Please fill out this form to volunteer. All fields marked with * are required. Thank you! General InformationName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Alternate PhoneEmail* Your age*Please enter a number from 1 to 100.Number of adults living in your home*Please enter a number from 1 to 100.Number of children living in your home*Please enter a number from 0 to 100.Volunteering PreferencesPlease tell us how you would like to help (check ALL that apply)* I will help screen applicants who wish to adopt a dog I will assist with home checks of possible adoption families in my area I will help transport a rescue dog I will pick up a dog from a surrendering home or animal shelter and take it where directed by my State Director or member of the RRUS Board of Directors I will visit animal shelters in my area and discuss the breed and RRUS rescue efforts with their staff and volunteers I will inquire around my local area about a nice boarding facility that will offer discounted rates for rescue dogs I will discuss RRUS rescue efforts with my veterinarian and ask if he/she will offer discounted rates for rescue dogs I will donate a large dog crate I would be interested in serving on a RRUS committee I will foster a rescue dog (if checked, please complete FOSTER HOME VOLUNTEERS section of this form) Others (for example: fundraiser, administrative, marketing, etc. – WRITE IN any other ways you would like to help):For Foster Home VolunteersVolunteers who are not interested in fostering may skip to the Agreement section at the end of the application.Do you agree to abide by RRUS Policies & Procedures for the care and evalution of foster dogs?*YesNoDo you rent or own your home?*RentOwnIf you rent your home, do you have your landlord’s permission to foster a dog that is not your own?YesNoLandlord Name First Last Landlord Email Landlord PhoneGender Preference for a foster dog*MaleFemaleNo preferenceDo you have a fenced yard?*YesNoIf yes, how tall is your fence?If no, how will you ensure safety of a foster dog while outside?Do you have any dogs/animals of your own?*YesNoIf yes, please list the current Type (cat, dog, etc.), Breed, Age, Spayed or Neutered, Source and Years Owned.Example: Rocky, Lab Mix, 5 years old, neutered, adopted from local shelter, owned 2 years.Do you have a regular veterinarian?*YesNoWill you use a crate?*YesNoReference #1: Please list your veterinarian as your first referenceIf you do not have a veterinarian, please list someone else as your first reference, and note below why you do not have a veterinarian.Veterinarian Name* First Last Veterinarian Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Veterinarian Email Veterinarian Phone*If you have not listed a veterinarian here, please indicate why.Reference #2: Please list someone not related to you as second reference.Reference 2 Name* First Last Reference 2 Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Reference 2 Email Reference 2 Phone*Reference 2 relationship to you*Agreement*Please check the box next to each statement to indicate your agreement. As a volunteer foster home, I agree to allow an arranged home check to be done of my home. Once my application has been approved, I will receive a copy of the RRUS Policies & Procedures and Bylaws. I understand that I must agree to abide by the Policies & Procedures and Bylaws in order to volunteer for RRUS. I agree that I will represent Ridgeback Rescue of the US (RRUS) in all my volunteer efforts in a professional manner and in accordance with the Bylaws and Policies & Procedures of the organization. Further, I agree that I have received, read understand these documents, and I will ask for clarification in the event I have any questions or need further information. I (We, the above-named Applicant(s) , hereby agree to release, indemnify, defend and hold Ridgeback Rescue of the United States, its officers, directors, volunteers, and their successors and assigns, harmless from and against any liability, claim, damage, injury, cost, or expense whatsoever relating to volunteering with Ridgeback Rescue of the United States. Please confirm which state you wish to volunteer in.*ALAKARAZCACOCTDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYPlease type your full name to serve as your signature.*
