WiN Volunteer Application Form

WIN VOLUNTEER APPLICATION FORM
Please fill out the application and either mail or e-mail it back to us.
YOUR CONTACT INFORMATION
Name:
Full Address:
Phone numbers:
Home
Work
Cell
Can we contact you at work in case of a Rescue Emergency?
YES
NO
Your e-mail address
Do you have any children? (Please list by age)
Please list all pets you currently have:
Are they spayed/neutered?
TRANSPORT
Please fill out this section below if you are able to transport a Westie in Need
Are you from time to time are you able, to transport a rescued Westie to the Vet, to his/her new
home, from a shelter or puppy mill, to their foster home or to pick up from another transport??
YES
NO
Your Availability for transport:
Weekdays: What times are you available?
Weekends: What times are you available?
What area of the province /city etc. do you live in?
How far would you be willing to travel?
Is your vehicle large enough to accommodate a Westie-sized crate (approx. 30”x21”x24”)?
YES
NO
Are you able to board the rescue overnight?
YES
If yes, is your residence a house/apt./condo? Select
NO
FOSTER
WiN does not have a shelter or physical location. Instead, we operate through a tight-knit
network of foster homes. Our foster homes are the private residences of individuals who want to
help Westies in need, giving them a safe and loving sanctuary while we try to match them with a
qualified permanent adoptive home.
As a foster parent, you would decide when (and if) to accept a new foster Westie.
Please fill out this section below if you are able to Foster.
Your Availability:
Weekdays: What times are you available?
Weekends: What times are you available?
What area of the province /city etc. do you live in?
Do you have a SECURE fenced yard?
YES
NO
Are you able to drive to pick up a Westie in need of fostering?
YES
NO
Some of our rescues are survivors from puppy mills and will need special love, care and time...is
this something you can do?
YES
NO
Your foster Westie will have to see the Vet (Westies in Need pays all Vet expenses) are you able
to drive him/her to a Vet visit?
YES
NO
Do you know if your Vet would be willing to assist our rescue by offering a discount in vet care?
YES
NO
DON’T KNOW
How many Westies could you foster at one time? select
For how long could you take care of a Westie?
How many hours a day would the foster Westie spend without human companionship?
Are you able to foster for an extended time?
YES
NO
Are you willing to care for senior and/or sick Westie?
YES
NO
HOME VISITS
This involves visiting the home of an applicant adoptive family after their interviews and
reference checks are completed to meet the prospective family in person.
Please fill out this section below if you can do a Home Visit
Your Availability:
Weekdays: What times are you available?
Weekends: What times are you available?
What area of the province /city etc. do you live in?
How far would you be willing to travel?
Westies In Need (WiN) Rescue will be responsible for the approved medical care of all foster
dogs within the organization's program. It is the responsibility of the foster home to provide safe
bedding and proper nutrition of all our dogs. WIN will contact the chosen animal clinic and
arrange payment for approved medical expenses.
By participating as a Westies in Need (WiN) Rescue volunteer, I agree to hold harmless WiN
Rescue and any volunteer/member of WiN Rescue from any liability arising in conjunction with
my participation as a volunteer with them.
By entering your name in the field below, you agree to all terms and conditions
Signature:
Date:
Please mail to:
Corrie Yeoman, #1392, 8th Line, RR#4, Tottenham, Ontario, L0G 1W0
[email protected]
(905)-936-6691