Volunteer Form

NVSR Volunteer Form

Thank you for taking the time to fill out this application. You must be at least 18 years old to volunteer for NVSR.
We hope we can find just the right opportunities for you to help our rescued Shelties. If you have questions or additional comments, please contact us at vapp@nvsr.org.

Name *

First

Last

Home Phone Number *

Work Phone Number *

Cell Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Employer *

Position *

Do you currently have pets? *

Yes No

If yes, are all pets current on vaccinations (including Bordatella)? *

Yes No N/A - I don't currently have pets

List all current pets, including their: Name, Breed, Sex, Age, Physical Condition, Spay/Neuter status *

List the following details for all other pets you have owned in the last 10 years: Name, Breed, Sex, Spay/Neutered, Where is pet now? *

If you've ever had a pet die at an early age or in an accident, please explain: *

Have you ever participated in obedience training with a dog? *

Yes No

If yes, when? *

What methods were you taught? *

Have you ever trained a Sheltie? *

Are you involved in any... *

dog sports? dog assisted therapy? other activities?

If other activities, please describe: *

Living arrangements: *

Rent Own

If renting, do you have permission from your landlord to have a dog? (Proof of lease with pet clause may be requested) *

Yes No N/A - I don't rent

If renting, please provide landlord's contact information:

Landlord Name *

First

Last

Landlord Phone Number *

Landlord Address *

Line 1

Line 2

City

State

Zip Code

Country

If other, please explain: *

How many adults live in your home? *

How many children live in your home, and what are their ages? *

Do you have a physically fenced and secure yard? *

Yes No

If yes, please indicate:

Fence type *

Fence height *

Fence condition *

Yard size *

If you do not currently have a fence, do you plan to build one in the near future? *

Yes No N/A - I have a fenced yard

How do you exercise your dogs? *

Do you tie or chain your dogs at any time? *

Yes No N/A - I don't currently own dogs

If yes, please explain: *

Do you know or have you ever volunteered with other animal rescue groups? If so, which groups, when, and in what capacity? What was your experience with them? *

Please mark the volunteer duties that interest you: *

Conducting home visits for prospective adopters and volunteers Transporting Shelties to foster homes, vet visits, etc. Picking up Shelties from shelters Fundraising Watching your local newspaper/online resource for Shelties being given away Checking your local shelters for available Shelties Contacting veterinarians to ask for discount rates for spay/neuter, vaccinations, and other necessary veterinary care that our rescue may need Helping with events that NVSR participates in

Other special skills or talents: *

Are you interested in fostering?
If so, please answer the following questions regarding being a foster provider:

Do you work full time or part time? *

How many continuous hours will the foster dog be alone during the day (including commuting time)? *

Where will the foster dog be kept while you are away from home? *

Where will the foster dog be kept at night? *

Is anyone home during the day? *

Who is home, and for how long? *

Do you have any training or experience that would enable you to test or evaluate a rescued dog's temperament? *

May a NVSR volunteer visit your home? *

Yes No

If no, why not? *

Do you have a veterinarian? *

Yes No

If yes, may we contact them? *

Yes No

If no, why not? *

Vet Name *

Vet Phone Number *

Personal References

Please list a person in local area (non-relative) who knows you well and has known your animals:

Name *

First

Last

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Please list a relative who is not living with you:

Name *

First

Last

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

I have accurately and truthfully completed this volunteer application and agreement and understand that NVSR can refuse my application for any reason.

If this application is accepted:

I will abide by the mission, rules, regulations, policies and programs of NVSR while I am a volunteer.
If I stop being a volunteer for NVSR, or upon their request at any time, I will promptly return all NVSR supplies, equipment, records, money, and/or other items.
If I will be fostering any NVSR animals in my home, I consent to NVSR visiting my home from time to time to observe the animals and their living conditions, and I agree to sign the NVSR Foster Agreement.
I affirm that no legal charge for animal abuse has ever been made against me or any member of my immediate family. I also affirm that I have never been sanctioned or reprimanded by an animal rescue group or shelter for mistreatment of animals.
I assume the risk of being injured by animals in conjunction with my volunteer work for NVSR. NVSR 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 NVSR, unless they are the result of NVSR's gross negligence or intentional misconduct. I indemnify, defend, and hold NVSR harmless from and against any claims, lawsuits, injuries, damages, losses, costs, or expenses whatsoever, sustained by any performance of volunteer activities for NVSR, or my breach of NVSR'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.

My name typed below serves as a formal signature. *

Submit