Volunteer Application

Today's Date:

Name(s):  :

Address:
City:        State: Zip:

Home #    Work#   Cell #    

Which number is best to reach you?  Home Work Fax Cell Pager

Email:

Occupation:           
Employer:              
Employer Address:

What hours do you typically work?   How long at this job?

Name of nearest Family member/Relative not living with you:
Phone number of nearest Relative not living with you:            

List three references, of which one must be your veterinarian (if you currently or previously owned pets).

Name	Phone	Relationship

List your animal organization memberships, with telephone numbers and positions held.

Have you been a committee chairperson? Yes No
If yes, list committees and years served.

Have you written any newsletters or maintained a web site? Yes No
If yes, please describe.

Do you currently own a dog or cat? Yes No
Please describe.

Have you owned dogs or cats in the past? Yes No
If yes, please describe them and what happened to them. For example, “gave away because...” or “died from...”

Do you have experience or training in any of the following pet related areas?
Training
Vet Assistant
Kennel Assistant
Whelping
Animal Rescue
Animal Shelter
Other?

Please explain any areas you checked “yes”.

What types of volunteer work would you like to do?
Fostering A Dog
Transport
Answering Voice Mail Calls
Fund Raising Events
Meet & Greet Events
Picking Up Dogs From Animal Shelters
Walking/Socializing Boarded Weimaraners

Discuss any other ways you would like to assist WRNT.

Have you ever completed a Basic (or Advanced) Obedience Training Class with your dog?

Which hours and days of the week can you volunteer?

How many children are in the household?
Boy/Girl  -  Ages

Total number of people in your home? 

What hours are they at home?      

If you become a foster family for WRNT, what hours will the dog stay alone?  
(If you go out of town, the dog MUST be returned to WRNT during your absence. Contact the Foster Home Coordinator)

If you become a foster family for WRNT, where will the dog stay:

• During the day?      
• During the night?     
• When out of town? 

Describe the area where you live (city, suburban, rural):

If you rent, do you have written permission from your landlord to keep a large dog? Yes No
(Written permission MUST be provided via fax or mail prior to fostering.)

Do you have a fenced yard? Yes No

Describe your fencing & gates. (wood, chain link, etc.)

How high at the lowest point?

For the safety & security of your fostered weimaraner, will you promise to keep your gates locked?Yes No

During the screening process, would you allow a WRNT Volunteer to visit your home? Yes No

Do you promise to notify WRNT if your fostered weimaraner becomes ill? Yes No

Volunteer Agreement
In consideration of this opportunity to volunteer, I agree to the following terms and conditions, intending to be legally bound by them:

1. I will abide by the mission, rules, regulations, policies and programs of WRNT while I am a volunteer.
2. If I stop being a volunteer for WRNT for any reason, or upon WRNT’s request at any time, I will promptly return all of WRNT’s supplies, equipment, records, moneys, and other items in good, clean condition.
3. I assume the risks of being bitten, scratched, injured, or frightened by cats, kittens, dogs and puppies in connection with my volunteer work for WRNT. WRNT is not liable to me for any injuries, damages, liabilities, losses, judgments, costs or expenses whatsoever, which I might suffer or sustain in connection with the performance of my volunteer activities for WRNT, unless they are the result of WRNT’s gross negligence or intentional misconduct. I will indemnify, defend and hold WRNT harmless from and against any claims, lawsuits, injuries, damages, losses, costs or expenses whatsoever, sustained by any companion animal or any person in connection with my intentional misconduct or grossly negligent performance of volunteer activities for WRNT, or my breach of WRNT's rules, regulations, policies and programs.
4. I agree that, if I become a foster home for WRNT, including short-term fostering for any length of time, that I will use the crate provided (or my own crate, if such an arrangement has been made) to safely contain the dog within my home when I am away from home for work or any other reason.
5. I agree that, if I become a foster home for WRNT, that I will keep any dog I am fostering on leash, or inside my home, or in my safely gated/locked yard at all times, that I will keep his/her collar on them at all times and that I will soak their food in water prior to feeding them for 20-30 minutes to avoid bloat.
6. I understand and agree that WRNT may refuse volunteer applications for any reason.
7. If I will be sheltering or providing foster care or boarding any of WRNT’s animals in my home or business, I consent to WRNT visiting my home or business from time to time to observe the animals and their living quarters.
8. I agree to allow the removal from my home of any dog I am fostering at any time at the discretion of the Foster Home Coordinator for WRNT or any Board member of WRNT, and understand that foster dogs may be moved to another foster situation if deemed necessary at any time.
9. I have accurately and truthfully completed this Volunteer Application and Agreement.
10. Any modification to this Agreement must be in writing signed by both parties. This Agreement is binding upon WRNT, me, and WRNT’s and my respective heirs, successors, assigns, executors, and personal representatives.

I have read and accept the above guidelines.

WEIMARANER RESCUE OF NORTH TEXAS, INC. & LONE STAR WEIMARANER CLUB,INC 4347 W. Northwest Hwy.  Ste 120 Box 184  Dallas, TX.  75220 Voice Mail  972.994.3572 -  FAX 512.857.1335 bark@weimrescuetexas.org

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