Lucky Bulldogs Rescue Volunteer Application

Lucky Bulldogs Rescue Volunteer Application

www.luckybulldogsrescue.org
**ALL FIELDS MUST BE COMPLETED, INCLUDING FULL CONTACT INFORMATION FOR YOUR PERSONAL AND VET REFERENCES, IN ORDER FOR YOUR APPLICATION TO BE PROCESSED**
Name*

First NameLast Name
Age of Applicant*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
Occupation:*
Other Adults in Household (Name, Age, Relationship, and Occupation). If none, please type N/A:*
What type of home do you live in?*

Single Level HouseMulti-Level HouseApartment or CondoOther
Do you rent or own your home?*

RentOwn
Do you have a pool or a hot tub? If so, is it fenced or gated for safety?*

Pool, no fence or gateHot tub, no fence or gatePool, fenced or gatedHot tub, fenced or gatedNoneOther
Please describe your yard fencing (material, height, number of gates, if gates have locks). If you do not have a fenced yard, please describe how you will keep the dog safe when outside for potty breaks:*
Please list the name, age, and relationship to the applicant of any additional occupants in the home (including children). If none, please type N/A:*
Does anyone in your home smoke cigarettes?*

Yes, outdoors onlyYes, indoorsNo
Are you or anyone in your household allergic to dogs?*

YesNo
Please list the name, breed, sex, and age of any pets currently living in your home. If none, please type N/A: *
**IT IS REQUIRED THAT ALL YOUR PETS BE SPAYED/NEUTERED IN ORDER TO BE A FOSTER VOLUNTEER**
If you have not spayed or neutered your pet, but plan to do so, please specify in the "Other" field.
If you currently have dogs in your home, have they been spayed/neutered?*

YesNoNo Pets Currently in the HomeOther
Please list all names, types, and breeds of pets you have owned over the past ten years and reason why they are no longer with you, if applicable. If none, please type N/A:*
Do you agree to have a member of Lucky Bulldogs Rescue conduct a home visit at a previously scheduled time?*

YesNo
Why do you want to volunteer for Lucky Bulldogs Rescue?*
Have you even been rejected for the adoption of any animal from a rescue or animal control agency? This does not include simply not being chosen to adopt a pet. If yes, please explain and include anything you would like us to know about that experience:*
Please select all you are willing to assist with:*

FosteringTransportationHome VisitsShelter PullsAssist with Fundraising Planning and/or OrganizingWork Adoption and/or Fundraising EventsOther
Please describe any special skills, talents, networking connections you have that could be usefully applied to LBR. Pleace include any rescue and dog training experience:*
Do you plan to adopt a dog in the next six months?*
References
Vet Reference*

Clinic NameSpecific Vet Name, If Applicable
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Does your vet offer a rescue discount?*

YesNoUnknown
Please do not use family members as personal references.
Personal Reference #1*

First NameLast Name
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Years Known:*
Relationship to Applicant:*
Personal Reference #2*

First NameLast Name
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Years Known:*
Relationship to Applicant:*
Fostering

*Only complete this section if you are willing to foster for Lucky Bulldogs Rescue
**IT IS REQUIRED THAT ALL YOUR PETS BE SPAYED/NEUTERED IN ORDER TO BE A FOSTER VOLUNTEER**
Have you ever fostered dogs before? If yes, please explain:
Do you have any experience with dogs who have never been socialized or who have come from a commercial breeding facility? Please explain:
How long are you willing to keep a foster dog?

Emergency Placements (1-2 Days)Temporary Placements (1-2 Weeks)3-4 WeeksHowever Long is Necessary
Please select the age of dogs you are willing to foster. Select all that apply:

Puppies Under 1 Year-OldPuppies Under 2 Years-OldDogs 3-5 Years-OldDogs 6-10 Years OldDogs 10+
Which of the following potential issues are you willing to handle in a foster dog? Please select all that apply:

Not Okay with KidsNot Okay with DogsNot Okay with CatsNot Potty TrainedNot Kennel TrainedNo Previous Obedience TrainingHuman AggressionAnimal AggressionLeash AggressionFood AggressionDestructive Behavior (ex. chewing)UnsocializedAllergiesSpecial Medical Needs (Multiple Surgeries Needed, Excessive Infection/Illness)Handicapped (Blind, Deaf, Paralysis, Incontinence)None of the Above
How long will your foster dog be home alone during the day?
If no one is home during the day, how long will the dog be alone between potty breaks?
Where will the dog be while home alone?
(ex. kennel, closed off room, gated area)
Will the dog have access to the outdoors when home alone?

YesNo
Where will the dog sleep at night?
How will you separate your foster dog from your personal pets if necessary?
Other than walks, what other physical activity are you able to do with, or provide for, a foster dog?
(ex. hiking, dog park, play dates)
Transporting

*Only complete this section if you are willing to help transport foster dogs
Do you have a valid driver's license?
How far are you willing to travel to transport?
How much notice do you generally need before being able to assist with transports?
Do you have car insurance?

YesNo
Does your vehicle have working air conditioning?

YesNo
Do you have room in your vehicle for a large kennel? If not, please describe how you intend to keep the dog safely restrained in your vehicle:
Terms & Conditions
Please upload a clear photo of your Driver's License or your Government Issued ID:

Upload Files
**No Application will be approved without an ID on file** Cancelof
Authorization
I agree that everything I have stated in the above application is true and accurate to the best of my knowledge. I understand that volunteering for Lucky Bulldogs Rescue, where I may be asked to pick up, transport, or foster a dog of any breed, carries a certain amount of risk. I accept that risk freely and voluntarily, and I hereby forever release, discharge, and agree to hold harmless Lucky Bulldogs Rescue, INC., a Nonprofit Corporation, its Board of Directors, officers, agents, and volunteers from all claims, demands, actions, causes of action or liability of any kind whatsoever arising as a result of doing volunteer work for Lucky Bulldogs Rescue, INC. By sending this form and signing my name below.

I hereby indicate that I agree to the above terms and conditions of volunteering for Lucky Bulldogs Rescue, INC.
By typing, "I Agree," below and submitting this Adoption Application, you hereby certify that the information provided by you in this application is true and correct.*
Signature*
Should be Empty:

Lucky Bulldogs Rescue Volunteer Application

References

Fostering

Transporting

Terms & Conditions

Authorization