Thursday, 27 April 2017
Welcome to our community - tell us about yourself and sign up

PLEASE READ! There are three steps to our application process. Please complete ALL three steps.

  1. This registration, below these instructions:
  2. HRI Skills assessment (all volunteers must complete)
  3. Signing and mailing the volunteer contract (all volunteers must sign and mail)

You will automatically be directed to each step in the process. If you skip any of the steps, your volunteer application processing will be delayed. It helps if you collect your reference(s) contact information ahead of time.

Please provide a list of 4 references, only one of which may be a relative, who are familiar with your home and pets. You must also provide a veterinary reference.
If you can provide transportation to a rescue dog(s) please indicate the days of the week, times, and how many dogs you can transport.
Please provide the names, ages and relationships of others who will be living in the household with the dog, starting with significant other. If none, type none.
If you plan to provide foster care, is everyone in the household interested in adopting or fostering a Havanese? If no, please explain.
Do you agree to allow a representative of Havanese Rescue Inc to visit your home by appointment?
Who will be the primary caregiver for the adopted/foster dog?
Are you willing to work through any housetraining adjustments? Please explain.
Do you have a preference regarding the age of the potential foster or adopted dog?
Would you foster or adopt a dog with temperament issues? Please indicate any behavior you would NOT feel comfortable dealing with.
Have you ever fostered or adopted a rescue dog before? If yes, please indicate if it was from a shelter, another rescue group, etc.
Do you have any experience in working with dogs in the following areas?
Are you willing to provide medical treatment to the dog? Check all that apply.
Where will the dog spend it's days? It's nights? What are your work hours? How many hours per day, on average, will the dog be alone?
Please describe the residence where the dog(s) will be living.
If you rent, do you have the landlord's permission to keep a dog? Please explain
Have you verified that you will not be violating any local ordinances/association by-laws/tenancy rules, etc., related to the number or size of dogs you can have in your house if you foster or adopt a Havanese?
Please provide contact information for your landlord, if applicable.
If you plan to move in the near future, please explain:
Do you currently have a fenced yard? Please describe the type of fence and how high it is:
If you indicated you do not have a fence, how do you plan to handle exercise and toilet duties? Please explain in detail:
Please list name, sex, age and breed for each dog you currently own.
If any of your dogs are not spayed or neutered please explain why.
Do your dogs spend most of their time indoors or outdoors, and why?
If there is any other pertinent information we should know about your dogs, enter it here.
Please explain how many cats you have owned in the past 10 years and what happened to them.
Do you currently own any pets other than cats or dogs? If yes, describe them and how they interact with dogs.
If you have ever lost, surrendered to a shelter/rescue, placed in another home or given a pet away, please explain why.
Please describe any characteristics of your current pets that Havanese Rescue Inc should be aware of.
Please provide any other information which you wish us to consider in evaluating your application.

We reserve the right to refuse or deny any application. By submitting this form, you attest that all the information contained in this application is complete and truthful. In addition, you expressly authorize Havanese Rescue Inc to verify the information on this application. Any misrepresentation will constitute grounds for automatic rejection.

 

By submitting this form or acting upon any information provided by Havanese Rescue Inc (HRI), you are agreeing to forever, release, discharge, hold harmless and indemnify: any and all entities, corporations, and persons that are associated in any manner with Havanese Rescue Inc, the information, or the dogs; charged or chargeable with responsibility or liability, which includes but is not limited to: Havanese Rescue Inc and its Board of Directors, Regional Representatives, Rescue Volunteers, Web Designers, etc., including their heirs, administrators, executors, successors and assigns; from any and all claims, damages, costs, expenses, loss of services, actions and causes of action belonging to you and any other persons, corporations, or entities, arising out of  viewing, using, or acting upon said information, which includes but is not limited to: any and all injuries, damages, or claims resulting from placing, obtaining or maintaining a dog or dogs.

 

I understand and agree to all of the above, and support the mission of Havanese Rescue Inc. I understand that this form must be received, approved, and acknowledged by Havanese Rescue Inc before I may do any volunteer work for the organization.

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