Rogers' Rescues Volunteer Application

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Thank you for your interest in volunteering with Rogers' Rescues. Without volunteers our group could not exist. Please review the following agreement and then take a few minutes to tell us about yourself and how you can help. Once your application is submitted, a volunteer will contact you via email to set up an appropriate time for an interview.

Volunteers must be 21 years of age or older. Children of adult volunteers are invited to attend and help out at adoption events upon the adult volunteer signing a junior volunteer waiver for the child. The adult volunteer must accompany the child to the event.

All volunteers must have a home computer with Internet access and be online and in touch with our rescue a minimum of several times a week. Our volunteers interact with our rescue via a Yahoo! Group Site. Prior to volunteering, you will be interviewed via phone and required to take an online training class. This class can be taken from your home PC at any hour of the day or night and will take you about 7 days to complete. Volunteers interested in becoming a foster home will have additional training and will also require a home visit. Foster home volunteers must also be willing to drive a minimum of 1 hour in order to attend adoption events, meet potential adopters and pick up foster dogs. If approved as a volunteer, you will be sent instructions on how to access the Rogers' Rescues Volunteer Yahoo! Group Site.

As a Rogers' Rescues volunteer, you agree to abide by the policies and procedures defined by Rogers' Rescues and to carry out volunteer duties to the best of your abilities, in a professional and mature manner, and without any compensation. Rogers' Rescues has the right to dismiss any volunteer from the group who has falsified information, does not follow the Rogers' Rescues policies and procedures or does not represent Rogers' Rescues in a manner in which the group wishes to be represented.

If you have any questions regarding this application or volunteering in general for Rogers' Rescues, please email our volunteer coordinator by clicking here .

Please note required fields are indicated by *

About you:

How did you hear about Rogers' Rescues?

* Full Name:
* Age:

* Home Address: (Please include street address, city, state, and zipcode)
* County:
* Home Phone (ex: 6101234567)	Cell/Work Phone: (ex: 6101234567)	Best time to call:

(Example email address: Fido@aol.com)

* E-Mail Address :

Verify email address

Employer:

Occupation:

Do you work full time or part time?

Full time/40 hours a week	Part time (how many hours per week?)
Retired	Not employed	Stay at home parent

* Are you a Rogers' Rescues preapproved adopter?	No Yes
* Have you adopted any dogs through Rogers' Rescues?	No Yes
If yes, please indicate the names: (both foster name and current name if possible)

Volunteer Interest:

Please indicate the area(s) of volunteer interest:

Adoption Interviews:	Yes No
This involves phone interviews with prospective adopters. Training is provided. Interviews take about 30 minutes and are done from the convenience of your home.

Home Visits:	Yes No
This involves visiting the home of prospective adopters after they have been interviewed. We ask our volunteers to do home visits within their local area (or further away if they are interested). Training is provided.

Fostering Dogs or Puppies:	Yes No
We are currently only accepting foster homes in NJ and eastern PA. Please don't apply to foster if you live outside of those areas. Fostering involves housing, feeding, exercising and and socializing the foster dogs as well as meeting potential adopters and conducting adoptions. Training is provided.

Are you currently a volunteer with any other rescue organizations?

Yes No

List other rescue organization to which you currently or formerly have applied and/or volunteered:

* Approximately how many hours a week can you devote to volunteering and being online communicating with the group?

Do you have any comments or questions about volunteering?

About the people who say you would be a good volunteer and/or foster dog parent:

References: (Full contact info, including email address, is required.)

References CANNOT be someone who is related to you. If you have become a Rogers' Rescues preapproved adopter within the last 6 months, you do not need to submit references as these will be taken from your adoption application.

PLEASE NOTE: Even though you are giving us the contact information for your references, it is YOUR responsibility to contact your references and ask them to send an email to us. Further instructions are found on the next page after you submit this application.

Reference #1:

Name:
Relationship to you:
* E-Mail Address:
* Verify their email address :

Reference #2:

Name:
Relationship to you:
* E-Mail Address:
* Verify their email address:

Only fill out the remaining sections if you are interested in becoming a FOSTER HOME, else proceed to the end of this form to sign it and then submit it.

Why have you decided to pursue becoming a foster home?

About your household:

Names and ages of all other adults in the househould:

Ages of children in the household:

Is anyone in your home allergic to animals No Yes Explain:

Are you familiar with animal regulations in your area No Yes Explain:

Do you rent or own?

If you rent, you must have a written letter form your landlord stating that you are allowed to have dogs. Please have this letter or a copy of your lease faxed to 973-726-0895. We cannot process this application without your landlord's letter.

Are you planning to change residence in the near future? No Yes Explain:

How long have you lived at your current address? (years/months)

What type of setting best describes your home's surroundings:

City Suburban Rural Other

Please briefly describe your home:

Do you have a yard?

Yard, fenced Yard, not fenced No yard

Please briefly describe your yard, including type of fence, if applicable:

Do you have an outside dog run? If so, please describe (if you didn't already describe it above!)

Do you work?	Yes No Telecommute/work at home
How many hours will foster dogs be left alone during a typical day?

About your current and former pets:

Do you have any pet(s) currently? List type, breed, age, sex, and approximate weight, and describe their general personality. Be sure to include whether or not current pets have interacted with dogs in the past.

Is/Are your animal(s) Spayed/Neutered?	Yes No
Is/Are your animal(s) current on Vaccines?	Yes No
Is/Are your animal(s) on a Heartworm Preventative	Yes No
Type of Heartworm Preventative:

If you have answered "No" to any of the above, please explain:

It is recommended that you put your current pets on Interceptor before accepting a foster dog into your home. Interceptor is a heartworm preventative and will also prevent many intestinal parasites. Check with your vet to determine if your pet can be put on Interceptor. Frontline is also recommended for fleas/ticks. Also, check with your vet to make sure your dogs and/or cats are up to date on their vaccinations.

Will your current animal(s) accept another animal in the home? Yes No Unsure

Have your current pets been through any formalized training? Yes No

Please describe any experiences you have with obedience training or any other type of formalized training. (Note: Expertise in this area is not required for foster homes. Foster homes will learn some basic obedience techniques during training.)

Have you ever fostered before? Yes No

If yes, please provide the type of animal(s) and organization for which you fostered:

Veterinarian Information:
Only fill out if you currently have pets

Current vet:

Vet's address:

Vet's Phone:

Former Dogs:

Have you had dogs in the past? Yes No

Please describe dogs you've had in the past and your history with them. Include breeds, training you did with them, and why they're no longer with you:

Sign and Submit Application:

Please remember: It is your responsibility to contact your references and request that they send an email to us. Specific instructions are included on the next page after you click "Submit" on this application.

Please check the box below, to certify that this is your electronic signature, and that is it binding on this application

I have read and understand all of the above.

By signing below, I hereby certify that all information stated in this form is accurate, current and complete; and that such information does not contain false, misleading, or misrepresented information.

* Volunteer signature - type your name:
* Date:

THANK YOU FOR WANTING TO HELP! AND THE DOGS THANK YOU TOO!

Will your current animal(s) accept another animal in the home?	Yes No Unsure
Have your current pets been through any formalized training?	Yes No

Have you ever fostered before?	Yes No
If yes, please provide the type of animal(s) and organization for which you fostered: