Date and Time Form Completed: Email: * Phone: * What type of home do you live in? Does your Association or Landlord allow pets? Are you over 18 years of age? If you are under 18, how old are you? If you are under 18, do you have a parent or other adult over 18 who will be volunteering with you during your shifts? Indicate the items you are interested in doing:
NOTE: You may check all that apply.
Please use this to tell us what other interests you have:
What days and times are you available to volunteer?
NOTE: PAAW normally shows animals on Saturdays & some Sundays from 10am-4pm. Transportation is needed weekly for these adoption events, with pick-up at 9:30am & Drop-off at 4:30pm at the shelter and/or foster home for each pet being transported that day. Transportation is also needed for vet visits throughout the week.
Sunday Available Times: Monday Available Times: Tuesday Available Times: Wednesday Available Times: Thursday Available Times: Friday Available Times: Saturday Available Times:
If Fostering, please provide information below:
Have you ever owned a pet before Do you currently have a pet(s)? What type of animal (i.e., Dog, Cat)? Pets Name: How many people currently live in your household? please select... 1 2 3 4 5 6 7 8 9 10+ How many adults in household? please select... 1 2 3 4 5 6 7 8 9 10+ How many children in household? please select... 0 1 2 3 4 5 6 7 8 9 10+ If there are children in the household, please list the ages of the children. Why do you plan on fostering a pet? Does anyone in your household have allergies? If yes, please explain. How many pets have you owned in the last 10 years? What happened to any previous pets you may have had? (i.e., passed away, ran away, gave to someone else)
Please supply the following information of all the animals currently living in your home. If no animals are currently living in your home, please provide the information for all animals previously living in your home within the last 10 years:
Pet Name(s): Type of Animal(s) (i.e., Dog, Cat): Age(s) of Animals: Are the animals Spayed/Neutered? Are the animals currently on Vaccines? Are the animals Declawed? Are the animals on Heartworm Preventative? Do the animals reside inside or outside? Have your pets ever been exposed to other pets? Please explain.
Current or Prior Veterinarian (Vet information will be verified):
Name: City/Location? Phone Please provide the name of the owner that the Vet records are under: Are any of your pets being treated for medical conditions? Please explain. Where will this animal be living? Do you have a fenced yard? If so, what type of fence? Approximately how many hours a day would the animal be left alone? please select... 1 2 3 4 5 6 7 8 9 10+ We might have someone from the rescue calling or coming to your home to check on the animal, is that okay? I understand completion of this evaluation does not guarantee the Fostering of a pet. Furthermore, falsification of information will result in immediate denial of this application. Incomplete evaluation will not be processed. How did you hear about us? Please list three personal references, with Phone Number and relationship to you. (No direct relatives please) If there is any other information you would like to make us aware of, please do so here.