Volunteer Application 1Contact Information2Volunteer Preferences3References & Signature Name(Required) PrefixDr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Middle Last Address(Required) Street Address Address Line 2 City ProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Primary Phone(Required)Alternate PhoneEmail(Required) Facebook Name What are you interested in helping with?(Required) Transport Home Visits (to verify information provided on ACDR applications) Animal Shelter Liaison (contact and check area animal shelters for Dachshunds and mixes) Fundraising Other Events Other (ideas and suggestions) Why do you want to become involved in the ACDR?Please explain your history, involvement, and experience with Dachshunds.Have you had pets in the past? If so, please describe.Please list pets you currently have. Include the following information in your list: type/breed, sex, age, owned since, comments on personality of each animal.Are your current pets spayed/neutered? If no, please explain.What are your personal beliefs on spaying and neutering?Are your pets up-to-date on vaccinations and heart worm tests/preventative? Yes No What is your opinion regarding euthanasia?Do you breed or have you ever bred dogs or any other companion animals? Why or why not?Have you ever been convicted of a felony or misdemeanour involving mistreatment of animals? Provide details.Have you ever been denied privileges by the CKC, AKC, any Dachshund Club or other rescue organization? If yes, please provide details.Do you belong to any other rescue organizations currently? In the past? Please provide details.If you have been doing rescue independently, how long have you been doing so? What was your fee structure? Did you use an application format? How many dogs did you place?Are you willing to transport a dog? If so, what mile/kilometre radius from your home?Are you willing to check your local area shelters on a regular basis for Dachshunds and Dachshund mixes? If yes, please name the area that you would be willing to cover.Do you feel competent to identify a Dachshund (all coats, sizes and colours)? ReferencesPlease provide us with at least two references in addition to your vet. We are looking for individuals who can provide us with information about your suitability as a volunteer for ACDR.Reference #1Reference #2Reference #3Consent(Required) I agree to the privacy policy.Atlantic Canadian Dachshund Rescue is a volunteer-based, registered charity. ACDR has policies and procedures that must be followed. Volunteers accept liability for personal injury or damages caused by a rescue dog or while involved in rescue activities. I certify that to the best of my knowledge, the information provided in this application is true as of the date on this application. I agree that submission of this form will constitute a legally signed document. I give permission for an ACDR representative to call my listed references. It is understood that any information received will be held confidential.Date(Required) YYYY dash MM dash DD Signature(Required)You can use your mouse or if you're on a phone or tablet, you can use the touch screen to sign your name here. Reset signature Signature locked. Reset to sign again NameThis field is for validation purposes and should be left unchanged. Facebook Twitter Instagram Follow us here
