VOLUNTEER and FOSTER APPLICATION

Ridgeback Rescue of the US

Please fill out all fields marked with a '*'

General Volunteer Information:

*First Name:

*Last Name:

*Address Line 1:

Address Line 2:

*City:

*State/Province:

*Zip Code:

*Country:

*Home Phone:

Cell Phone:

*Email Address:

Your Age:

Number of adults in your household:

Number of children in your household:

Volunteering Preference: Please tell us how you would like to help (check ALL that apply)

I will help screen applicants wishing to adopt a dog

I will assist with home checks of possible adoption families in my area

I will help transport a rescue dog

I will pick up a dog from a surrendering home or animal shelter and take it where directed by my State Director or member of the RRUS Board of Directors

I will visit animal shelters in my area and discuss the breed and RRUS rescue efforts with their staff and volunteers

I will inquire around my local area about a nice boarding facility that will offer discounted rates for rescue dogs

I will discuss RRUS rescue efforts with my veterinarian and ask if he/she will offer discounted rates for rescue dogs

I will donate a large dog crate

I would be interested in serving on a RRUS committee

I will foster a rescue dog (if checked, please complete FOSTER HOME VOLUNTEERS section of this form)

Others (for example: fundraiser, administrative, marketing, etc. – WRITE IN any other ways you would like to help)

For Foster Home Volunteers: (volunteers not interested in fostering may skip to the agreement section at the end of the application)

Do you agree to abide by RRUS Policies & Procedures for the care and evalution of foster dogs?

Yes No

Do you rent or own your home?

Own Rent

If you rent your home, do you have your landlord’s permission to foster a dog that is not your own?

Yes No

If you rent your home please provide the details:

Landlord’s Name:
Landlord’s Email:
Landlord’s Phone:

Gender Preference for a foster dog

Male Female Either/No preference

Do you have a fenced yard?

Yes No

If yes, how tall is the fence?
If no, how will you ensure safety of a foster dog while outside?

Do you have any dogs/animals of your own?

Yes No

Please list the current pet Type (cat, dog, etc.), Breed, Age, Altered, Source and Years Owned:

	Type & Gender	Breed	Age	Altered	Source	Years Owned
1.
2.
3.
4.
5.

Do you have a regular veterinarian?

Yes No

Will you use a crate?

Yes No

Reference #1: Please list your veterinarian as your first reference

*First Name:

*Last Name:

*Address Line 1:

Address Line 2:

*City:

*State/Province:

*Zip Code:

*Country:

*Email:

*Home Phone:

Cell Phone:

Relationship:

Reference #2: Please list someone not related to you as second reference

*First Name:

*Last Name:

*Address Line 1:

Address Line 2:

*City:

*State/Province:

*Zip Code:

*Country:

*Email:

*Home Phone:

Cell Phone:

Relationship:

Agreement:

As a volunteer foster home, I agree to allow an arranged home check to be done of my home

Once my application has been approved, I will receive a copy of the RRUS Policies & Procedures and Bylaws. I understand that I must agree to abide by the Policies & Procedures and Bylaws in order to volunteer for RRUS

I agree that I will represent Ridgeback Rescue of the US (RRUS) in all my volunteer efforts in a professional manner and in accordance with the Bylaws and Policies & Procedures of the organization. Further, I agree that I have received, read understand these documents, and I will ask for clarification in the event I have any questions or need further information

I (We, the above-named Applicant(s) , hereby agree to release, indemnify, defend and hold Ridgeback Rescue of the United States, its officers, directors, volunteers, and their successors and assigns, harmless from and against any liability, claim, damage, injury, cost, or expense whatsoever relating to volunteering with Ridgeback Rescue of the United States.

Name: