Foster Home/Rescue Volunteer Application

Name:

Address:

City / State / Zip

Phones: Home (      )                                          Work: (     )

E-mail address:                                                 Do you check your e-mail everyday?   Y   N

Employer:
Date of birth:   (mm/dd/yyyy)  

Hours you are at work?                                       May we call you at work? Y / N

 

What area(s) of Rescue work are you available for?

_____ Home visits     _____ Transporting dogs      ________ Foster home       ________Fundraising

_______ Coordinating transports          ______ Grooming        _________ Newsletter

 

Do you have any special training or experience in working with dogs?

 

Please tell us about your past and current pets;

Breed                age       spayed or neutered       indoor or outdoor           what happened to animal

 

 

If your current or previous pets are/were not spayed or neutered, please explain why?

Do you keep all of your pets up to date on all shots?

 on heartworm prevention medication? 
 flea prevention medication?

 and licensed in your county?

 

Are your pets vaccinated against Kennel Cough?                   (they will need to be)

 

Which brand of Heartworm prevention and Flea prevention medication do you use on your pets?

Who is your current/previous Veterinarian?

Name, address and phone number of your Vet:

 

Please circle one: My vet may or may not be used as a reference.

Who lives in your home? (ie...Mom-Dad-2 kids)

 

Please list ages of everyone living (even part-time) in your home:

Are you able to keep a dog that is not good with children?

 

Are you able to keep a dog that is not good with cats?

 

Do you live in a: (circle one)      House      Apartment      Condo      Other

Do you own or rent?

If renting, does the landlord allow pets?

Do you have a yard for the dog to use?

Is it securely fenced on all sides?                                      

Does a door from your house open directly into the fenced yard?

If not, how will you exercise the dog?

 

Is anyone home during the day?                    Who and for how long?

If not, what hours would this dog be left alone?

Where will this dog stay during the day, while you are at work?

Please check all that apply in your home:

____ Busy household - visits by friends, in and out a lot, children, parties at home
____ Noisy - TV, stereo, machinery, tools, children playing, dogs barking
____ Moderate - normal comings and goings
____ Quiet - "homebodies" few guests, come home and stay home
____ Lots of children in the neighborhood
____ Live on busy street

 

Do you intend to keep this dog primarily indoors or outdoors?

Please tell us what supplies you already have for a foster dog :      Large Crate _______     
Leash _________    Food and Water Bowls ____________  Brush ___________

Would you be able to supply a premium dog food to the foster dog?      

Have you ever owned a Sheltie before?

Have you ever handled a very scared dog?

Have you ever been taken a dog through an obedience class?

Have you ever handled an aggressive dog?

Are you able to help housetrain a dog?

Are you able to take a "special needs" (blind, deaf, sick) dog?

Are you able to administer medication in a timely manner?

Are you able to work with a "behavior problem" dog?     (we don’t take known biters)

Are you aware of all a Shelties needs? (i.e. grooming, exercise)

Are you aware that Shelties are "barkers"?

Are you aware that Shelties may be somewhat shy around new people, and may take awhile to bond with?

All of the answers I have given, are true and correct to the best of my knowledge.

             Date                                       Signature of applicant

____________________             _____________________________________

·         Please check to be sure all questions are answered.  Incomplete applications are not accepted.

·         Please note that we have the right to refuse any applicant.