HelpNeeded

Thank you very much for your interest in helping
Please complete and submit the application below

Applicant Name

Street Address

City/State/Zip

Cell Number

Phone Number

Email Address

What are your interest in helping?

Applicant's Age and Occupation:

When are you available to start helping?

What hours and days are you available?

How many hours per day can you spend
helping?

Do you have your own transporation?

Are you available to transport dogs to local
vet and groomer (IF ever needed)?

Tell us about yourself and why you're interested in helping rescue dogs?

Have you ever worked with animals before?

If yes, when, where and what type of experience do you have?

Do you have experience with senior dogs and dogs with social behavior issues?
(this can be with personal dogs)

HISTORY OF PET OWNERSHIP

Do you currently own any pets?

How many?

Please type name, breed and how long you have owned each pet.

Please list previous pets and why they are no longer with you. GIVE DETAILS

What did you enjoy most about your pets?

What did you enjoy least about your pets?

Are your pets spayed/neutered? Current on vaccinations and
heartworm preventative? (this does not eliminate you from helping)

Any Comments you want to share:

REFERENCES

List three (3) references, in addition to your vet reference.
Name, Phone Number and Relationship

Are you willing to submit to a criminal backgroud check
and drug screen? (criminal history does not eliminate you)

Comments:

By submitting this form you acknowledge that you have submitted accurate
information and acknowledge that you will be ask to sign and follow legal
policies and procedures established by animal welfare guidelines.

Southern Shih Tzu & Toy Breed
Rescue and Sanctuary

A 501c 3 Non-Profit charity located in central Alabama and southern Louisiana, dedicated to rescuing, rehoming and providing
sanctuary care for abandoned, abused and homeless toy breeds. Focusing on shelter dogs and breeder/mill dogs.