Chihuahua & Small Dog Rescue, Inc.

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Volunteer Application

 

Date:
Name:
Complete Address:
Phone (Home):
Phone (Work):
Cell Phone:
Fax Number:
Email Address:
Have you read the "Code of Ethics" and "Volunteer Responsibilities"
What type of work are you interested in performing for Chihuahua & Small Dog Rescue, Inc.? Fostering
Transportation
Adoption interviews and home checks
Contact person/dissemination of adoption procedures to new adoption applicants.
Contact person/dissemination of volunteer procedures to new volunteer applicants.
Resource contact for shelters and other rescue organizations
Fundraising
Web site support
Database maintenance
Have you volunteered with a breed rescue previously? Yes
No
If you are interested in fostering, have you fostered previously? Yes
No
Do you have children in your household? Yes
No
If so, Please list names and ages?
Long range plans within the next year?
Type of residence: Apt/Condo
Townhouse
Trailer
Single Family
Farm
Type of Ownership Own
Rent
Setting Rural
Suburban
Urban
No outdoor area
If renting, please provide landlord's name, address and telephone number.
Please describe your fence. (height, type, condition)
Size of living area?
Size of fenced area:
If there is not a fenced yard, will you provide leashed walks: Frequently
Occasionally
Never
Please list the names of all non-related residents/Housemates:
Are you willing to permit a home check by a Chihuahua & Small Dog Rescue, Inc. representative? Yes
No
How many hours will the foster(s) be left alone per day? Please explain.
Where will the dog be kept when alone during the day?
Where will the dog be kept during the evening?
Where will the dog sleep at night?
If there is any aspect of your home that a dog could affect (white carpet, antiques, etc.) please identify:
What is the level of activity in your household? Laid Back
Constantly on the run
Athletic/Jogger type
Physically Handicapped
Retired
Does anyone in your household have allergies to hair or dust? Yes
No
Are you often away for extended periods? Yes
No
If so, will you: Board
Hire a pet sitter
Take the dog with you
Do you currently own any dogs? Yes
No
If so, please provide breed(s), sex(es), age(s), spayed/neutered:
Do you currently own any cats? Yes
No
If so, please provide sex(es), age(s), spayed/neutered, clawed/declawed:
Do you own any other type of pets? Yes
No
If so, what kind?
Have you owned animals not listed above in the past? Yes
No
If yes, their disposition was: Ran Away
Stolen
Sold
Lost
Given Away
Given up for adoption to a rescue organization
Given up to an Animal Shelter
Euthanized
Died
If died - cause of death:
Please give details regarding any of the above items you have checked?
If volunteering to foster, do you prefer (check all that you prefer) Male
Female
Special Needs
Puppy
Adult
Senior
Any special circumstances Chihuahua & Small Dog Rescue, Inc. should be aware of? Please explain.
Are you willing to groom the dog? Yes
No
Are you willing to foster a dog that has health problems? Yes
No
If yes, any problem not accepted?
Are you willing to travel to pick up a dog? Yes
No
If yes, how far?
Are you willing to take a dog to obedience training or provide behavior modification? Yes
No
If you have children in the household, how much of the responsibility will your child be given in the care and management of the dog? Maximum
Some
Minimal
None
How much adult supervision will the dog and child be provided? Maximum
Some
Minimal
None
How much interaction will the dog have with neighborhood children? Maximum
Some
Minimal
None
If adjoining neighbors have children, how old?
If there are no children in your household, how often will the dog come into contact with children? Often
Occasionally
Never
How much interaction will the dog have with visitors? Often
Occasionally
Never
How would you encourage or reinforce the foster dog's appropriate "good" behavior?
How would you prevent or manage the foster dog's inappropriate "not so good" ill-timed behavior?
Are all members of your household aware that you will be fostering? Yes
No
Do they all approve? Yes
No
Are you prepared to keep the foster for an indefinite period of time, until the dog can be placed into an approved forever home? Yes
No
Are you aware that you must notify Chihuahua & Small Dog Rescue, Inc. Board of any routine medical care necessary for the dog BEFORE the medical care is performed? Yes
No
Are you aware that your application must be approved before you are enlisted as a Chihuahua & Small Dog Rescue, Inc. volunteer? Yes
No
Can you provide the name of a Chihuahua & Small Dog Rescue, Inc. volunteer who we can contact for a reference? If so, please list their name below.
Do you work with any other rescue groups who we can contact for a reference? If so, please list group(s) and contact information below:
Please provide the name, address and phone number of the veterinarian for your pets. (If you've had pets in the past, please list the info for the vet that cared for your past pets).
You should contact your vet to let them know a Chihuahua & Small Dog Rescue, Inc representative will be calling for a reference. This will allow him/her to release the necessary information. Yes
Once you have filled out and returned this Volunteer Application, a Chihuahua & Small Dog Rescue, Inc. volunteer will contact you regarding the status of your application. If approved you will be asked to sign Chihuahua & Small Dog Rescue, Inc's Code of Ethics and a Foster Parent Contract.    Yes
 
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