First Name:

Last Name:

Street Address:

City, State, Zip Code:

Home Phone Number:

Work Phone Number:

Cell Phone Number:
 
Email address: 
 
Second Chance Sheltie Rescue uses Yahoo Groups as one of its volunteer coordination tools.  Would you like to be added to the yahoo group user list (we will send an invitation to join if you do)?
 
To fully benefit from the yahoo group, a yahoo group user ID is necessary.  Do you have a Yahoo groups user ID and would you like to have it added to the yahoo group user list? (please provide yahoo group user ID).
 
Please circle, check or answer as appropriate to the questions  below:

Do you live in:  house___  condo___    apartment___other (____________)

Do you:           own _____                  rent ______

Are you a volunteer with any other Rescue organization, animal welfare organization or similar agency?             Yes _______                      No _______

If yes, please list agency and capacity below:

 
Do you currently have any animals (pets, livestock, etc.)?    Yes______       No______

If yes, please describe (species, breed, sex, spay/neuter, age, health, etc.,)

Have you ever participated in obedience training with a dog? If yes, at what level (describe below)          Yes______                        No ______

 
Are you involved in any dog sports, shows, dog-assisted therapy or other activities involving dogs?          Yes  _____                             No ______

If yes, describe below  

 
Do you have any training or experience that would enable you to test  or evaluate a rescue dog's temperament? Yes  _____              No  _____

Please explain experience and evaluation techniques. 

 
Have you or any member of your family ever been accused or convicted of any cruelty to animals or other similar charges?          Yes  _____                   No  _____

If yes, please explain.

 

Are any such charges currently pending or awaiting trial?   Yes  _____       No _____

If yes, please explain.

 

Have you or any member of your family ever been reprimanded or suspended by a local or national club for mistreatment of animals?       Yes  _____       No  _____

If yes, please explain.

 

Are you or any member in your immediate family a member of any other Rescue Organization, a volunteer in any capacity for any other Animal Welfare Group (e.g. Humane Society of Missouri, St. Charles County Animal Adoption Center, Granite City APA)?           Yes _____                    No  _____

 If yes, list organization and describe capacity and general performance below  

 
How would you describe your household?  Quiet___   Active ___   Mix___   Other___

VOLUNTEER CAPACITY/ABILITIES:

Please complete the following to help us match volunteers with assignments.  Please circle, check or answer as appropriate to the questions  below:

A.  Regarding Shelters Calling Second Chance Sheltie Rescue about dogs

I would like to help Second Chance Sheltie Rescue by fielding calls from other Rescues or Animal Control Agencies, picking up Shelties from other rescues, or similar activities (Intake Assistance). 

Yes ______   No _______  (refer to Intake Coordinator for follow-up review).

B.  Regarding Volunteers visiting Shelters to check for dogs (independent of section A).

I can VISIT my local animal control facility within __________miles / minutes from my home  to check for Shelties

Yes ______   No _______  (refer to Intake Coordinator for follow-up review).

C.  GROOMING ABILITIES for newly rescued Shelties.  

Shelties coming into Rescue often have significant grooming needs, ranging from simple brushing to shaving.  Experienced groomers for long-hair double-coated breeds are always in demand; anyone who can wash a dog is very handy!

I can assist in bathing/clipping/brushing/nail-clipping the following:

generally clean/unmatted dogs   _________

moderately matted/dirty dogs     _________

cooperative healthy dogs           _________

uncooperative dogs                   __________

Generally, Second Chance Sheltie Rescue will not be receiving unhealthy dogs into the Rescue, but from time-to-time, some dogs may exhibit signs of illness that typically do not impact their adoptability (kennel cough, parasites, superficial injuries).  Can you assist in grooming these dogs also?   Yes ________     No__________

(refer to Intake Coordinator for follow-up review).

D.  FOSTERING CAPABILITIES.

This application is not a foster home application but can be used to indicate intent to foster.  State regulations require Rescue organizations to maintain separate records for foster homes.  Please refer to the foster home application on our website if you would like to foster.  This section of the volunteer application does not bind you to fostering.

I can FOSTER rescue Shelties in my home for (please check what can apply).

A few hours      _________ 

A few days       _________

A few weeks    _________

Several  Weeks _________

I can FOSTER the following categories of Shelties (please check what can apply)

Males       _______

Females    _______

Puppies    _______

Adults      _______

Special Needs dogs   _______

House-trained only   _______

In FOSTERING the dog, I can perform the following functions:.

House-train     _______

Basic Obedience          _______

Basic Obedience for Shy Dogs     _______

Advanced Behaviour Modification (if checked, please identify how below). _______

 
 
 (refer to Foster Home  Coordinator for follow-up review)

E.  INTERVIEWING & EDUCATING prospective ADOPTERS.

I can talk to potential adopters on the phone, tell them about Shelties, listen to them, answer questions, take notes and report the results to the Rescue (PHONE INTERVIEW) 

Yes  ____   No _______

I can invite potential adopters to my home to meet my own Shelties  to interview and educate in the same manner as on the phone (ADOPTER VISIT)    Yes ____   No  _____

 I can travel with my own Sheltie to the potential adopters' home, interview and discreetly evaluate the home and fencing, take notes and report the results to the Rescue (ADOPTER HOME CHECK).  Yes _______   No _______

(refer to Adoption  Coordinator for follow-up review)

F.  TRANSPORTATION of Dogs

It is sometimes necessary for Sheltie Rescue volunteers to travel long distances to retrieve dogs being taken into our program.  Missouri has a large number of commercial breeders (PUPPY MILLS), and it may be necessary to travel to central or south Missouri to obtain dogs being surrendered.  If you can fill either local or long distance transportation needs, indicate below.

