Expression of Interest

Cavalier King Charles Spaniel Rescue (Qld) Inc.

Registered as a charity with the Australian Charities and Not-for-profits Commission ABN 28 709 153 342
Expression of Interest - Transporter
Name*

First NameLast Name
Date*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number*
Home Phone
Email*
example@example.com
Cavalier King Charles Spaniel Rescue (Qld) Inc. will only use your personal details to record, assess and manage your application. Your details will not be sold, shared with or otherwise released to any third party without your prior consent.
All applications to become transporters must be accompanied by:*

A copy of your current Driver's LicenseA copy of your vehicle registration
Please upload a copy of your Vehicle Registration and current Driver's License.*

Cancelof
1. Which areas are you able to provide transport to/from?*
2. What sort of vehicle do you have?*
3. Can you transport multiple dogs?*

YesNo
If yes, how many dogs can you safely transport?
4. Are you interested in providing transport services for:*

Collection of surrendered dog/s and delivery to a designated addressVeterinary appointments while the dog/s are in foster careTransport of dog/s to their new address after being adoptedAs needed, for whatever purpose
5. Do you have your own crate to assist with transporting dogs?*

YesNo. *If not, please discuss with our Rescue Co-ordinator how you will secure the dog/s for safe transport.
6. Have you had any driving offences within the past 5 years?*

YesNo
If yes, please give a short description.
7. How did you find out about Cavalier King Charles Spaniel Rescue (Qld) Inc?

FacebookWebsiteFriendPet ExpoAnother rescue/animal groupSpoke to a Volunteer
If you spoke to a Volunteer, please provide their name.
I declare the information I have provided on this form is to the best of my knowledge true and correct. I hereby acknowledge the obligation and agree to keep matters of a confidential nature, particularly regarding personal details and the circumstances surrounding surrender and rehoming, confidential and to respect privacy as required by the Privacy Act 1988 (Cth).
Full Name
Signature
Dated

MonthDayYear
Date
Thank you for your interest in volunteering with Cavalier King Charles Spaniel Rescue (Qld) Inc. We genuinely appreciate you taking the time to provide US with as much information as possible.

Please note Public Liability Insurance of $10,000,000 is current and provided through Berkley Insurance Australia.
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Expression of Interest - Transporter