What types of work are you interested in performing for YCR?
Manning YCR booth at fairs and shows
Transportation of YCR dogs
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
Fund-raising
Web site support
Database maintenance
Fostering
Emergency, short term foster

Have you volunteered with a rescue group previously? Yes No
If yes, please provide organization’s name and contact information

If you are interested in fostering, please complete the remainder of the questionnaire.

10. Have you fostered previously? Yes No

* 11. List all adults in household, their ages and relationship to applicant. (Please include non-related residents and housemates)

* 12. List all Children in household and their ages

13. How much adult supervision will the dog and child be provided?
Maximum Some Minimal None

14. How much of the responsibility will your child be given in the care and management of the dog?
Maximum Some Minimal None
* How old are the neighbors children ?

15. How many interactions will the dog have with neighborhood children?
Maximum Some Minimal None

16. Are all members of your household aware that you will be fostering? Yes No
Do they all approve? Yes No

* 17. Any current long range plans which will change your living situation within the next year?

18. What kind of Residence do you have:
Apt/Condo Townhouse Trailer
Single family dwelling Farm Other
Rural Suburban Urban
* Do you own or rent your residence? (If renting, please provide landlord's name and telephone # )

*19. Is there a fenced yard? If so what type fencing and what size is it?

* What sort of an outdoor area is there?

Will you provide leashed walks:
Frequently Occasionally Never

* 21. How will you ensure the safety of your Foster dog?

22. Are you willing to permit a home check by an YCR representative? Yes No

* 23. How many hours will the foster(s) be left alone per day?

* 24. Where will the dog be kept when alone?

* 25. Where will the dog be kept at night?

* 26. When family is home?

* 27. Is there is any aspect of your home that a puppy could affect (white carpet, antiques, etc.)

28. What is the level of activity in your household?
Laid back Constantly on the run Athletic/Jogger type Physically handicapped

29. Does anyone in your household have allergies to hair or dust?
Yes No

30. Are you often away for extended periods?
Yes No

* 30. When you need to be away for extended periods what will you do with your foster dog?

*31. Do you currently own any dogs?
If so, please provide breed(s), sex(es), spayed/neutered and age(s)

23. Do you currently own any cats?
Yes No

33. Do you own any other type of pets?
Yes No
If so, what kind?

* 34. Have you owned animals not listed above in the past?

If yes, why are they no longer with you?
for example;
Ran away, Stolen, Sold, Lost, Given away:Why?
Given up for adoption to:, Rescue Organization, Animal Shelter:Why?
Euthanized: Why?
Died - Cause of Death:

35. Prefer to Foster: Male Female
Puppy Adult Senior Special Needs

36. Are you willing to foster an animal that has health problems? Yes No
If yes, any problem not accepted:

37. Are you willing to groom the animal and trim nails?
Yes No

38. Are you willing to work with a foster on obedience training or provide behavior modification?
Yes No

*39. How often will the dog come into contact with children?

* 40. How much interaction will the animal have with visitors?

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

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

43. Are you willing to travel to pick up a dog? Yes No
If yes, how far?

44. 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

45. Any special circumstances YCR should be aware of? Yes No
If so, please describe;

46. Are you aware that your application must be approved before you are enlisted as an YCR volunteer?
Yes No

* 47. Name, address and phone number of your Veterinarian:

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

*Print your Name Here.

When you have answered all the questions
Submit Application:

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