DOGWOOD SHELTIE RESCUE INC. (DSR) VOLUNTEER APPLICATION

Thank you for your interest in DSR. In order for us to determine where your special skills may best be utilized in helping rescue efforts, please provide us with the following information:

 

Date: ________________________ 

 

Name: ____________________________ Home Phone: ______________________________

 

Address: __________________________________ Work Phone: _________________________

 

City/State/Zip: ______________________________ Best time to call: ___________________

 

Email Address: _____________________________ May we call you at work: Yes ___ No ___

 

How did you learn about DSR?

 

Have you worked with a shelter or rescue in the past? Yes ___No ___

 

Name of the facility/ organization:

 

How long were you there?

 

Reason for leaving?

 

Past Volunteer Experience:

 

Veterinarian Name:                                                             Veterinarian Phone:

 

Veterinarian Address:

 

Personal References: (please provide the Name, Address and Phone Number of two Personal References familiar with you experiences with animals):

 

1.

 

2.

 

Please describe the dogs you presently own (breed, sex, age, neutered etc.) and how long you’ve owned them:

 

Please describe briefly your experience working with Sheltie or other herding breeds:

 

Please describe briefly any experience you've had in working with abused and/or neglected animals:

 

Do you have any special skills which you feel would be beneficial to the operations of DSR? (such as legal, veterinary, transportation, computer, typing or Internet skills?.)

 

Please indicate in which areas you are interested in providing volunteer help:

 

1. Phone interviews/ Home visits/education: ___

2. Provide evaluation of dogs in shelters and owner relinquishments: ___

3. Help with general dog care, bathing, grooming):________

4. Help with set up and staffing a rescue booth at events: _________

(herding and agility trials, dog shows, special events etc.)

5. Provide a foster home for rescue dogs: _______

 

**If you are interested in fostering or training and the rescue dog(s) will come in contact or share living space with your current pets, you must provide current shot records to the DSR home office. You may fax those records to 703 406-3304. A home visit will be schedule to assist us in finding an appropriate foster.

 

6. Provide short-term care for a dog in need: _______

Size of Yard or Property: ___________________________

Type and Height of Fencing: ________________________

Kennel Run (with or without shelter):_ ______________________ 

Crates? (size available):_______________________________

7. Provide transportation for rescue dogs: _______ (must have vehicle with crate to do this)

 

8. Help with promotional ideas, fundraising, donations, etc: ________

9. Provide herding, obedience or agility instruction to rescue dogs and/or adopters: _________

10. Other:

Please give us a brief overview on your philosophy regarding rescue:

 

Please give us an idea (in your own words) of how you would like to see your role in rescue develops.

How deeply involved would you like to become?

 

Volunteers for DSR must always represent themselves and us with the utmost of professionalism and courtesy. Approved volunteers for DSR will be issued identification cards for use when participating in related events or when visiting shelters, homes and other rescues. Status as a volunteer for DSR is at the discretion of Officers of DSR by majority vote. The Officers of DSR may also revoke status as a volunteer by majority vote.

 

Volunteers for DSR should recognize that DSR can make no guarantees in relation to intake, health care or placement for any dog coming into rescue. Intake, treatment for health or training costs may not be incurred for DSR rescues without permission from a vote by the DSR Officers.

 

I understand that it is my decision to volunteer for DSR. I understand that DSR is not liable for any damage, injury or harm caused directly or indirectly through any of my volunteer activities. I understand that handling animals can be an unpredictable activity and that the temperament of any dog in rescue should be in question.

 

Signature                                                                                                  Date

 

NOTE: If you are under 18 years of age, a parent or guardian must also sign this application and be willing to assist with the volunteer time of the minor. We reserve the right to refuse any applicant for any reason. Thank you.

 

Please copy and paste this into an email or word document, and email completed form to: notes@vadsr.org .

We would like to publicly thank all of the organizations that we contacted and used as research in developing this from.

No part of this document can be used without permission from Lynne Dunham. Contact; dogwood@vadsr.org

Revised 2008 Lynne Dunham

This form may be copied and/or adapted for use by other rescue groups after obtaining permission from the author.