Volunteer/Foster Application

• If you are in Northern Mississippi or Western Tennessee select South.
  
  If you are in the New England States select North.
  
  Be sure to fill out all sections. Failure to do so will result in a delay of your application.

  Applicant Information
  Location:	----- North South
  First Name:
  Last Name:
  Address:
  City:
  State:
  Zip:
  Home Phone:
  Work Phone:
  Cell Phone:
  Email Address:
  How many dogs do you currently own (please list age and breed):
  Have you rescued an animal before? If yes, from which rescue group:	----- Yes No Use comment form next line
  Veterinarian Information:
  Name:
  Address:
  City:
  State:
  Zip:
  Office Phone:
  Housing Information
  Which of the following are you willing to be involved: (select all that apply) ctrl & left click to select more than one	Active Rescuer Foster Home* Conduct Home Visits* Transport Dogs Fundraising Adoption Events Screening Applications * Use comment form next line
  If interested in fostering, please complete the following.
  Do you have any children If yes, please list ages.:	----- Yes No Use comment form next line
  Do you have a fenced yard:	----- Yes * No * Use comment form next line
  Please specify the type of dog do you feel most comfortable fostering:(select all that apply) ctrl & left click to select more than one	Active Energy Medium Energy Calm
  Please specify the age of the dog you feel most comfortable fostering:(select all that apply) ctrl & left click to select more than one	Puppy Young(1-2) Adult (3-7) Senior
  Please specify the areas you would be willing to work on with your foster dog:(select all that apply) ctrl & left click to select more than one	House training Chewing Basic Obedience (leash walking, sit, stay, come) Other (Please specify) * * Use comment form next line
  Where will your foster dog sleep while he/she is living with you:
  I/we attest that the information provided on this application is true and accurate to the best of my/our knowledge. I/we understand that completion and submission of this application does not guarantee adoption of a dog.
  Applicant's Signature:
  Date:
  Your name typed and submitted by email will serve as signature agreement
  Comments:
  Please Enter The Code:

  
  

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