Mason County Animal Welfare League (MCAWL)
Volunteer Application
Thank you for your interest in helping us save the lives of the abandoned animals in Mason County West Virginia. We have a need for volunteer help locally (Point Pleasant/Mason County, WV) and long distance (virtual volunteering). Our current volunteer needs are listed on the application below. Please check off any areas where you can help. Thanks! Name: Age: Address: This must be your home address. No PO boxes or office addresses. City: State: Zip: County: Home Phone: Home Fax: Work Phone: Cell Phone: E-Mail Address: @ . Example: MasonCAWL@yahoo.com (Please be sure to include your complete email address.)
Yahoo ID: If you don't currently have a Yahoo ID, we will help you get one if your application is approved.
Are you familiar with Yahoo groups? Yes No Do you have a computer with internet access at home? Yes No Employer: Occupation:
Do you work full time or part time? Full time/40 hours a week Part time (how many hours per week?) Retired Not employed Stay-at-home parent Co-Applicant: Co-Applicant Employer: Co-Applicant Occupation:
Co-Applicant: Do you work full time or part time? Full time/40 hours a week Part time (how many hours per week?) Retired Not employed Stay at home parent Applicant: Are you currently a volunteer with any other rescue organizations? Yes No List other rescue organizations to which you have applied and/or volunteered: What volunteer position are you applying for? Please include any experience you may have pertaining to this position. FOSTERING INFORMATION Fill out this blue section only if you are interested in fostering animals. If you are not able to foster, skip to the black section below. In taking on fostering, I understand that this does not mean I can necessarily adopt my fostered animal. This animal may be awaiting transport to a rescue or another adopter. In order to adopt any animal from MCAWL, I must go through their standard adoption procedure. Please check here indicating that you have read and agree to this statement.
What type of home do you live in? House Apartment Do you rent or own? Rent Own
What do you want to foster? Dogs Cats Puppies Kittens Pregnant dogs Pregnant cats How long have you lived at your current address? (years/months): What type of setting best describes your homes surroundings: City Suburban Rural Other If you have a lawn, is it chemically treated? Yes No Do you have a fenced yard? Yes No What type of fence? If above the ground, how high? Approximate Dimensions: (how many feet wide & deep?) Do you have a pulley cable? Yes No ..... Approximate Length: Do you have a kennel run? Yes No ..... Approximate Dimensions: If no fenced yard, cable or kennel run how will exercise/toilet necessities be handled? Names and ages of all adults in your home: Ages of all children in your home: Does anyone in your family have allergies? Yes No
If Yes, please explain: Does anyone in your family have asthma? Yes No If Yes, does animal hair/dander trigger it? CURRENT ANIMAL(S) INFORMATION List your current pets: Animal Types & Amounts (e.g. 1 Dog, 2 Cats, etc.): Is/Are your animal(s) spayed/neutered? Yes No Is/Are your animal(s) current on Vaccines? Yes No Is/Are your animal(s) on a heartworm preventative? Yes No Type of Heartworm Preventative:
If you have answered "No" to any of the above, please explain:
Before you can foster, it is required that you get your current pets altered and up to date on vaccinations (rabies, distemper, bordatella). It is also strongly suggested that you put your current pets on Interceptor before accepting a foster dog into your home. Interceptor is a heartworm preventative and will also prevent many intestinal parasites (worms). Check with your vet to determine if your pet can be put on Interceptor. Frontline is also recommended for fleas/ticks. Will your current animal(s) accept another animal in the home? Yes No Unsure
Describe where you will keep your foster dog:
Describe where you will keep your foster cat:
Have you ever fostered before? Yes No If yes, please provide the type of animal(s) and organization(s) for which you fostered (include a contact person's name and email address: Most foster dogs are NOT housebroken. Cats may not be litterbox trained. Will this be a problem in your home? Yes No Are you interested in fostering more than one dog or cat at a time? Yes No Do you have experience with crate training? Yes No Will you crate the animal(s)? Yes No - If no, please explain: Where will the foster be kept during the day? Where will the foster be kept during the night? Is anyone at home during the day? No Yes, if Yes, who? How many hours a day will the foster be left alone? Who will be primarily responsible for the care of the foster? Where and how will the foster be exercised each day? Where will the foster sleep? What will you do if your foster is destructive? What is your definition of disciplining? Please provide examples: List the types of behavior problems you cannot or will not tolerate: Please give the name, address and phone number of at least one Veterinary Reference:
Please list as many references as possible (required). References MUST NOT be family members. Please include name, email address, and relationship. We cannot process your application without this information.
Applicant Agreement:
I have voluntarily contacted Mason County Animal Welfare League and have expressed an interest in volunteering. Should my volunteer duties involve me and my family interacting with animals from the shelter, I hereby, for my heirs, my personal representatives, my family and myself represent and warrant as follows:
1. I am fully aware of the risks that dogs/cats pose and have elected to view and/or interact with one or more animals in the care of MCAWL voluntarily. I knowingly assume all risks that exposure to dogs/cats may pose, including but not limited to serious bodily injury and/or death.
2. I HEREBY WAIVE, RELEASE, DISCHARGE, HOLD HARMLESS, AND PROMISE TO INDEMNIFY AND NOT TO BRING SUIT AGAINST MCAWL, its directors, officers, volunteers, staff, and all other agents, and attorneys for any of the referenced parties, and any other parties acting for, or on behalf of any of the referenced parties, from any and all rights and claims which I have or which may hereafter accrue to me and from any and all damages which may be sustained by me directly or indirectly in connection with, or arising out of, my exposure to such animals.
Please check this box if you agree to the above, sign and date below, and click submit. Applicant Signature (mandatory): Co-Applicant Signature: Date: Thank you for your interest in helping us save these animals!