Polaris Siberian Husky Rescue
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Volunteer Application

Thank you for considering becoming a member volunteer of Polaris Siberian Husky Rescue. We're thrilled to have you join our group! Please complete the volunteer application in its entirety, then click the submit button, and one of our volunteers will be in contact with you soon.


Name:

E-mail Address (**REQUIRED**)

Home Address:

City:

State:

Zip Code:

Home Phone Number:

Work or Alternate Phone Number:

How old are you?

Gender:

Occupation:

Do you currently own or have you ever owned a dog before?

If yes, please describe.

Have you ever owned a Siberian Husky, Siberian Husky Mix, or other Northern Breed?

If yes, please describe.

Please describe why you are interested in volunteering for a group dedicated to rescuing dogs, particularly the Siberian Husky

Approximately how many hours per week do you have available for volunteer activities

Personal Reference 1: (No more than 1 family member) Please provide Name, Address, Phone #, and Relationship.

Personal Reference 2: (No more than 1 family member) Please provide Name, Address, Phone #, and Relationship.

Personal Reference 3: (No more than 1 family member) Please provide Name, Address, Phone #, and Relationship.

Please select as many interests below which you feel you would be most helpful in.

PR / Fundraising / Marketing Activity / Adopt-A-Thons
Soliciting vets for their services
Providing transport to the rescue
Performing house inspections on potential adopters in your area
Creating a monthly newsletter for www.polarisrescue.com
Liaison for Animal Shelters
Reporting to Polaris Rescue of Huskies in need of help
Pick up and drop off supplies
Take phone calls and help screen potential adopters
Spend a day helping at the shelter
Provide training and socialization for dogs
Take pictures of dogs available for adoption in your area
Fostering a rescue dog
Other (if this option is checked please describe below)

Please use this space to add any additonal comments or expand on any of the above questions.

Are you interested in fostering a rescue dog?
(If YES - please fill out the rest of this form)
(If NO - skip the rest of this form and submit this application now)

Please indicate which types of fostering you are interested in: (Check all that apply)

Temporary - Approx. 1-3 days. These foster homes would be needed in cases where there is timing issues associated with transport or for a scheduled adoption.
Short Term - Approx. 1-2 weeks. These foster homes would be needed in cases of vacations by other foster homes, & some timing issues.
Surgical - 1 to 4 Weeks (may be longer depending upon the surgery). These foster homes would be needed in the cases of surgery recoveries & recovering from spaying/neutering. Please note that if you have other pets, you may need to have the facilities to keep the foster dog separate during the recovery time.
Behavioral - 1-4 months (time may vary depending on the severity of the case). These foster homes would be needed in cases where behavior modification is needed in order to make the dog adoptable.
Continual - These foster homes are willing to foster a dog until such time as the dog is adopted. The time may vary anywhere form 1 day to 6 months. The foster home will then have the opportunity to foster another dog once the original dog has been adopted.

Do you own or rent?

If renting do you have the landlord's permission to keep a dog?

Do you live in a:

Do you have a fenced yard?

If yes what type of fence, what is the height, does the fence have a gate, and does the fence completely surround the perimeter of the yard

If no fence, how will you handle exercise and toilet duties?

Do you currently have any dogs?

If yes how many, what breed, age, gender, and please describe any alpha tendencies or ability to get along with other dogs.

Do you have any cats or small animals?

If yes how many, what type, age & gender?

Do you have children in the house?

If yes, ages:

Vet's name, address, and phone number.

May we contact your Vet for a reference check?

Describe your annual vet visit:

Are your current pets spayed/neutered, current and up to date on vaccines, and on heartworm preventative and/or flea deterrents

Do you work:

How many hours (on average) will the foster dog be left alone on a daily basis?

Where will foster dog(s) be kept when family members are at home?

Where will foster dog(s) be kept when everyone is away to work, school or other daily activities?

Where will dog(s) be kept at night?

Will adequate shelter such as a doghouse be provided for times that the foster dog(s) will be outside?

Do you have time to play with and walk or run your foster dog(s) on a daily basis?

Given the Siberian Husky's penchant for escaping and roaming, are you prepared to never take the dog out off lead and to make sure all gates and doors are secured at all times?

Do you agree to let a representative of Polaris Siberian Husky Rescue visit your home by appointment?

Have all children who live with you or visit frequently been taught how to appropriately interact with and respect an animal?

If you currently own or have previously owned a Siberian Husky, please provide some details about your experience?

What made you decide to foster a Siberian Husky into your family and is everyone in the household ready to make such a commitment to this new foster dog?

Lastly, please let us know how you heard about Polaris Siberian Husky Rescue:


Polaris Siberian Husky Rescue
Phone: 970-581-4365
info [at] polarishuskyrescue.org
Copyright © 2007 Polaris Siberian Husky Rescue. All Rights Reserved.