Response-O-Matic Form

Silky Terrier Rescue Charitable Trust

Volunteer Application

Toto If you are interested in volunteering to help Silky Terrier Rescue through the Silky Terrier Rescue Charitable Trust (STRCT) Rescue Program, please complete this form and submit it to us.

You must complete the entire form. We will contact you and may request more information if necessary. If you have questions about volunteering for Silky Terrier Rescue, please email Sandi at georgia-peaches@comcast.net or Bonnie at kbehrmann@altrionet.com.

 

Date:

Name:

Address:

Address:

City:

State:

Zip Code:

Email Address:

Please, please, please give us your correct email address! We don't want you to think we're ignoring your application, but we need your email address in order to respond. Your email address should look something like this: yourname@something.com

Home Phone:

Work Phone:

Best Times to Call:

Reference: Please provide the name, address, and phone number of your veterinarian.

How long with this vet?

If less than one year with your current vet, please provide the name, address, and phone number of your previous veterinarian.

Do you think your vet would consider giving a discount on service to rescues?

Yes No

Please tell us about any previous experience you have had with Silky Terriers, or with other Terriers.

Why are you interested in volunteering to help Silky Terrier Rescue?

Do you have any previous experience with dog rescue or with fostering? If so, please describe:

Do you own your home or rent? OwnRent

If you rent, do you have your landlord's permission to keep a dog? YesNoN/A

Do you have a securely fenced yard? Yes No

What type of fence?

How high is the fence (at the lowest point)?

Please list the names and ages of any children who live in your home.

Please list the number and type of animals in your household.

Are all of your dogs spayed or neutered?Yes No N/A
If you have unspayed or unneutered dogs in your home, please tell us why.

Please tell us how you would be willing to help with Silky Terrier Rescue. We know that not everyone can help in all of these ways, so please indicate only those things that you would be comfortable doing.

Are you willing/able to transport/pick up a Silky? Yes No
How far would you travel to transport or pick up a Silky?
Are you willing/able to retrieve a Silky in trouble on a moment's notice? Yes No
Are you willing/able to do a home visit with a prospective adopter in your area? Yes No
Are you willing/able to provide a foster home for a Silky? Yes No
If you are willing to foster, would you be able to keep the Silky until it is adopted? Yes NoN/A
What would be your time limit for fostering a Silky?
What is the reason for this time limit?
Are you willing/able to foster several Silkys at once? Yes NoN/A
Do you have the facilities to separate newcomers from your own dogs? Yes No N/A
Do you know how to handle a frightened or snappish dog? Yes No
Are you willing/able to check your local shelters for silkys? Yes No
Are you willing/able to temperament test a shelter dog?Yes No
Are you able to cover some financial expenses until reimbursed? Yes No

Are you willing to sign a contract stating that the silky terrier will be an indoor dog, treated as part of the family, and given appropriate food, grooming, and veterinary care? Yes No

Are you willing to sign a contract which absolves the Silky Terrier Rescue Charitable Trust and all its members and/or contacts from liability resulting from volunteering with the Silky Terrier Rescue Charitable Trust? Yes No

Have you or any member of your household ever been convicted of animal cruelty, neglect or abandonment?

Yes No

If there is any other information you think we should have regarding your application, please list it here.


Thank You!


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