I can perform LOCAL TRANSPORTATION needs.  Yes        ______   No ________

The maximum distance I am willing to travel  _____  miles.

I can perform LONG DISTANCE  TRANSPORTATION needs.   Yes______   No _______

The maximum ONE-WAY distance I am willing to travel  is _______  miles. 

Anyone volunteering in a transportation capacity will be provided access to the policies and procedures applicable to transportation. 

(refer to Transportation  Coordinator for follow-up review)

G.  PUBLIC RELATIONS for Second Chance Sheltie Rescue

Public Relations is one of the most important aspects of Second Chance Sheltie Rescue.  The strength of the Rescue is in the volunteers, and that is most evident when the time comes to participate or coordinate in Public Events.

I can post notices about dogs available in our program at local vets, groomers and pet-friendly agencies in my area.  I can post notices about dogs available in our program at on-line/web services.  I can participate in advertising Sheltie Rescue events at the local vets, groomers, pet-friendly agencies and others in my area. 

I can handle internet correspondences for rescuers and fosterers (for those who have limited internet access).  

I can work at Sheltie Rescue events (open houses, education events, fund-raising booths at area events)    The longest time I'd prefer working at the event would be ______  hours.

I can help set up booths, information tables, materials. etc.,  at Sheltie Rescue events. I can contribute equipment, drop off and pick up that equipment at Sheltie Rescue events   

If you can do any of the above, please indicate Yes _________  or   No_________ 

(refer to Public Relations Coordinator for follow-up review)

H.  CONTRIBUTION SOLICITY and FUNDRAISING.

Second Chance Sheltie Rescue financial survivability depends solely on contributions from private individuals and public fundraising events.  Enthusiastic salesmanship is very important to this aspect of Sheltie Rescue volunteering. 

I can solicit donations from known private contributors to Sheltie Rescue for special one-time contributions and general contributions.

I can conduct research and contact various foundations and individuals that provide funds or grants to Rescue organizations.  

I can craft fund-raising ideas, coordinate and implement them. I can support fundraising goals by participating in other ways. 

If you can do any of the above, please indicate Yes _________ or   No_________ 

(refer to Public Relations Coordinator for follow-up review)

I.  SPECIALIZED SKILLS

I have unique skills that would benefit Second Chance Sheltie Rescue. 

I have experience in book-keeping, accounting, data-base management, project management, web-site management 

Please identify the skills below.

 

 I have ideas that would benefit Second Chance Sheltie Rescue and I'd like to share them with you below.

 
 
Thank you for taking the time to submit your volunteer application.  We hope we can find the right opportunity for you to participate in our rescue.  If you have any questions or additional comments, please contact us at volunteer@dogforme.com. 

J. TERMS OF ACCEPTANCE:  Should my application be accepted -

1. I will abide by the mission, rules, regulations, policies, and programs of SCSR while I am a volunteer.

2. If I stop being a volunteer for SCSR, or upon their request at any time, I will promptly return all of SCSR's supplies, equipment, records, money, and other items.

3. I understand that SCSR can refuse applications, for any reason.

4.  I agree not to use any SCSR assets, information or property (intellectual, electronic or physical) for any other purpose other than defined by SCSR and permitted by the Board and its Officers.  I will protect all such assets, information and property to prevent misuse or distribution.  I will not give or donate SCSR assets to any other animal welfare group for any reason without direction from the Board of Directors.

5. If I will be fostering any SCSR animals in my home, I consent to SCSR visiting my home from time to time to observe the animals and their living conditions.

6. I have accurately and truthfully completed this volunteer application and agreement.
By indicating yes or no, I indicate electronically by signature substitution, that I accept these terms.
Accept the terms of acceptance?   Yes _______   No _______

K. RELEASE OF LIABILITY

I assume the risk of being injured by animals in conjunction with my volunteer work for Second Chance Sheltie Rescue, Inc., (hereafter referred to as SCSR).  SCSR 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 SCSR.  I will indemnify, defend and hold SCSR 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 SCSR, or my breech of SCSR's rules, regulations, policies and programs. By submitting this application, and in consideration of this opportunity to volunteer, I agree to these terms and conditions, intending to be legally bound by them.

All the answers I have given are true and correct to the best of my knowledge.  I am over 18 years of age

Date  _____________       Signature of Applicant    ________________________

 (signature may be typed for electronic submission).You may print this from your web browser and mail it to us to the address listed on our website if you prefer.

INSTRUCTIONS TO SUBMIT THE APPLICATION:

To submit this application, please copy and paste the entire contents, edit in a text editor or word pad, copy the results and directly post in an email addressed to volunteer@dogforme.com, with subject line “VOLUNTEER APPLICATION”.

If you do not receive a phone call within 5 days of submitting your application, please call 888-873-5443, and let us know.

Dwain Springer
Copyright © 2007 Second Chance Sheltie Rescue, Inc. All rights reserved.
Revised: 02/05/2007