VOLUNTEER APPLICATION

Name: _____________________________________ Home Phone: _____________________

Address: ________________________ Zip: ___________ E-mail address: ______________

Employer: __________________________________ Work Phone: ______________________

In case of emergency, please notify ________________________ Relation _________________

Home Phone _____________________ Work Phone _____________________________

Education (circle last year completed): Birthday ______/______/_______

High School- 1 2 3 4 College- 1 2 3 4 Other? __________________________________

Is your tetanus vaccination current? _______ Do you have a valid Driver’s License? __________

If you have a car, would you be willing to transport animals as part of your volunteer work?

________ If yes, is the car covered by liability insurance? ________

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How did you hear about us? _____________________________________________________

Why do you want to volunteer? __________________________________________________
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Approximately how many hours a week can you volunteer? ____________________________

(Circle if available): weekday days / weekday nights / Saturday / Sunday

Do you have any previous experience working with animals? _______ Explain _____________

____________________________________________________________________________

Please prioritize your 3 top areas of interest (see the membership page for categories):

1. _____________________ 2.______________________ 3. ______________________

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IF INTERESTED IN PROVIDING A FOSTER HOME FOR AN ANIMAL, PLEASE CONTINUE:

(Check all which apply)

Cat Kitten

Large Dog Med. Dog (21-50 lb.) Small Dog (<20 lb.) Puppy

Other _______________

Number of People in Household: _______ Names and Ages: _____________________________

______________________________________________________________________________

Who is the main caregiver of the animals? ____________________________________________

Number of Hours home per day: _______ Type of fence: ________________________________

Animals in Household - Number, Breed, Sex (Spayed or Neutered?) and Age of each:

Dogs: ______________________________________________________________

Cats: ______________________________________________________________

Other: _____________________________________________________________

Dogs: Any breed preferences? Any breeds you would prefer not to foster?

______________________________________________________________________________

Would the foster animal be indoors or outdoors? _______________________________________

Do you have transportation to get the animal to the vet if needed, or to a possible adoption and/or adoption fair? _________________

Could you provide a foster animal with the following (circle yes or no):

Medical treatment (e.g., pills, cough syrup): YES NO

A watchful eye during recovery from surgery: YES NO

A place to stay and some TLC: YES NO

Housebreaking YES NO

Dogs: some basic training

(e.g., walking on a leash, basic obedience) YES NO

Explain what “foster home” means to you:

____________________________________________________________________________

Please note any concerns or problems you foresee if you were to become a foster home for Dreampower Animal Rescue Foundation:

___________________________________________________________________________

NOTE: When available, donated food and supplies are provided to foster volunteer members upon request. Veterinary care is provided by Dreampower. If medical care is needed, the Foster Coordinator MUST be contacted in order to authorize and ensure that veterinary care is provided by Dreampower veterinarians.

I understand that in signing this application to become a foster home, the waiver I signed when filling out my volunteer application is in full force and applicable in my efforts as a foster care home. I also agree to be kind and loving to any foster animal that I take into my care, and agree to notify Dreampower Animal Rescue Foundation of any changes in the animal or my personal situation that may affect the care of the animal. I also agree to conduct an honest evaluation of the animal and report both good and bad habits that I discover about the animal for adoption purposes.

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Signature Date

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Signature of DARF Representative Date