River City Chihuahua Rescue Volunteer Application

Date:

Name:

Address:

Phone (Home): (Work): (Cell)

Email address:

What types of work are you interested in performing for RCCR?

[ ] 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 applicants

[ ] Resource contact for shelters and other rescue organizations

[ ] Fundraising

[ ] Web site support

[ ] Database maintenance

Have you volunteered with a breed rescue group previously?

If you are interested in fostering, have you fostered previously?

Children in household?

Number: Ages:

Residence:

[ ] Apt/Condo [ ] Townhouse [ ] Trailer

[ ] Single family dwelling [ ] Farm [ ] Other:

[ ] Own [ ] Rent

[ ] Rural [ ] Suburban [ ] Urban [ ] No outdoor area [ ]

If renting, please provide landlord's name, address and telephone #:

Fencing (type):

If there is not a fenced yard, will you provide leashed walks?

[ ] Frequently [ ] Occasionally [ ] None

Please list the names of all residents of your home:

Are you willing to permit a home check by an RCCR representative?

How many hours will the foster(s) be left alone per day?

Where will the dog be kept while alone?

During day:

During night:

When family is home:

 What is the level of activity in your household?

[ ] Laid back [ ] Constantly on the run [ ] Athletic/Jogger type [ ] Physically handicapped

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 animal with you?

Do you currently own any dogs? [ ] Yes [ ] No

If so, please provide breed(s), sex(es), and age(s) and weight(s):

Do you currently own any cats? [ ] Yes [ ] No

If so, please provide sex(es), and age(s):

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 Rescue Organization [ ] Given up to Animal Shelter [ ] Euthanized

[ ] Died -- Cause of Death:

Please give details regarding any of the above items you have checked:

If volunteering to foster, do you prefer: [ ] Male [ ] Female [ ] No preference

Any special circumstances CRT should be aware of? [ ] Yes [ ] No

If so, please describe:

Are you willing to groom the animal? [ ] Yes [ ] No

Are you willing to foster an animal 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?

What age are you willing to foster? [ ] puppy [ ] adult [ ] Senior

Are you willing to take a dog to obedience training or provide behavior modification? [ ] Yes [ ] No

If you have any 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 many interactions will the dog have with neighborhood children? [ ] Maximum [ ] Some [ ] Minimal [ ] None

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 animal have with visitors to your home? [ ] 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 dog for an indefinite period of time, until the dog can be placed into an approved home? [ ] Yes [ ] No

Are you aware that you must notify the RCCR 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 an RCCR volunteer? [ ] Yes [ ] No

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. You should contact your vet to let them know an RCCR representative will be calling for a reference. This will allow him/her to release the necessary information.

Please provide the name and phone numbers of two personal references.

Once you have filled out and returned this Volunteer Application, an RCCR volunteer will contact you regarding the status of your application. If approved, a copy of the RCCR Code of Ethics for Fostering form will be sent to you for your signature. A signed Code of Ethics form must be on file with CRT before we can enlist your help as a volunteer. Thank you so much for wanting to help out.