Rocky Mountain Newfoundland Rescue - DOC

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					                                        RMNR Volunteer Application
Thank you for wanting to help with Rocky Mountain Newfoundland Rescue program. By completing and submitting this
application you affirm that you accept full responsibility and will abide by all of RMNR Rules and Regulations in regards to
helping Newfoundland dogs. Please answer all of the questions as completely and truthfully as you can. Also, read the
liability release and sign the completed application.

                                                                    Date of Application ____________________________

Personal Information:

Name____________________________________________________________________________________________

Street Address (No P.O. Boxes)_______________________________________________________________________

City _________________________________________State_____________________ Zip________________________

Home Phone (____ )______________________________ Work Phone ( ____)_________________________________

Can we call your work phone and what is the best time to call:____________________________________________

E-mail Address__________________________________________________

Have you or anyone in your family ever been convicted of an animal cruelty crime? Yes_____ No_______

Volunteer Interests:
This is to gauge your interests, we will discuss and teach someone before they actually do a task.

Would you be interested in helping with phone interviews? Yes_____ No_______
Would you be interested in transporting? Yes_____ No_______
Would you be interested in fostering? Medical and Food is supplied Yes_____ No_______
Would you be interested in performing home visits? Yes_____ No_______
Would you be interested in performing a relinquishment? Yes_____ No_______
Would you be interested in calling vets for discounted rescue prices? Yes_____ No_______
Would you be interested in creating databases and other computer tasks? Yes_____ No_______
Would you be interested in taking a position on the staff? Yes_____ No_______

Are you willing to travel to fundraisers? (Usually within CO) Yes_____ No_______
Are you willing to pick up a foster Newfie and bring them to an event? Yes_____ No_______

What are you interested in doing for RMNR?

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________
What strong points do you have……. that could be related to rescue work?

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________


Do you know of any businesses or people that would work along with RMNR?

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

Needs of RMNR are sometimes unusual, do you have other special talents that we may use…
Examples: Sewing, Photography, Baking, Scrapbooking, Painting, etc….

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

Pet Experience and History

Are you familiar with Newfoundland dogs? Yes ____ No____

Are you comfortable with large breed dogs? Yes ____ No____

Do you currently own one or more dogs? Yes ____ No____ If Yes, how many?__________________________________

Do you have any other pets? Yes__ No__ If Yes, details____________________________________________________

References

Please provide three names as references, including your current veterinarian. Please provide the name of your landlord if
you rent your home. Other references may include a neighbor, a friend or relative who owns a Newf or another coated
giant breed such as a Great Pyrenees or St. Bernard.

Name:_______________________________ Phone:___________________ Relationship to Applicant:______________

Name:_______________________________ Phone:___________________ Relationship to Applicant:______________

Name:_______________________________ Phone: ___________________Relationship to Applicant:______________
Additional Comments

Please explain any limitations that you may have when doing volunteer work with the rescue:
(Cannot lift anything heavy, cannot drive and so on)

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

I am willing to accept the financial responsibilities (until reimbursed by RMNR) and other burdens and
responsibilities associated with volunteering with RMNR.
Foster and Transport Liability Release
RMNR and others working for and/or associated with the Rescued shall not be responsible for any damage or
injury caused by a Newfoundland fostered and/or transported through RMNR. This includes, but is not
limited to, dog bites to persons or animals, or property damage.



Printed name of Applicant:________________________________________________________________________


Signature of Applicant: X____________________________________________________



Please mail completed form to:
Rocky Mountain Newfoundland Rescue
P.O. Box 1364
Silverthorne, Co. 80498

Or email to: rmnrescue@gmail.com

				
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