Please Complete this information so that we know how to contact you. Thanks!

If you don't receive an auto-responder after filling out this form, your application wasn't submitted to Small Paws Rescue. Please fill in all the required responses or it won't go through. Only after filling in all required fields and submitting this form will will you receive an auto-resonder message.

Where did you hear about us?

1. Are you a *

New Volunteer or

Updating your information?

Add me to the Small Paws Rescue Online Mailing List

2. Your email address to which requests should be sent: (Please enter only one!) *

3. Your first and last name *

4. Your physical address (this information will not be added to the web site, and will be kept private) Please include city and state. *

5. Your telephone numbers:

Home: *

Work: (will not be added to website)

Cell:

6. I am able to (Please check those that apply) *

transport only

transport and foster

foster only

rescue from shelters, owners, etc, on short notice

Since we fly many of our dogs to their forever homes, are you willing to take the dog to the airport and put it on the plane for us? *

Yes

No

7. Which areas of your state can you cover for us? *

8. Your vet office or veterinarian's name? *

Your vet office address: *

Vet's Phone Number: (Your vet office will be contacted for a reference. Many vet offices will not give out any information unless you call to authorize this. Please contact your vet office to give them permission to answer our questions about the care of your pets. By calling ahead of time, it will save us time in processing your application) *

Your veterinarian's office phone number: *

We will be calling your vet for references, is this ok with you? *

Yes

No

9. Do you have children at home? *

Yes

No

If you have children at home, what are their ages?

10. Do you have children visiting? *

yes

no

If you have children visiting, what are their ages?

11. Do you work outside the home? *

Yes

No

12. How many hours per day are you away from home? *

13. Do you have a dog now? *

yes

no

How many dogs and what are their names and ages?

14. Have you had other dogs in the past 10 years? *

Yes

No

Where are these dogs now?

15. Do you have any cats? *

16. Have all current your pets been altered? *

17. Do you live in a house or apartment? *

17a. If you live in a house, is the yard fenced?

yes

no no

If yes, what type of fence?

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

I understand that no SPR dog may be allowed off lead outside a fenced area, at any time, for any reason. (initial and date) *

Additional Comments:

18. Have you read our Rules and Regulations and our Aggression Policy?

*

Yes

No

Small Paws® Rescue Volunteer Rules and Regulations

I understand and agree to follow the rules and regulations set forth by Small Paws Rescue Inc., including our Aggression Policy, as set forth by the Small Paws Rescue Board of Trustees *

I Agree

I Do Not Agree

Approved applications are added to this page:

Small Paws Rescue Volunteers

Upon approval, I acknowledge that I will be receiving the Small Paws Rescue Online Newsletter, which is sent occasionally with current Small Paws Rescue News!" (Your email address will not be sold or shared.) Initials and date. *

Age of person submitting the application: *

Please list the ages of the adults in your household: *

I am 21 years of age or older *

Yes

No

Intials and date==> *

I have read and understand and agree to implement the following rules and regulations, including the SPR aggression policy. *

Yes

No

I WILL NOT AT ANY TIME DISCLOSE CONFIDENTIAL, PERSONAL INFORMATION OF ADOPTERS OR VOLUNTEERS, THAT MAY BE SHARED WITH ME. Click yes if you agree. *

Yes

No

Add Me to the Small Paws® Rescue Newsletter Mailing List!