Bichon Rescue Brigade --- Volunteer Application

Last Name, First Name: *

Name of Spouse / Domestic Partner:

Street Address (No PO Boxes):

City: *

State:

Postal / Zip Code: *

Primary Phone: *

Secondary Phone:

Email Address:

Preferred Contact Method: (Phone, email, etc.)

Fostering

Transportation

Home Safety Checks

Photography

Web Site Maintenance

Animal Evaluations / Interactions

Administrative / Clerical

Bookkeeping / Accounting

Volunteer Recruiting & Oversight

Fundraising

Events

Other Services?

Which geographic areas can you service? (Please list cities, zip codes, counties, etc.)

(Skip to next section if you are not interested in fostering.)

Do You Currently Own A Dog or Multiple Dogs? Yes No *

Do you have other pets? Yes No *

Please list number, type and ages of your pets.

Are your pets spayed and/or neutered? Yes No *

Are your pets current on their vaccinations? Yes No *

If your pets are not spayed/neutered or current on vaccinations, please explain here:

What type of flea and tick preventative do you provide for your pets?

May we contact your vet for a reference? Yes No *

If yes, please provide us with your Vet's Name and Phone Number

If you do not currently have a vet, please provide two references whom we can contact:

Have you previously owned a dog(s)? Yes No *

If yes, how long did you have the dog and what is the reason dog(s) is no longer with you, if applicable?

If you have not owned a dog, please describe any relevant dog experience you have:

Do you have a fenced yard? Yes No *

Do you routinely work away from home? Yes No *

On average, how many hours per day are you away from home?

Please tell us more about your daily work schedule and routine.

When you leave your pets alone, please describe the area of your home where they stay.

Are you willing to crate train a dog? Yes No *

Describe where the foster dog will sleep?

Have you spoken to your spouse, partner and family about fostering and are they amenable to the idea? Yes No

Do you have children at home? Yes No *

If yes, please list all children's ages.

Do you have grandchildren or other children who visit your home routinely? Yes No *

If yes, please list all visiting children's ages.

Please provide at least two personal references whom we can contact to validate your application.

Ref #1: First and Last Name *

City *

Phone *

Email *

Ref #2: First and Last Name *

City *

Phone *

Email *