WeCare Rottweiler Rescue, Inc., Volunteer Application

Response-O-Matic Form

 

Thanks for visiting my site!

Please reply to all questions.
If a question does not apply to you then please put N/A in that space.

Personal Information


Name: Your Age:
Your E-Mail Address:
Spouse: Age:
Your Address:
City: State: Zip:
Home #: Work #: Cell #:
Your employer:
May we call you at work? Yes No       May we call for a reference? Yes No
Have you rescue Rottweilers on your own? Yes No
If so please explain.

Have you or do you work with another Rottweiler Rescue? Yes No
If so, give the Name, Address, Phone # & E-Mail Address of the other rescue.

What experience or special training would qualify you as a WeCare Rottweiler Rescue, Inc. volunteer?

Why have you chosen Rottweiler Rescue?

Skills

What Services can you provide to WeCare Rottweiler Rescue, Inc.?
Foster Care? Yes No
Can you foster a dog until a permanent home can be found or other arrangements made? Yes No
If not, please estimate a maximum time frame:
Can you help with Transport? Yes No
Transportation - specify locale, type of vehicle and distance.

Can you do Home Visits? Yes No
Can you do Home Checks and Follow up Visits - specify area

Can you do Returning Phone Calls? Yes No
Can you Checking on References? Yes No
Can you Visiting Shelters? Yes No
Can you do Evaluating/Photographing Dogs for Adoption? Yes No
Can you do Veterinary Services? Yes No
Do you do Training? Yes No
What type of training?

Other Help Yes No
Other (specify)

Foster Information

If you are willing to provide a foster home for a Rottweiler, we need the following info.
Number of Children: Their ages:
How long have you lived at this address?
Please indicate which best describes your current living situation:
House Condo Apartment Mobile Home
Do you? Rent Own Live with Parents
If you rent, name & phone number of Landlord:
What type of environment? City Suburban Country
If less than two years, please list your previous address:
Besides your immediate family, are there others residing in your home? Yes No
Names:
Ages:
Does your home have a yard? Yes No       Is there a fence? Yes No
What type of fence and how tall?

Will gate be locked with a padlock? Yes No
Is the fence secured underground as well? Yes No
If you do not have a fence to you plan on putting one up? Yes No
If so when and what type of fence?
Do you have a homeowners or renters insurance policy? Yes No
Name of insurance company:
Do you have a city or county ordinance that limits the number of dogs you are allowed to have in your home?Yes No
If yes, how many are you allowed to have?
Do you own a Dog Crate? Yes No
If so, what type and size is the crate?

If you do not own a crate are you willing to buy one and crate train the rescue?
Yes No
If no, please explain why?

Is someone home during the day? Yes No
If not, where will the dog stay while you are gone?
Where will the dog be kept most of the time? Inside Outside Other
Please specify other:
If kept outside, will you have a: Dog Run Dog House
(Dogs are not to be chained or tied out and left at any time)
Have you fostered any animal in the past? Yes No
What kind of animal?
Through which agency (name and phone number) ?
What are you willing to provide for a foster Rottweiler (food, shelter, training, activities)?

Would a male or female Rottweiler fit better in your home?
Age range?
Other criteria for dog you'd be willing to foster:

Are you willing to provide transportation to and from the vet, adoption sites, etc. as needed? Yes No

Pet Information

Do you currently own other dogs? Yes No
Please list names - ages - breed - sex and if they are neutered or spayed.

What activities do you participate in with your dogs?

Are your other dogs current on all vaccinations? Yes No
Are your dogs on heartworm preventative? Yes No
What type?
If you do not give your dogs heartworm preventative please explain why.
Do you have other pets? Yes No
Please list the other types of pets you have along with their age, sex and if they are spayed or neutered.

Veterinarian's name & Phone Number:
If applicable, approximate date of your current pet's last office visit:
If you have owned other dogs and do not now, what happened to them?
List any Humane Societies, Organizations, Breed or Training Clubs you are associated with:
We will attempt to provide you with an honest evaluation of temperament on any dog we have to place. Do you realized that often times the complete history of a Rottweiler may not be known and you may encounter some behavioral problems? Yes No
Are you willing to work with us on correcting these problems? Yes No

The following must be filled out even if you are not applying to Foster.

Please provide the name, address and phone number (please note if this is a home or work number) of three references:
Reference # 1
Reference # 2
Reference # 3
How did you hear about WeCare Rottweiler Rescue.?
Space for additional comments:


Thank you for applying to become a much-valued WeCare Rottweiler Rescue, Inc. volunteer!

Liability Waiver:

I, , provide my own automobile and health insurance, and hereby agree to not hold WeCare Rottweiler Rescue, Inc. or any of its volunteers, associates or foster care providers liable for any physical, emotional or property damages that are a direct or indirect result of activities involved in the placement, transport, grooming, training or evaluating of Rottweilers in any way associated with WeCare Rottweiler Rescue, Inc. This includes any and all activities I perform as a WeCare Rottweiler Rescue, Inc. volunteer.

Signature

It is required that you fill out this application online and once finished please click on the Send button. We also will require a hard copy of your signature prior to placing an animal with you certifying the above information. You may print the form out after you have submitted it online and mail or fax it, with your signature to:

WeCare Rottweiler Rescue, Inc.
Attn: Rosemary Kuehl
P.O. Box 690
Deleon Springs, FL 32130

 

 

Email: wecarerotti@bellsouth.net