STLSTR Volunteer Form
Thank you for your offer to volunteer for STLSTR!
Name
*
First Name
Last Name
If needed, additional name and their phone number:
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone type
*
Please Select
Mobile
Home
Work
Other
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Phone #2 Type
Please Select
Mobile
Home
Work
Other
Phone #2 Number
Please enter a valid phone number.
Format: (000) 000-0000.
Phone #3 Type
Please Select
Mobile
Home
Work
Other
Phone #3 Number
Please enter a valid phone number.
Format: (000) 000-0000.
What are you looking to help with?
*
Shelter Visit – Check out a dog to verify it is eligible for intake.
Home Visit – Check out a potential adopter's home.
Pickup – Obtain dog when it is released by Shelter or Owner/representative.
Transport – Drive a leg of the journey to move a dog to its next destination. Gas reimbursement (with receipts) will be paid by the rescue.
Foster – Provide a temporary, secure, loving home until the dog is ready for a forever home. Costs incurred with fostering (with receipts) will be paid by the rescue.
Permanent Foster – Provide a loving home for the rest of the dog’s life if it is deemed unadoptable due to age or medical reasons with costs being paid by STLSTR.
Something else you can help with.
Any questions about a shelter or home visit?
How many dogs / crates can you carry in your vehicle?
What type of vehicle would you use?
About your Environment
Occupation:
Do you work from home?
*
Yes
No
Do you own or rent?
*
Own
Rent
Other
Type of Residence
*
Home
Apartment
Do you have a fenced yard?
*
Yes
No
Do you have a pool?
*
Yes
No
Describe the pool/water area:
Is the pool fenced?
Yes
No
About your Family
How many adults are living in your home?
*
Do you have any children or grandchildren?
*
Yes
No
If YES, how many?
What are their ages?
Will the dog be in contact with the children?
Yes
No
About the Dog
Have you ever owned a Scottie?
*
Yes
No
Would you consider a Scottie mix?
*
Yes
No
What gender do you prefer?
*
Male
Female
No Preference
Where will the dog stay during the day?
*
How many hours will the dog be alone?
*
Do you currently have pets?
*
Yes
No
Other Pets:
Rows
Species
Breed
Male
Female
Neutered/Spayed
Pet #1
Pet #2
Pet #3
Pet #4
Pet #5
How did you acquire the other pets?
Who will care for your pets when you are on vacation?
*
Vet Information
What is the contact information for your Vet?
*
Do you give St. Louis Scottish Terrier Rescue permission to contact your Vet for a reference check?
*
Yes
No
Additional Information
Do you have experience with Rescue Animals?
*
Yes
No
YES, please explain...
Would you consider an elderly Scottie?
*
Yes
No
Maybe
Would you consider a special needs dog?
*
Yes
No
Are you aware that Scotties need frequent brushing and professional grooming every 4-6 weeks?
*
Yes
No
Do you use heartworm prevention?
*
Yes
No
Do you use tick/flea prevention?
*
Yes
No
If YES, how often?
*
How did you hear about St. Louis Scottish Terrier Rescue?
*
Date
*
-
Month
-
Day
Year
Date
Typed Digital Signature
*
Signature
*
Submit
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