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Applicant Name *

Applicant Age *

Address, City, State & Zip *

Phone number *

Cell Number *

Work Number *

Email Address *

Best Time to Contact You *

Occupation *

Please tell us about yourself and your interest in Rescue: *

How did you hear about Illinois English Bulldog Rescue (IEBR)?: *

How many hours a week are you available for rescue activities?: *

Have you ever volunteered with an animal rescue groups or animal control agencies? Memberships?: * *

If yes, please list name of the group and describe your role: *

Please describe your previous rescue experiences(your role, likes, dislikes, etc.): *

Do you have any experience with the following: *

Please describe from the above check boxes what your experiences are: *

Are you currently volunteering for any other rescue groups or animal shelters?: *

Please describe any Bulldog Experience you might have: *

As a Non-Profit 501c3 organization, all of our income is derived from donations. We hold fundraisers during the year and volunteers are needed to work the events. This would require you to travel to the location (within reason) where the events are held, work the hours you have signed up for and help clean-up afterward. This also requires direct interaction with the public and the ability to promote our rescue group. Is this something you are able to help with? *

Are you interested in helping with fundraising? *

Are you available on weekends? *

Volunteers are needed to conduct phone interviews. do you have access to a telephone during the day and evening? *

Do you have an answering machine or voice mail to receive returned calls? *

Are you interested in helping with phone interviews? *

After a prospective adopters phone interview is conducted and they are approved to move to the next level, a home visit is needed to inspect where the dog will be kept and how the dog will be integrated into the family. This involves some reasonable travel. are you willing to conduct home interviews? *

Do you have a vehicle to travel to and from home visits? *

Are you comfortable inspecting someones home? *

Can you be objective? *

We rely on our volunteers to provide temporary homes for dogs that are awaiting an approved adopter. Are you interested in becoming a foster home? *

If you rent you must provide written permission from your landlord stating you are allowed to foster english bulldogs? *

Do you currently have homeowners or renters liability insurance? *

How many people live in your household? *

List the number and ages of the children that live in your household *

List any other people living in your household *

Do you currently own any pets *

If yes, please list types of pets and how long you have had them:

If you own any pets or have owned pets in the past 5 years, you must provide us with the name and telephone of your veterinarian(s): *

Name and Telephone number

Do your current pets have any issues with other dogs entering the household? *

If yes please explain

Do you have a fenced yard? *

If you answered yes to the above question please describe it

If you do not have a fenced yard please plan how you plan to provide exercise for the dog:

Do you own a crate? *

If you own a crate please describe the type and size:

Do you have an area in your home where a foster dog could be secluded in the event that there is a problem with other pets or family members? *

If Yes, please describe area:

How many hours per day would the dog be left alone? *

Do you understand that dogs may be unpredictable and that IEBR does not guarantee that a dog we place with you many not become aggressive? *

Are you willing to assume the risks associated with working with animals who are sometimes frightened and who, unfamiliar surroundings may become aggressive and/ or bite you or a companion? *

What type of vehicle do you have for transporting dogs? *

Are you willing to accept the risks involved, including damage, with having a foster dog in your home? *

I understand that by agreeing to foster a dog, the dog remains the property of Illinois English Bulldog Rescue (IEBR) and that unless authorized by IEBR, I may not adopt, sell or transfer the dog. I will remember in all my dealings with the public that I represent IEBR and will act pleasantly and answer questions politely pr refer persons to someone who can. I understand all of the above and accept full responsibility for any and all expenses incurred by me during my tenure as a volunteer with iebr. I agree that any application , release or adoption forms abd contracts, as well as monies collected from donations and fees are the property of iebr and shall be returned to iebr within seven days of my receiving them. i further agree that in the event I resign, voluntarily or by request, i will retun any rescue dog records that I may still have to iebr within 10 days. i have accurately completed the questionnaire and appreciate the risks in working with rescue dogs. i understand that iebr cannot be responsible for the actions, behaviors and/ or medical conditions of the dogs that it seeks to rescue, and I agree to assume the risks implicit in working with dogs which may have been abandoned, beaten, or otherwise mistreated or abused, or who may suffer from and illness, condition or disease. Further, i agree to indemnify and hold harmless IEbr , its members and representatives, against any and all claims, known or unknown, now or hereafter, for any injury or damage to property or persons caused by or related to any rescue dog that I may come in contact with, and agree to take any and all necessary precautions to prevent such injury or damage. *

E-Signature

I agree to abide by the above terms as a volunteer and representative of illinois english bulldog rescue: *

E-Signature

Date: *

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