Volunteer Application

Contact Information

First and Last Name:

Street Address:

City:    State:   Zip:

Home Phone:    Cell Phone:

E-mail address:

Preferred Contact Method: Select One Home Phone Cell Phone Email

Areas of Interest

Select Items below you would like to do. (Check all that apply)Foster Dogs in your home.
Check local shelters.
Transport dogs.
Assist with home checks for prospective adoptive homes.
Do Veterinary and personal reference checking on adoption applicants.
Pick up Owner Give Up Dogs.
Marketing
Fund raising
Staff adoption day booths
Other (Please Explain Below)

(volunteers must take Maricopa County Animal Care and Control training for New Hope Partners AND MinPinHaven’s Evaluating Shelter dogs training prior to being able to New Hope dogs from local shelters)

Distance from your home you are willing to travel:

Select Days and Times You are Available: (Check all that applied)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Time: a.m.
Time: p.m.

Why do you want to volunteer?:

Household Information

Do you have other pets?: YesNo

If yes, what kind, names and how many?:

Are they spayed or neutered?: YesNo

If not, why not?:

Are there children in the home?: YesNo

If yes, how many, names and ages:

What type of dwelling do you live in? Select One House Townhome Apartment Other

Does Your Dwelling have a Fenced Yard?: YesNo

What kind of fence? Select One Chain Link Wood Block Other   What is the height of your fence? Select One 3 ft. or less 4 ft. 5 ft. 6 ft. or more

Do you own your home?: YesNo

Do you have permission from your landlord to keep the dog?: YesNo

Landlords’ name and phone number:

Have you ever fostered a dog before?: YesNo

How many hours will the dog be alone during the day?:

Where will you keep the dog while you are not at home?:

Do you have a crate to keep the dog in?: YesNo

Is there a limit to the length of time you can keep the dog until it gets adopted? : YesNo

Reason for Limit:

Is it okay if a prospective adopter comes to your house to look at the dog?: YesNo

Are you willing to assume financial responsibility for the everyday care of the dog?: YesNo

Are you willing to take the dog to a vet for spay/neutering, microchipping, etc. (at MinPinHaven expense)?: YesNo

Home Placement

Would you be willing to meet with an interested person at a dog’s location (e.g. dogs home)?: YesNo

Are you willing/able to do home visits and post adoption checks for dogs placed in your area?: YesNo

Are you willing/able to provide telephone support on training and behavioral issues for dogs placed by MinPinHaven?: YesNo

If limited, please describe:

All adoption paperwork (applications, vet bills, contracts, home visit checklists, reference check logs must be turned in to MinPinHaven within five (5) business days of adoption.

Are you able to ensure that this requirement is met?: YesNo

If not, why not?:

References:

Please provide personal reference with their name and phone number:

Please provide a veterinary reference, with phone number:

NOTE:  The federal privacy laws require you to contact your vet immediately and give them permission for MinPinHaven to contact them regarding the status of your pets records.

Please do NOT submit this application if you are under 21 years of age.  Please make sure the application is completed as incomplete information will cause a delay in the processing of your application.

Thank you for taking the time to submit a Volunteer application to MinPinHaven.  The dogs appreciate your kindness and compassion, as does the staff of MinPinHaven.  Your application will be submitted to our volunteer committee and you should hear from us within 48 hours.