Volunteer Application - Rescue Warriors Corp.

Personal Information (must be completed in it's entirety)

First Name:*

Last Name:*

E-mail:*

Date of Birth:*

Street Address:*

City: *

State:*

Zip Code:*

Home Phone:*

Cell Phone:*

Occupation:*

Previous Occupation(s):*

Spouse or Partner Name:*

Spouse or Partner Date of Birth:*

Spouse or Partner Cell Phone:*

Spouse or Partner Occupation:*

Are there children living in your home:*

Yes

Ages and Relation to you:

Please list everyone in your home not mentioned above, relation to you, and their ages:*

Living Environment (must be completed in it's entirety)

Please select the term(s) that best describe your current living situation:*

House

Condo

Apartment

Modular Home

Home ownership:*

Own

Rent

Does your home have a backyard:*

Yes

Is your backyard fenced:

Yes

Volunteer Information (must be completed in it's entirety)

I have experience and/or am willing to help in the following areas:

Operations:*

Filing/Scanning

Coordinating Medical Appointments

Volunteering at Adoption Events

Photography

Writing Bios for the foster animals

Verbal Communication Skills:*

I would like to do applicant screening

I would like to do reference and vet check calls

I would like to do fund raising

Rescue/Transporting:*

I have contacts with the local shelters and Humane Society

I would like to be involved in transporting dogs for placement

I am willing to do initial home visits with potential adopters

Other skills and talents or ways I can contribute to Rescue Warriors Corp's efforts including any computer skills:*

Have you worked at any other rescue organizations in the past?:*

Yes

If so, name of organization(s):

Are you currently affiliated with any other rescue organizations?:*

option 1

option 2

If yes, please list organization(s) and in what capacity you volunteer:*

Have you ever fostered an animal before?:*

Yes

What agency did you foster for?:

Foster agency's phone number:

Explain the details of your previous fostering:

Foster and Care Information

Are you able to foster:*

Yes

Why or why not able to foster:

Are you willing to foster a dog until a permanent home can be found:*

Yes

If not, are you able to foster temporarily until transportation can be found:

Yes

Maximum time frame you are willing to temporarily foster for (temporary placement is usually no more than 7 days):*

Is everyone in your home agreeable to fostering an animal:*

Yes

If not, who and why:

Will the dog be left alone during the day:*

Yes

How long will it be left alone:*

Specifically, what will be the dog's living situation? (examples: run of house, or a restricted area):*

Are you or is anyone in your home allergic to animals?:*

Yes

Please explain:

If you have a preference of male or female, specify:*

Male

Female

No preference

Age range preference:*

Medical conditions you are unable to handle:*

Will you provide transportation of dog for veterinary, adoption, and etc purposes:*

Yes

Veterinarian you will employ, name and phone:*

Is there a specific dog you are interested in fostering?:*

Yes

Please describe their name, etc:

Would you be able to quarantine a dog if necessary:*

Yes

If you are able to quarantine, please explain:

Current and Previous Pets

Have you ever owned a pet:*

Yes

If yes, where is it now:

Do you have other pets:*

Yes

Breeds, Ages, and Sexes:

Are all pets current on vaccinations:*

Yes

Are all pets spayed/neutered:*

Yes

If not current on vaccinations, please explain:

If not spayed/neutered, please explain:

Are pets on heartworm preventative:*

Yes

Heartworm preventative brand:

If not on heartworm preventative, please explain:

Approximate date of last Veterinarian visit for each pet:*

Have any of your pets shown aggressiveness or bitten a person:*

Yes

If yes, please explain the circumstances of the aggression toward a person:

Have any of your current pets shown aggressiveness or bitten a pet:*

Yes

If yes, please explain the circumstances of the aggressiveness towards a pet:

List all pets you've owned in the last 10 years, not mentioned above, and their present status:*

Have you ever taken a dog to a professional trainer or behaviorist:*

Yes

If so, how did this behaviorist/trainer work out for you/pet:

We will provide you with an evaluation of the foster's temperament based on the information provided to us by the surrendering owner or information provided by the shelter where the animal came from.

Will you be willing to work with us to correct any possible behavior problems:*

Yes

Do you understand that often times the complete history of a rescue may not be known:*

Yes

References

Veterinarian Name:*

Veterinarian Address:*

Veterinarian Phone Number:*

Veterinarian Fax Number:*

Read the following carefully

I declare that the information I have provided in this volunteer application is complete and correct. I understand that any false information I have provided will invalidate this and any future applications. I declare that I am 21 years of age or more, am not a member of another rescue group and have the support and agreement from all members in my household to foster dogs for rehabilitation and placement. I am financially and physically able to care for a rescue dog and agree to provide proper documentation for reimbursement of preapproved foster dog expenses. I understand that the medical, housetraining and behavioral history of rescue dogs may not be known and my foster role requires commitment and patience to rehabilitate each dog prior to placement. If approved, I further understand that I must successfully place my first foster dog before I receive another foster dog and that I will not be permitted to adopt my first foster dog or any other RWC foster dog until I have served 12 months as a member. I understand the first six months of my membership will be probationary and my membership may be dissolved immediately without cause if the Board of Directors deems my intentions or actions to be in conflict with the mission and vision of Rescue Warriors Corp.

I grant permission for Home Checks both prior to membership and during fostering. I agree that if a Home Check reveals falsification or misrepresentation of any facts on my part, the Facilitator or representative reserves the right to decline or nullify any volunteer agreement between us and reclaim foster dogs from my premises.

I stipulate that I am applying herein to become a volunteer for Rescue Warriors Corp and I will maintain automotive, homeowners and health insurance coverage. I will NOT hold Rescue Warriors Corp or its representatives, its officers, members, volunteers, associates, or other foster care providers harmless for any liabilities, whether damages are physical, emotional, or property, that are a direct or indirect result of activities associated with placement, transport, grooming, training, or evaluating of any foster dog in any way associated with Rescue Warriors Corp, including any and all activities I perform as a volunteer for Rescue Warriors Corp.