Paw prints

VOLUNTEER APPLICATION


This application form is intended to be a guide to help you consider ways you might want to assist our organization as a Volunteer. This is by no means meant to be a test that will be used to disqualify you from consideration for helping one of our pets.

Please give some thought to each questions below rather than automatically answering yes.

a. Area in which you are interested?:
b. Are you a Volunteer with another organization? Yes No
If yes, which one?

c. Have you adopted from us in the past? Yes No
If yes, which one?:

d. Do you have experience with rehabbing unsocialized or puppy mill dogs? Yes No
If yes, please explain:



Your name:
E-mail address:
Telephone:
Additional phone/fax:
Address:
City/State/Zip:
Your Profession:
Your Spouse's Profession:

Number of Pet(s) Previously Owned:
Age/breed when acquired?:

What happened to this/ these pets?:

Number of Pet(s) Presently Owned:
Tell us about your current pets. Details should include - gender/age/breed/age when acquired, etc.:

Its/Their Temperament:

Spayed/Neutered: Yes No

Do you own or rent?: Own Rent
Your home: Apartment House Other
Describe your home:

Do you have a securely fenced yard? (completely fenced without holes): Yes No
Describe your yard/fence:
If you do not have a fenced yard, how do you plan to have the dog relieve itself?/exercise?
What percentage of time will your dog be in the following?:
House: Yard: Other:
How many hours a day are you away from home?:
Where will your dog be during this time?:
If you will be away for work or vacation, how will the dog be cared for?:
On what occasions do you plan to use a crate, and if so, for how long?
Where will the dog sleep?:
What type of training do you intend for this dog?:
Will you accept a dog that is not housebroken:
Yes No Maybe
Please Explain:
In many situations, even though the dog may have training, coming to a new home will disrupt that. How do you plan to housetrain this dog?:
Please list family members & their ages:
Dogs & small children should be supervised at all times. I can provide supervision.
Yes No
There will be other children, ages:
Often Most of the time Some of the time Never
Comments:
Do you know if these children ever been around a dog before?
Yes No
If there were any problem(s) please describe.

Do you have any experience with rescuing a homeless animal?
Yes No
If so, please describe:
Briefly share your reasons for wanting to Volunteer for Luv-A-Chin Rescue:
Describe your personality:
Hobbies, dog-related or not:
Preference:
Male Female Doesn't Matter
Please Explain:
Age preferred: (we rarely get puppies and seldom dogs under 1 year of age):
Puppy Young Adult 1-3 yrs Adult 4-7 yrs Senior 7+ Doesn't Matter
Comments:
I understand that it is not always possible to determine the exact age of a rescue dog. I am willing to accept a dog that is presumed to be in the age bracket I have specified.
Yes No
I understand that the dog I foster is the possession of Luv-A-Chin Rescue and I agree to follow their guidelines for it's care.
Yes No
Comments:
Please provide any additional comments & concerns at this time:

Electronic Signature:
Date:
References:

(Please provide THREE references, including your veterinarian and groomer if you have one. If you rent, you MUST include your landlord as a fourth reference. Other references may include a neighbor or anyone who owns a high maintenance breed who has knowledge of you with dogs. Only one reference may be a relative.)

Reference #1:
Name:
Full Address:
Phone number:
E-mail Address (if known):

Reference #2:
Name:
Full Address:
Phone number:
E-mail Address (if known):

Reference #3:
Name:
Full Address:
Phone number:
E-mail Address (if known):

Reference #4: (Landlord info if necessary)
Name:
Phone number:
E-mail Address (if known):

Veterinary Services:
Clinic's Name:
Veterinarian's Name:
Full Address:
Phone number:
E-mail Address (if known):
Have you ever used a groomer before?
Yes No

Groomer's Name:
Phone number:
E-mail Address (if known):
I have done dog grooming on other dogs:
Yes No
Additional comments:

I understand that some dogs require regular, routine grooming, regardless of whether the coat is left long or is in a puppy cut. I will able to do the following:

daily brushing:
Yes No
monthly baths:
Yes No
nail trimming:
Yes No
ear cleaning:
Yes No
or may even do some trimming of the dogs coat:
Yes No
I will take my dog to the groomer every weeks if I can't do these things myself.

Is there anything else you would like to add? Additional comments:

PLEASE NOTE:

Filling out this application does not in any way commit you to providing foster care, transport assistance, etc. This is to help us find an area you would be comfortable in. We work very hard with our Volunteers to help them find the right fit with their time constraints, family lifestyle, work schedules, etc. If you are a first time Foster Volunteer, we will do our very best to find the fit for you and are always available to you for assistance. We want this to be a rewarding experience for everyone involved.

Our sole purpose is to represent our breeds and "speak for the animals". That's just what we do.

Thank you for filling out this questionnaire. If there are any facts that you feel we should know about concerning your desire to volunteer, please be sure and include them in the additional comments section. If you have further inquiries, please call Peggy at 605-357-0895/home or 605-940-7811/cell (or I will call you back collect as our funds are limited and reserved for the dogs).

Call me back collect:
Yes No


You many want to print a copy of this application prior to submitting (or clearing). If you have any questions, or problems, please contact Peggy at peg4tzus@msn.com.