Volunteer to Help Border Collies In Need, An Independent Border Collie Rescue in Southern California

BORDER COLLIES IN NEED, INCORPORATED (BCIN)
VOLUNTEER APPLICATION

Please read the following before filling out the application:

We appreciate you wanting to volunteer with our rescue program! Our top areas of need are foster homes and to help with home visits. We offer training for all volunteer roles. The information submitted on this application will be used for the purpose of evaluating potential foster homes and volunteers.

Once we receive your application you will be contacted by a member of BCIN to discuss any questions. Your application will then be reviewed by our Board of Directors. If you have not heard from a BCIN member within one week of your submitting this application, please email us at: rescue@BorderColliesInNeed.org

*** All fields required**
PERSONAL INFORMATION
Name:	Street Address:
City:	State:	Zip Code:
Phone Number:	Cell Phone:	E-Mail Address:
Occupation:	Business Phone:	Can you be contacted at work? Yes No

GENERAL INFORMATION

Are you over 18 years of age? Yes No

Please list all animals currently in your home: (name, species, breed, gender, age)

List any activities performed with your animals?

Please list any rescue efforts you have been involved with:

I AM INTERESTED IN:
Fostering a BCIN Border Collie (You must complete Foster Application to be considered for fostering.) By clicking “Yes” I assert that I understand the length of time a dog remains in foster care can vary--from a few weeks to several months.
Transport. (If yes, then answer the following questions.)
* List any cities that you typically drive to on a routine basis?
* Can you provide a dog with an overnight stay if necessary? Yes No
* Do you have any crates that can be used for your leg of the transport? Yes No (If not, one can be provided for you to use.)
Helping with area events? (Set up and break down, walking dogs, etc.)
Organizing a local fundraiser?
Becoming a shelter contact?
Conducting home visits. If beyond home area, where?
Donating items? List items:
Providing an overnight stay for a dog that is in transport
Dogsitting for a foster home?
Other (Please describe):


YOUR HOME
Names and ages of humans in your home:
Is your home suburban, urban or rural?
What type of residence do you have? Home Apartment Condo Mobile Home Other
Do you rent or own your home? Rent Own	If rent, do you have landlord's permission to keep a dog? Yes No
Landlord's name and phone number:
Do all family members work? Yes No	Is someone home during the day? Yes No
What provisions will be made for our Border Collie if no one is at home during the day?

Do you have a yard? Yes No	Size of yard:	Is your yard chemically treated? Yes No
Is it completely fenced? Yes No	Type & height of fence

I own crates that can be used for the foster dog. If not, we may be able to provide one for you to use.
I am willing to allow a rescuer to complete a home visit by appointment.
I certify that I have never been convicted of any offense relating to or involving cruelty to, or neglect of, animals.

I attest to the truthfulness of my answers. I understand that falsification of any of the above information is grounds to disallow me from being a part of the rescue program for Border Collies in Need. I, the undersigned, recognize that my participation in any of the listed volunteer categories is strictly on a volunteer basis and therefore, no insurance against bodily harm is provided for me. I agree to release from liability Border Collies In Need, Inc. (and event coordinator, if applicable) for any and all injuries or damages incurred during my participation as a volunteer with Border Collies In Need. I also acknowledge, if I am accepted as a volunteer, that I will be providing services strictly on a volunteer basis and will not receive renumeration for any labor performed.
Electronic Signature: Date: (Border Collies in Need reserves the right to refuse any applicant.)

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