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* 1. Date of completion:

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* 2. Full Name:

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* 3. Address:

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* 4. Contact number(s) 

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* 5. Email:

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

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* 7. What is your availability to volunteer?

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* 8. What interests you about BARK NZ?

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

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

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

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* 12. Primary Dogs name:

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* 13. Primary Dogs Date of Birth

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

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

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

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* 17. Secondary Dogs Name:

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* 18. Secondary Dogs Date of Birth:

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

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

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

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

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

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

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

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

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

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

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* 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

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