Volunteer

*(denotes required field)

Name: *

E-Mail Address: *

E-Mail Address again: *

Please enter your E-mail Address a second time.

PERSONAL INFORMATION

Date of Birth: *

Address: *

Address 2: (apt, unit)

City: *

State: *

Zip Code: *

Home Phone: *

Cell Phone: *

Do you own or rent?; *

Own
Rent

If you rent do you have permission from your landlord to have animals on the rental property?;

Yes
No

Do you have home-owners insurance? (IWR requires this for fosters)?; *

Yes
No

Do you have a fenced yard?; *

Yes
No

If yes, please describe the height and material:

Describe the are in which you reside;

Suburb
Rural
City

What is your occupation? *

What are the occupations of the other adults in your home?

What hours are you generally home?: *

Please list the full names and dates of birth of each individual 18 or older residing in the home

What hours are they generally home? (In case we have a dog that needs A LOT of people time):

How many children are in the household and their ages?

LEGAL BACKGROUND

Have you ever been charged with or convicted of any animal cruelty charges (including neglect - abuse - etc)?; *

Convicted
Charged but not convicted
Not applicable to me

Have you ever been charged with or convicted of domestic abuse/assult or child endangerment?; *

Convicted
Charged but not convicted
Not applicable to me

Have you ever had a commercial breeder/dealer's license in any state?; *

Yes
No

Has said license ever been revoked or suspended?;

Yes
No

Are you currently licensed as a commercial breeder/dealer?;

Yes
No

PAST AND CURRENT COMPANION ANIMALS:

Have you had any companion animals in the past 5 years?; *

Yes
No

If yes, please list the species & breed:

If you no longer have those companion animals what happened to them?

List any pets that you have currently. (Please provide species, breed, age, sex, and if animal is spayed, neutered, or intact:

Have you taken you pet to any professional training or classes?; *

Yes
No

Are there any foster animals currently in your home?; *

Yes
No

If yes, how many and of what species?

GENERAL QUESTIONS:

How did you hear about our rescue?; *

Referral
Internet
Petfinder
Facebook
Other

If other, please tell us where

Why do you especially want to volunteer to help a Weimaraner? *

What traits do you like most about the Weimaraner breed? *

Please check the areas that you would be interested in volunteering for; *

Fostering a Weim
Evaluating an incoming Weim
Transporting Weims
Applicant home visits
Applicant Phone Interviews
Attend Rescue Events Fundraising
Technical/IT Support
Educational Events (such as our Rescue Me Seminar)
Grants/Non-profit Writing/Applications
Non-profit Tax/Accounting
Photography/Videography
Marketing/Advertising
Veterinarian Care/Services
Professional Training/Behavioral Modification
Boarding

Other services/skills not included above

Are you willing to sign a Volunteer Agreement?;

Yes
No

VOLUNTEER AND FOSTER EXPERIENCE: (If you do not wish to foster please skip to next section)

Do you have any previous volunteer experience?;

Yes
No

If yes, please list?

Have you ever fostered before for a rescue organization?;

Yes
No

If yes, please name the organization(s)

Are you familiar enough with basic animal health that you would notice when an animal becomes ill?;

Yes
No
Probably

Are you familiar enough with animal behavior that you could provide basic re-traning (with help) if necessary?; *

Yes
No

FOSTER DOGS - WOULDFERFUL BUT LESS THAN PERFECT (please answer all)

What would cause you to reach your limit or want to relinquish a dog? CHECK ALL THAT APPLY; *

Hair on your furniture/shedding
Aggression towards other dogs
Your pet don’t like the dog
Housetraining issues
Not a good dog at the dog park
Aggressive on leash
Stains on rugs
Excessive barking
Jumping up
Growling at guests/strangers
Shy or Nervous with other dogs
Does not travel well
Shy with people
Food allergies
Other allergies
Moving
Personal financial problems
Spouse/partner does not like dog
Destructive behaviors
Personal illness
Biting
Worms
Chewing
Fleas/Ticks
New child
Humping
Escaping
Digging
Veterinarian needs
Divorce
Other
None of these things
Nothing I will foster the dog until adopted

If destructive behaviors or other, please explain

Is your entire family will to help wit the foster dog?; *

Yes
No

If you are considering fostering a dog are you willing and able to provide the foster daily exercise?; *

Yes
No

If you can foster do you have a preference concerning age or sex?; *

Yes
No

If yes, please specify

If a behavioral challenge arises would you be willing to seek help from a trainer we recommend?; *

Yes
No

Given IWR pays for veterinary care are you able to take the foster to the vet for examinations and/ emergency care?; *

Yes
No

Dogs require investment of time and money. Can you provide grooming/proper diet/shelter/exercise and medical care (if necessary)?; *

Yes
No

Where would the foster dog stay during the day? *

Where would the foster dog stay at night? *

Where would the foster dog stay during family vacations? *

REFERENCES:

What is the name and phone number of your veterinarian? May we contact him/her? *

Please list three references who can verify your animal handling experience: Please include Name, number, and relationship. *

Subject: *

Message: *

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