Volunteer Application

Name *
Street *
City *
State *
Zip *
Home Phone *
Cell Phone *
Email *
Best time to call *
How long have you been involved with German Shorthaired Pointers? *
Other breeds? *
Experience with Rescue(s)? *
Have you adopted from GSP Rescue NE in the past? If so, when? *
Experience with breed activities (agility, training, field trials, etc)? *
Have you ever been convicted of animal cruelty? If so, please explain. *
Have you ever been expelled from a breed club or performance club? If so, please explain. *
Are you a member of any specific animal or breed organizations? For example, GSPCA, NAVHDA? HSUS or PETA? *
Do you have a regular veterinarian? * Yes   No   
Veterinarian's Name *
Address *
Phone *
Do we have your permission to speak with your vet? *
How many GSP's do you own? *
Gender (s) and age (s) *
Other companion animals? *
Are they altered? If not, why? *
Are you willing to foster needy GSPs? * Yes   No   
Do you rent or own your home? Please provide us with your landlord's name and contact information if applicable. *
Does it matter if they are male or female? *
For how long are you willing to foster in general? Are you looking to be a permanent or temporary foster care provider? *
Are you willing to provide basic training for a dog in foster care with you? * Yes   No   
How many dogs does your town allow per home? *
If you are interested in fostering what are the names and ages of ALL residents of your home? (adults and children) Write n/a if you aren't willing to foster. *
Do you own dog crates you can use for a foster dog or transportation of a GSP? Please list size and how many? *
How big is your yard? *
Is your yard fenced? * Yes   No   
What type of fence do you have and how high is it? *
Do you have kennel runs? If so, height and width? *
What other services you can provide? For example, are you a groomer, professional trainer, do you own/run a boarding facility? *
Are you willing to provide transportation for dogs to and from shelters and foster homes? * Yes   No   
If so, how far? *
Are you willing to contact shelters &/or evaluate a dog in a shelter or a home? * Yes   No   
Are you willing to screen adopters over the phone &/or in person? * Yes   No   
Are you willing to assist in fundraising activities including manning booths at local fairs and doing mass mailings? * Yes   No   
Do you have any additional comments? *
Please provide us with the name and contact info of a personal reference that is not a friend or relative. (Coworker, neighbor, etc.) *
I Agree I understand that it is my decision whether or not to handle or foster any particular dog. I will not hold GSP Rescue New England, Inc. responsible for any damage, injury or harm caused directly or indirectly by any dog I handle as a volunteer for any rescue program. *

I understand it is not the policy of GSP Rescue New England, Inc. to reimburse me for general costs incurred in the rescue of GSP's in any locality. Adoption donations and local fundraising efforts will contribute to reimbursement of veterinary care specifically. I will not bring suit against GSP Rescue New England, Inc. its agents, volunteers, their heirs or estates in case of financial or other loss resulting from my activities as a rescue volunteer.

By completing and submitting this application I am agreeing to the above statements.
Agree   DisAgree   
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