Meet Our own deaf
Dane  Ambassador

Volunteer & Fostering Application

Name    Phone number

Fax Number   Mailing Address

    Confirm e-mail

Diver's License #   Vehicle License #

Would you be willing to help a Dane with special needs; i.e. older, needs surgery, needs medication, is blind
Yes No

Why do you want to volunteer?
                                           What other animals do you have?

Are they spayed/neutered and if not, why?
       Are you willing to screen potential adopters/do home checks?

Have you ever obedience trained dogs before? Yes No
Do you have any experience working with dogs on behavioral issues?Yes No
What other kinds of experience with dogs do you have?

Tell me about your experience and opinions regarding training dogs.

Have you or anyone in your immediate family ever been charged with cruelty to animals or child abuse?YesNo

Are you going to be moving in the near future?YesNo

Occupation Employer name & phone #
What are your work hours Company Address  
How long have you worked there  

List the days and hours you would be available to volunteer:

How many people are in your household, their names and how they are related?

If children, list their ages & sex

Do you own or rent your home?OwnRent

Does your rental agreement permit you to keep pets?YesNo

How long have you lived there?

Landlord's name   Landlord's phone #

Do you have a fenced in area for your pets?YesNo

What kind of fencing?

If you have a pool, is it fenced in?YesNo Not Applicable

If you keep a dog for an extended period,
where will you keep it
During the day?
At night?
Do you have a Dane sized crate?YesNo

What are the leash laws in your area?

What kind of vehicle(s) do you drive

Is at least one vehicle large enough to hold a Dane comfortably in the cab?YesNo

Are your pets on heartworm preventive?YesNo
What kind?  How often do you give it?

Date of last vaccinations

Veterinarian's name Phone #
Name and telephone number of 3 local individuals (not related) who know/have known your other animals:

May we visit your home and check references to verify the information you have provided?YesNo

How did you learn about Deaf Dane Rescue Inc.?

Signature of Applicant Date

A well-trained dog will make no attempt to share your lunch.
He will just make you feel so guilty that you cannot enjoy it. 
-- Helen Thurber
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