First Name:
Last Name:
Age:
Email Address:
Street:
Town:
Zip Code:
What County do you live in Florida?
Home phone:
Cell Phone:
Are you a full time resident of Florida?
What months are you available to volunteer?
What kind of vehicle do you drive for possible transport.
Do you have any extra dog crates?
Have you had any experience tracking or trapping dogs? If so explain.
Do you have any additional experience that might be helpful? (previous foster mom, Vet Tech, medical field experience, etc).
Have you worked with any other Rescue organization in the State of Florida? If so, which ones and for how long?
In general, how much notice would you need in the event of an emergency? (for example: work during the day but available on weekends, etc.)
Would you be able to foster a dog in the event of an emergency if we pulled dogs from a hoarding situation or a Puppy Mill?	No, not possible. Yes, for one day. Yes, for several days. Yes, for as long as you need.
Do you have a fenced in yard?
Do you have a swimming pool?
If so, do you have a safety fence around your swimming pool?
Do you currently own dogs of your own? If so, list how many, breed, age and weight.
Do you own other animals? If so, list what kind?
Do you have a Veterinarian available? We may need one in your area. Please list here:
Do you live in a:	Single House Townhouse Condo Apartment Duplex Mobil Home Other
What is your work schedule?	Retired 8 hour day shift 8 hour night shift. Work remotely from Home Office. Stay at home Mom. Unemployed Part time
Names and ages of the people living in your household.
Please list THREE character references. Include names, address and phone numbers.
Please tell us a little about yourself and why you have an interest in volunteering with our organization:
Do you have a Facebook page? If so, under what name can it be found.
Please attach a recent photo.
If you have difficult sending this application please try completing it on a home computer OR take a screen shot of the completed application and attach it here or email it to floridayorkierescue.com
I, the undersigned, do hereby certify that the information above is truthful and correct. (please type in signature)