Chihuahua Rescue & Transport
Volunteer Application

Date:  ___________________

Name:  ________________________________________________________________

Complete Mailing Address:  _________________________________________________

Phone (Home):   ______________________    (Work):  __________________________

Email address:  __________________________________________________________

Before completing this application, please read the "What is CRT" and "Policies and Procedures" document.  

  1. I have read "What is CRT" and understand the contents.
  2. I have read the "Policies and Procedures" document and understand the contents.
  3. What types of work are you interested in performing for CRT?

[ ] Fostering

[ ] Transportation

[ ] Adoption interviews and home checks

[ ] Contact person/dissemination of adoption procedures to new adoption applicants

[ ] Contact person/dissemination of volunteer procedures to new applicants

[ ] Resource contact for shelters and other rescue organizations

[ ] Fundraising

[ ] Web site support

[ ] Database maintenance

  1. Have you volunteered with a breed rescue group previously?

[ ] Yes [ ] No

  1. If you are interested in fostering, have you fostered previously?

[ ] Yes [ ] No

  1. Children in household?

[ ] Yes [ ] No

Number:  _____________________ Ages:  __________________________ 

  1. Long range plans within the next year?  ____________________________________________

__________________________________________________________________________

__________________________________________________________________________

 
  1. Residence: 

[ ] Apt/Condo [ ] Townhouse [ ] Trailer

[ ] Single family dwelling [ ] Farm [ ] Other:

[ ] Own [ ] Rent

[ ] Rural [ ] Suburban [ ] Urban [ ] No outdoor area [ ]

  1. If renting, please provide landlord's name, address and telephone #: 

__________________________________________________________________________

  1. Fencing (type):  _______________________________________________________________
  1. Size of living area:   ____________________________________________________________
  1. Size of fenced area:  _____________________________________________
  1. If there is not a fenced yard, will you provide leashed walks:

[ ] Frequently [ ] Occasionally [ ] None

  1. Please list the names of all non-related residents/Housemates: __________________________ 

________________________________________________________________________

________________________________________________________________________

  1. Are you willing to permit a home check by a CRT representative?

[ ] Yes [ ] No

  1. How many hours will the foster(s) be left alone per day?  ______________________________
  1. Where will the dog be kept when alone:

During day:  _______________________________________________________________

During night:  _______________________________________________________________

When family is home:  ________________________________________________________

  1. If there is any aspect of your home that a puppy could affect (white carpet, antiques, etc.), please identify:

_______________________________________________________________________________

  1. What is the level of activity in your household?

[ ] Laid back      [ ] Constantly on the run             [ ] Athletic/Jogger type    [ ] Physically handicapped

  1. Does anyone in your household have allergies to hair or dust?

[ ] Yes     [ ] No

  1. Are you often away for extended periods? 

[ ] Yes    [ ] No

  1. If so, will you:

[ ] Board             [ ] Hire a pet sitter                  [ ] take the animal with you?

  1. Do you currently own any dogs? 

[ ] Yes      [ ] No

  1. If so, please provide breed(s), sex(es), and age(s):

________________________________________________________________

________________________________________________________________

________________________________________________________________

  1. Do you currently own any cats? 

[ ] Yes [ ] No

  1. If so, please provide sex(es), and age(s):

____________________________________________________________________

____________________________________________________________________

 
  1. Do you own any other type of pets? 

[ ] Yes [ ] No

  1. If so, what kind?:  ________________________________________________________________
  1. Have you owned animals not listed above in the past?

[ ] Yes [ ] No

  1. If yes, their disposition was: [ ] Ran away       [ ] Stolen              [ ] Sold    [ ] Lost

[ ] Given away    [ ] Given up for adoption to Rescue Organization

[ ] Given up to Animal Shelter    [ ] Euthanized

[ ] Died -- Cause of Death:  ____________________________________________________

  1. Please give details regarding any of the above items you have checked:  ____________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

  1. If volunteering to foster, do you prefer: 

 [ ] Male               [ ] Female

  1. Any special circumstances CRT should be aware of?     [ ] Yes             [ ] No

If so, please describe:  _______________________________________________________

________________________________________________________________________

________________________________________________________________________

  1. Are you willing to groom the animal?      

[ ] Yes                [ ] No

  1. Are you willing to foster an animal that has health problems?        

[ ] Yes                      [ ] No

  1. If yes, any problem not accepted?  _____________________________________________

_______________________________________________________________________

  1. Are you willing to travel to pick up a dog?             

[ ] Yes                     [ ] No

  1. If yes, how far?  ___________________________________________________________
  1. What age are you willing to foster?    

[ ] puppy     [ ] adult      [ ] Senior

  1. Are you willing to take a dog to obedience training or provide behavior modification?

[ ] Yes             [ ] No

  1. If you have any children in the household, how much of the responsibility will your child be given in the care and management of the dog?

 [ ] Maximum          [ ] Some          [ ] Minimal               [ ] None

  1. How much adult supervision will the dog and child be provided?

[ ] Maximum         [ ] Some          [ ] Minimal              [ ] None

  1. How many interactions will the dog have with neighborhood children?

[ ] Maximum [ ] Some [ ] Minimal [ ] None

  1. If adjoining neighbors have children, how old?  ________________________________
  1. If there are no children in your household, how often will the dog come into contact with children?

[ ] Often    [ ] Occasionally     [ ] Never

  1. How much interaction will the animal have with visitors?

[ ] Often    [ ] Occasionally     [ ] Never

  1. How would you encourage or reinforce the foster dog's appropriate (*good*) behavior?

______________________________________________________________________

_____________________________________________________________________

______________________________________________________________________

  1. How would you prevent or manage the foster dog's inappropriate (*not so good*) ill-timed behavior?

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

  1. Are all members of your household aware that you will be fostering?     

[ ] Yes      [ ] No

  1. Do they all approve?    

[ ] Yes    [ ] No

  1. Are you prepared to keep the foster dog for an indefinite period of time, until the dog can be placed into an approved home?

[ ] Yes     [ ] No

  1. Are you aware that you must notify the CRT Board of any routine medical care necessary for the dog BEFORE the medical care is performed?

[ ] Yes [ ] No

  1. Are you aware that your application must be approved before you are enlisted as a CRT volunteer? 

[ ] Yes [ ] No

  1. Can you provide the name of a CRT volunteer who we can contact for a reference? If so, please list their name and contact information below:

___________________________________________________________________________________
  1. Do you work with any other rescue groups who we can contact for a reference? If so, please list group(s) and contact information below:

________________________________________________________________________________

  1. Please provide the name, address and phone number of the veterinarian for your pets.

    (if you've had pets in the past, please list the info for the vet that cared for your past pets.)

_________________________________________________________________

_________________________________________________________________

You should contact your vet to let them know a CRT representative will be calling for a reference.  This will allow him/her to release the necessary information.

 

Once you have filled out and returned this Volunteer Application, a CRT volunteer will contact you regarding the status of your application.  If approved, a copy of the CRT Code of Ethics for Fostering form will be sent to you for your signature. A signed Code of Ethics form must be on file with CRT before we can enlist your help as a volunteer.

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