Home At Last Volunteer Application —
Minimum age to volunteer is 18. Contact info@homeatlastdogrescue.com for any limited volunteer opportunities for younger than 18.
Name
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First Name
Last Name
We use Facebook as primary communication method for the rescue. What is your name on Facebook?
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Cell Phone Number
*
-
Area Code
Phone Number
Alternate Phone Number
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Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of birth
*
-
Month
-
Day
Year
Date
Occupation
Sometimes your occupation might be a benefit to HAL in a way you might not realize! We'd love to know.
Have you ever had pets for whom you were the primary caretaker?
*
Yes
No
Availability
Tell us a bit about when you are available to volunteer. Weekends only, mornings, evenings, etc. If your schedule varies, please let us know that.
Have you volunteered with another rescue before?
*
Yes
No
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Dog Experience
Name of your veterinarian
*
Vet's Phone Number
*
-
Area Code
Phone Number
Have you ever taken obedience classes?
Yes
No
Do you currently have any pets?
Yes
No
Please provide the following information about your current pets
*
Have you had other pets in the past?
Yes
No
Please provide the following information about your past pets
*
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How would you like to help?
What volunteer roles are you interested in helping with? (Select all that apply)
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Temporary Fostering - taking care of a dog on a short-term basis, ie overnight or a weekend, or other defined period of time
Puppy Team -caring for our young puppies (usually over a weekend only) until they go to their permanent foster home
Full-Time Fostering - Caring for a dog until he/she is adopted
Reference Checks - Calling references for potential adopters
Graphic Design
Fundraising - Help plan fundraising events, coordinate sponsors, find raffle basket items
Transporting - Examples include transport (from a shelter to Home At Last) to foster home, to/from medical appointments, to/from events
Medical Records/Scanning Team - Attend transport on Saturday mornings once per month in Fort Washington, scan medical records and upload them to our website
If you have other skills or talents that you think could benefit HAL, please include them below
Tell us bit about why you are interested in volunteering with Home At Last.
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Personal Information
Because you are interested in fostering, we need to get some information about your housing situation and experience with dogs
Living situation
*
Own
Rent (you must have permission to bring animals into my dwelling from your landlord)
Landlord's Name
*
Landlord's Phone Number
*
-
Area Code
Phone Number
Type of home
Single home
Condo
Apartment
Does your yard have a fence?
Yes
No
N/A
What type of fence?
Height
Enclosure size
Does anyone in your home have any pet allergies?
Yes
No
Are there others that live with you?
*
Yes
No
Please list the people who live in your house
*
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Foster Dog Information
Who will have primary responsibility for the dog?
Where will the dog be kept during the day?
ie, crated, loose in the house, in a specific room, etc.
Where will the dog be kept at night?
ie, crated, loose in the house, in a specific room, etc.
How many hours per day will the dog be left alone?
How will you exercise the dog?
When are you available to start fostering?
What type of dog are you looking to foster?
Age, size, energy level, etc.
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Eligibility Criteria
Is the house/facility in which the foster dog will be kept subject to a final binding order declaring that a kennel is not a permitted us under applicable zoning ordinance?
*
Yes
No
Please explain
*
Have you or a person who does/will have contact with dogs in your care ever been convicted of a violation or similar conduct pursuant to an animal cruelty law of PA or another state?
*
Yes
No
Please explain
*
Have you ever been found to have violated the "Rabies Prevention & Control in Domestic Animals & Wildlife Act"?
*
Yes
No
Please explain
*
Have you ever been convicted of a felony?
*
Yes
No
Please explain
*
Have you ever been found to have violated the "Unfair Trade Practices &N Consumer Protection Law" (aka the "Puppy Lemon Law")?
*
Yes
No
Please explain
*
Have you ever been required to cease and desist from operating a kennel or owning, selling or caring for dogs or both?
*
Yes
No
Please explain
*
Have you ever entered into an agreement with the PA Office of Attorney General which required or required you to cease and desist from operating a kennel or owning, selling or caring for dogs, or both?
*
Yes
No
Please explain
*
Have you ever had a kennel license, dealer license or out-of-state dealer license refused or revoked?
*
Yes
No
Please explain
*
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Signature
*
Submit
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