 Thank you for volunteering your services to Southeast Rescue! Both for insurance and reference purposes, it would help us if you could provide the following information. We appreciate your time and will contact you shortly. Fields marked with * are required. Thanks, and welcome!
If you have problems with this form please CONTACT OUR WEBMASTER.
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ABOUT YOU
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*Email
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| *Name |
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| *Address |
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| *City |
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| *State |
[why only these states?] |
| *ZIP |
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| *Primary Phone |
Secondary Phone
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| Best time to call |
daytime
evening
anytime |
| GSPCA Membership # (not required) |
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| How long with the breed? |
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| Experience with GSPs: |
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| Other breeds you have, or have experience with: |
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| Please list your breed and all-breed club memberships: |
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| Do you currently own any GSPs? |
Yes
No |
| If so, please list gender, age and spay/neuter status of each GSP: |
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| Other companion animals in your household?
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Yes
No |
| If so, please list other pets (cat, bird, small animal, etc) |
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FOSTERING |
| Are you willing to foster needy GSPs?
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Yes
No |
| How many: |
Male
Female
Either |
| How long? |
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| Containment available: |
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*Please describe your yard
(size of fenced area, fence type/height, etc.) |
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| Crate sizes/types: |
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OTHER VOLUNTEER SERVICES |
| Will transport dogs |
Yes
No |
| How far? |
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| Will support a dog through vet care [what exactly does this mean?] |
Yes
No |
| Will offer owner counseling |
Yes
No |
| Will offer training |
Yes
No |
| What type of training can you offer (socialization, obedience, behavior modification, etc) |
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| Will screen prospective adopters |
Yes
No |
| Will visit shelters/pounds |
Yes
No |
| Will ID GSPs in person (owner surrender, shelters, etc) |
Yes
No |
| Will transport GSP to/from vet |
Yes
No |
| Will provide food for one or more dogs |
Yes
No |
| Will fund an ad, do fundraising, or assist with fundraising events |
Yes
No |
| Will bathe and groom dogs |
Yes
No |
| Will visit shelters and pounds to provide modest training and socializing |
Yes
No |
| Will help with phone chain, email networking, Facebook networking |
Yes
No |
| Will provide clerical help to your regional volunteer |
Yes
No |
| Can provide these other services: |
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OTHER INFO |
| Have you been in contact with a volunteer from SE GSP Rescue? If so, list: |
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| How did you hear about us? |
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| Comments or anything else you'd like us to know? |
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LEGAL STUFF
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Please read the following and be sure you understand the following terms of this agreement.
I understand that it is my decision whether or not to foster any particular dog. I will not hold Southeast GSP Rescue, GSPCA Rescue or GSPCA responsible for any damage, injury or harm caused directly or indirectly by any dog I handle as a volunteer for any rescue program.
I understand that it is not the policy of Southeast GSP Rescue to reimburse costs in the rescue of dogs in any locality. I understand that I will get any expenses pre-approved prior to incurring the expense. I will not bring suit against Southeast GSP Rescue, GSPCA Rescue or GSPCA, its agents, volunteers, their heirs or estates in case of financial or other loss resulting from my activities as a rescue volunteer. *
I understand and accept these terms |
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*Signature (type your name)
Date
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