First Name*

Last Name*

Address

City

State/Province

Zip/Postal Code
 - 

Email*

Home Phone

Work Phone
x

Cell Phone

Alt Email

Text/Pager Email

Applicant Age*

Driver's License #*

Vehicle Year, Make & Model*

License Plate #*

State insured In?*

Name of Car Insurance company?*

Spouse's (or significant other) Full name*

Age*

Who, beside immediate family and/or children, reside with you? Please name them, list their relationship and ages: *

Please list Name & Age of all children living in your home: *

Your Employer*

Hours you work per week?*

Spouse's Employer*

Spouse's work phone number (include area code)*

Hours your spouse works per week?*

If you have lived at your current residence for less than 2 years, please provide your previous address (street, city, state & zipcode)*

In what type of home do you live?*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

Do you own or rent your home?*
Choose one: Rent Own

If you rent, have you received the approval of your landlord to have an animal*
Choose one: N/A No Yes

If you rent, please enter your landlord's name and phone number*

Please provide name of homeowner’s / renter’s insurance*

Please provide the name of your Home Owner’s Association (where applicable), the contact person, and a phone number.*

Do you know if your city has animal ordinances/licensing procedures in your area?

If yes, what are they?*

Will the animal be kept inside or outside*
Choose one: Inside Only Outside Only Inside and Outside

Where will the animal be kept when you are home*

Where will the animal sleep*

Where will the animal be kept when you are not home*

Where will the dog be kept when you travel? *

How much time will the animal spend alone during the day*

Is your yard fenced*
Choose one: No Yard Unfenced Yard Yard Partially Fenced Yard Completely Fenced

What type of fence*
Choose one: Privacy Chain Link Invisible No Fence

What is the height of the fence*

Have you ever owned a Rottweiler or any other breed Dog ?

Do you currently have any other pets?

If yes, please describe the pets in detail: Name, Age, How long in your home, Full description including sex *

If you own or have owned a dog, is it/was it (check ALL that apply):
Choose all that apply: Spayed or Neutered Current on Vaccines On Heartworm Preventative On Flea/Tick Control

If not, please explain why: *

If there were previous dogs, what happened to them? *

Do you have a crate?

If no, are you willing to crate train if one is provided?

Why are you interested in fostering a Rottie at this time?*

Summarize your previous volunteer experience. Please list other rescues/shelters you have worked with*

Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.*

What steps have you taken to learn about this breed and/or dog ownership? *

Are you willing to take the dog to obedience classes?

Why or why not? *

What length of time do you feel is adequate to allow a dog to adjust to your home? *

What behavioral/training issues can you ‘not’ deal with? *

What would cause you to return your foster to ARRF?*

If you were to return your foster, how much time do you feel is appropriate for us to find a new home?*

Veterinarian's Name, Address and Phone Number*

If you have recently changed Vet’s and it is less than one year; please also list the name and number of your previous Veterinarian.*

Do you prefer?

Please list the names, addresses and phone numbers of three references, ONLY ONE MAY BE A RELATIVE.*

Has any member of the household ever been charged and/or convicted of any type of animal cruelty or abuse.

Although, ARRF covers all approved medical costs, we have not secured a dog food sponsor. Are you prepared to cover the cost of food for your foster?

How did you hear about ARRF?*

Person to Notify in Case of Emergency (Please include Full Name, Street Address, City, State, Zip, and at least two phone numbers including area code.*

At no time will any volunteer bring a dog into the ARRF program without the written permission of at least two (2) committee members, all dogs must be evaluated by one or more committee members. Any dog brought into this rescue without the permission of at least one (1) of the committee members is the sole responsibility of the volunteer as far as legal, medical and liability are concerned.

The above statements have been read and understood. The answers supplied herein are truthful and I am ready to make a commitment to volunteer for Atlantic Rottweiler Rescue Foundation, Inc. As a volunteer, I will provide my own automobile and health insurance, and hereby agree to not hold Atlantic Rottweiler Rescue Foundation / A.R.R.F. or any of its volunteers, associates or foster care providers liable for any physical, emotional or property damage that is a direct or indirect result of activities involved in the placement, transport, grooming, training or evaluating of Rottweilers in any way associated with A.R.R.F. This includes any and all activities I perform as an A.R.R.F. volunteer. I have read and fully understand that by signing this wavier and application, I accept full responsibility for myself and/or minor (if legal guardian). ARRF is not responsible or liable. Volunteer Initials: *

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Applicant(s) Signature*

Date*

ARRF Rep Initials