PO Box 62923, Colorado Springs, CO 80962 –2923

VOLUNTEER APPLICATION

Please complete ENTIRE form, lack of Foster if you do not care to at this time.

Name: _____________________________________ Home Phone: _____________________________

Address:Street/City/Zip:________________________________________________________________

**E-mail address: _______________________________________________________________________

Employer: __________________________________ Work Phone: _____________________________

In case of emergency, please notify __________________________ Relation _____________________

Home Phone ___________________________ Work Phone _______________________________

Education (circle last year completed): **Birthday ______/______/_________

High School- 1 2 3 4 College- 1 2 3 4 Other? _____________________________________________

Is your tetanus vaccination current? _______ Do you have a valid Driver’s License? _______________

Have a car? Would you be willing to transport animals as part of your volunteer work? _________________

If yes, is the car covered by liability insurance? ________ DL#_________________________________________

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How did you hear about us? _____________________________________________________________

Why do you want to volunteer? __________________________________________________________
_______________________________________________________________________________________

Approximately how many hours a week can you volunteer? _________________________________

(Circle if available): weekday days / weekday nights / Saturday / Sunday

Do you have any previous experience working with animals? _______ Explain __________________

_______________________________________________________________________________________

Please list your 3 top areas of interest (Example: Adoption Fairs, Special Events, etc):

1. ________________________ 2._________________________ 3. _________________________

_______________________________________________________________________________________

***List any special talents you have that would benefit DARF: (example: Carpentry, Plumbing, Construction, etc…)***

1. ______________________________________ 2. ___________________________________________

3. ______________________________________ 4. ___________________________________________

5. ______________________________________ 6. ___________________________________________

Foster Care

Fill out ONLY if you desire to become a Foster Parent

IF INTERESTED IN PROVIDING A FOSTER HOME FOR AN ANIMAL

(Check all which apply)

Cat Kitten Large Dog Med. Dog (21-50 lb.) Small Dog (<20 lb.) Puppy

Other _______________________________________________________________________________

Number of People in Household: _______ Names and Ages: _________________________________

_______________________________________________________________________________________

Who is the main caregiver of the animals? _________________________________________________

Number of Hours home per day: _______ Type of fence: ____________________________________

Animals already in Household - Number, Breed, Sex (Spayed/Neutered?) & Age of each:

Dogs: ___________________________________________________________________________

Cats: ____________________________________________________________________________

Other: __________________________________________________________________________

Dogs: Any breed preferences? Any breeds you would prefer not to foster?

_______________________________________________________________________________________

Would the foster animal be indoors or outdoors? ___________________________________________

Do you have transportation to get the animal to the veterinarian, if needed or to a possible adoption and/or adoption fair? _________________

Could you provide a foster animal with the following (circle yes or no):

Medical treatment (e.g., pills, cough syrup): YES NO (paid by DARF)

A watchful eye during recovery from surgery: YES NO

A place to stay and some TLC: YES NO

Housebreaking YES NO

Dogs: some basic training

(e.g., walking on a leash, basic obedience) YES NO

Explain what “foster home” means to you:

_______________________________________________________________________________________

Please note any concerns or problems you foresee if you were to become a foster home for Dreampower Animal Rescue Foundation:

_______________________________________________________________________________________

NOTE: When available, donated food and supplies are provided to foster volunteer members upon request. Dreampower provides veterinary care. If medical care is needed, the Foster Coordinator MUST be contacted in order to authorize and ensure that veterinary care is provided by Dreampower veterinarians.

I understand that in signing this application to become a foster home, the waiver I signed when filling out my volunteer application is in full force and applicable in my efforts as a foster care home. I also agree to be kind and loving to any foster animal that I take into my care, and agree to notify Dreampower Animal Rescue Foundation of any changes in the animal or my personal situation that may affect the care of the animal. I also agree to conduct an honest evaluation of the animal and report both good and bad habits that I discover about the animal for adoption purposes.

___________________________________________________________ ___________________________

Signature Adult Volunteer Date

__________________________________________________________ ___________________________

Signature of DARF Representative Date

_________________________________________________________ ___________________________

Signature Minor Volunteer (16yrs and under) Date

_________________________________________________________ ___________________________

Signature Parent or Guardian of Minor Volunteer Date

_________________________________________________________ ___________________________

Signature of DARF Representative Date

Please note:

All children 16 yrs and young will be expected to be accompanied by an adult at all times while volunteering, no exceptions.

The parent/legal guarding must fill out an application as well. If you don’t wish to volunteer, please state that on the app, and we will note such.

You must attend a volunteer orientation before you can begin your volunteer work with us.

Please call the office to find out times, dates, and place for the next orientation.

A parent or legal guardian MUST sign this form as well as the agreement form along with the minor. If Fostering is filled out, the parent or legal guardian’s form MUST also have the Foster section filled out. Only the parent or legal guardian may make an appointment for home inspection prior to placing an animal in the care of the volunteer, all parties living in the house must agree to be a foster parent for consideration.