC). I understand that the child will be provided with orientation and training necessary for the safe and responsible performance of their volunteer duties. I understand that they will be expected to meet all requirements of the position along with abiding by NACC’s policies and procedures.  I understand that the term voluntary describes the way in which the minor’s actions or services are rendered to NACC, and that such actions and services are rendered through generous and charitable motives. No liability whatsoever will be held by NACC for anyone who performs voluntary services. 

110. Parent/legal guardian please Initial:
112. I fully understand and agree that the minor’s services are provided strictly on a voluntary basis and that the minor will receive no compensation, salary, employee benefits or payment of any kind for the services they render.
114. I fully understand and agree that NACC makes no representations or guarantees regarding any animal’s health or behavior. Furthermore, I agree to hold NACC harmless from any injury(s) sustained by an animal during the course of their volunteer duties.
116. I fully understand and agree to assume all risks involved in any and all duties the minor performs as a volunteer for NACC. Furthermore, I agree to hold NACC harmless from any injury(s) sustained from performing these duties.
118. I fully understand and agree to familiarize myself and the minor with NACC’s policies and procedures as outlined in the volunteer contract, volunteer code of ethics, and the volunteer handbook. I agree to fully comply with these policies and procedures.
120. I fully understand and agree that the minor’s conduct towards any and all NACC animals will be compassionate and humane.
122. I fully understand and agree that the minor or myself will not represent NACC outside of their designated volunteer position and/or assigned task(s). This representation restriction includes verbal, written, and electronic communications.
124. I fully understand and agree that failure to comply with any of the obligations outlined in this minor volunteer consent form may result in the termination of the minor volunteer and/or parent/ legal guardian volunteer from NACC’s Volunteer Program.
126. I _________________________________________ as the Parent/Legal guardian give permission for the above mentioned Volunteer to volunteer at the Norfolk Animal Care & Adoption Center.
130. PHOTO/MEDIA RELEASE

     To recognize the great work of our volunteers, we occasionally post photographs or videos on our social media platforms, on our website, or in print materials. Please let us know your preference by checking the appropriate line on the options below. (Please choose one)

132. I give permission for my name, photo, video image, and/or achievement(s) to be disclosed on social media, on the website, in print materials, or released to the media.

     1. Select
133. I DO NOT give permission for my name, photo, video image, and/or achievement(s) to be disclosed on social media, on the website, in print materials, or released to the media.

     1. Select
135. Electronic Signature*
137. Parent/Legal Guardian Signature
141. Previous Volunteer Experience or experience working with animals:*
145. From the following, please check all activities you are willing to help us with:*

     1. Walking Dogs
     2. Socializing Cats
     3. Cleaning Cat Cages
     4. Helping at Adoption Events
     5. Customer Service
     6. Putting Away Donations

     1. Animal Photography
     2. Helping with Special Events
     3. Washing Dishes and Doing Laundry
     4. Assisting with Animal Transports
     5. Cleaning Dog Kennels
     6. Landscaping Work
149. Terms and Conditions:
151. 1. I acknowledge that my volunteer services are strictly voluntary, without pay or compensation of any kind, and without liability of any nature on behalf of the Norfolk Animal Care & Adoption Center (NACC) *
152. Date*
     Date
154. 2. I acknowledge that NACC does not guarantee the temperament, behavior, or health of any shelter animal. *
155. Date*
     Date
157. 3. I attest that I have never been charged with or convicted of animal cruelty, neglect, or abandonment. *
158. Date*
     Date
160. 4. I acknowledge that falsifying any information on this form will immediately disqualify me from volunteering at NACC. *
161. Date*
     Date
163. 5. I acknowledge that court mandated & pre-court community service will be accepted on case-by-case basis and the Volunteer Coordinator will reach out to the probation officer prior to decision making. *
164. Date*
     Date
166. 6. I acknowledge that my application does not guarantee placement into the volunteer program. *
167. Date*
     Date
169. 7. I acknowledge that if a minor is 16-17 years old then a parent/legal guardian must volunteer alongside. *
170. Date*
     Date
172. By e-signing below, I agree to the Terms and Conditions outlined above and the information I provided is factual:
174. Volunteer Signature (Legal First and Last Name)*
175. Date*
     Date
177. Parent/Legal Guardian Signature (Legal First and Last Name)
178. Date
     Date
180. Once you have submitted this application you will receive an e-mail from our Volunteer and Outreach Coordinator with a link to sign up for our Volunteer Orientation held online via Zoom. If unable to join online, please let us know so we can make alternative arrangements. The Volunteer and Outreach coordinator can be reached at: volunteerNACC@Norfolk.gov Thank you for your interest and you will be hearing from us soon!
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182. 1. Receive an email copy of this form.
183. Email address

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184. Submit

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