Shar Pei Savers' Online Volunteer Form

Volunteer Form

We are happy you are considering volunteering for Shar Pei Savers!
Please fill out our online application below:

Name:

Street Address:

City, State, & Zip:

Home Phone Number:

Employer:

Work Position:

Work Phone:

Email Address:

Co-Applicant:

Co-Applicant's Employer:

Co-Applicant's Work Position:

Co-Applicant's Work Phone:

Length of time at current address:

Do you own or rent?

Landlord's name and phone, if applicable:

Please list ALL people living
in your household, including
names and ages of adults
and children:

First Pet's Name:

First Pet'sAge:

First Pet's Breed:

Is first pet spayed/neutered?:

Yes No

Second Pet's Name:

Second Pet's Age:

Second Pet's Breed:

Is second pet spayed/neutered?:

Yes No

Third Pet's Name:

Third Pet's Age:

Third Pet's Breed:

Is third pet spayed/neutered?:

Yes No

List additional pets, names, ages,
breed, and if they have been
spayed/neutered:

Describe other pets that you've
had in the past and why they
are no longer living with you:

What is your vet's name and
phone number?:

Is your yard fenced?:

Yes No

If YES, what kind of fence
do you have?:

If NO, how will potty breaks
be handled?:

A home visit is mandatory for all
potential foster homes. Will this
be a problem for you?:

Yes No

If YES, please explain:

Why are you interested
in volunteering for
Shar Pei Savers?:

What would you do if your
foster dog displayed
bad behavior?:

When would your foster dog
be left unattended?
(list specific times):

Where would your foster dog be
kept while you are home?:

Where would your foster dog be
kept while you are not at home?:

Where would your foster dog be
kept at night?:

Do you have experience with Shar Pei?:

Yes No

If YES, please describe your
experience with Shar Pei:

If NO, please describe what you
know about Shar Pei:

Please indicate all volunteer activities you'd be interested in doing:

Dog Evaluations:

Web Development:

Applicant Screening:

Shelter Pulls:

Public Education:

Home Visits:

Fundraising and Donations:

Meet and Greets:

Fostering:

Other:

Additional Comments:

By submitting this application, I fully understand and agree to assume all risk involved and any and all duties I perform in my volunteer capacity with Shar Pei Savers, Inc. On behalf of myself, all of my family members and my descendent(s) I hereby waive my rights to bring any legal action or assert any claim personally or on my behalf against Shar Pei Savers, Inc. and I agree to release, discharge and/or indemnify Shar Pei Savers, Inc. (and its officer, directors, employees, agents, successors and assigns) from any liability whatsoever, including, without limitation, personal injury or property damage (whether to myself or to any third parties) which might arise out of the course of my volunteer duties.

I also affirm that I have not been conviced of any crime involving the mistreatment, neglect, or abuse of any animal. By submitting this application, I also state that I am 18 years of age of older and the above information is true to the best of my knowlege. I also agree and understand that any misrepresentation may result in my suspension as a volunteer/foster for Shar Pei Savers, Inc.

Thank you so much for submitting your application! Shar Pei Savers truly appreciates your help and commitment to saving Shar Pei!

Copyright 2003, 2004, 2005 Shar Pei Savers, Inc.
Shar Pei Savers is dedicated to the rescue of purebred Chinese Shar Pei dogs in Ohio, Michigan, Wisconsin and throughout the Midwest.