Volunteer Application

First Name:* Last Name:*
Street Address:* City:* State* Zip:*
Home Phone:* Cell Phone:*
Best time to call:* Email:*
Employer/Occupation: Type of Work:
Do you have reliable Internet & if so when?
How many hours a week might you be able to devote to volunteer activities?
Is your interest short term or on going?
Do you own any pets & if so please list :
Name, species/breed, age, S/N status and any health issues?

WHAT ARE YOUR INTERESTS? (select all that apply):
Processing applications(involves phone calls & approving adopters) 
Follow-up calls    Home Visit Coordinating   
Home Visits    Transport Coordinating    Transports   
Grant Wirting    Fund-raising    Fostering   
How many adults living in home?
Please list, names, ages and the relationship to you?
How many children living in the home or that visit?
Please list, names, ages and the relationship to you?
Have children been raised with dogs? Yes    No   
Would you say they have a gentle, medium or strong touch with pets? Gentle    Medium    Soft   
DO YOU LIVE IN: House    Apartment    Condo     Mobile Home    Other    
How long at this Address?
If renting-Please us landlord’s e givName:
Phone:
If there is a limit on the number of dogs you are allowed, please note the limit :
Are you willing to let a rescue representative visit your home before adoption? Yes    No   
Have you ever fostered for another group(s)? Yes    No   
Please list the groups' names & email addresses?
Total years working rescue?

VETERINARIAN:
Clinic Name: Phone:
Address: City: State Zip
Will your vet give a rescue discount? Yes    No   
Do you have a fence yard? Yes    No   
Describe material, height and condition of fence? :
If no fence, how will you exercise the dog & let the dog relieve him/herself?
Will you be walking on a leash, put out on a tie out, please explain?
How many hours will the dog will the dog be left alone during the day?
Where will dog stay while you are gone?
Will you be using a crate? Yes    No   
Where will the dog sleep?
Do you have a crate to use for your foster dog? Yes    No   
Do you have any training experience? Yes    No   
How would you handle it if your foster dog got into the trash?
If a foster dog showed aggressive towards you or your pets?
Are you prepared to handle a dog that may exhibit one or more undesirable behaviors such as chewing, digging, barking/howling, jumping, aggression or even trying to escape and are you prepared to deal with training the dog to the best of your ability? Yes    No   
Are you willing to foster special needs dogs? Yes    No   
Select all that apply: Seniors    Pregers    Puppies    Disabled   
How many foster dogs do you want to foster?
Do you understand that all placements must be done through Heart to Heart Rescue? Yes    No   
Do you agree to return a foster dog to Heart to Heart if you are requested to do so? Yes    No   
Do you agree to sign a foster contract for each new foster dog & abide by all the conditions of the contract? Yes    No   
Do you agree to return a foster dog to Heart to Heart if you are requested to do so? Yes    No   
Please tell us anything else you would like us to know about you?

REFERENCES:
Please provide the names, city/state, & phone number of 3 people not related to you, who can recommend you as a conscientious volunteer for Heart to Heart Rescue.

Reference #1.
Name:
Address:
City:
Home Phone:
Cell Phone:

Reference #2.
Name:
Address:
City:
Home Phone:
Cell Phone:

Reference #3.
Name:
Address:
City:
Home Phone:
Cell Phone: