Foster Application

Thank you for your interest in becoming a foster with Taysia Blue Rescue. Please answer the following questions to the best of your ability. Applicants for general volunteer positions do not need to fill out this form only the volunteer application form.

CONTACT INFORMATION

Last Name(*)

Please type your full name.

First Name(*)

Please type your full name.

Email(*)

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Phone

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Phone Alt

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Street

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Apartment

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City(*)

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State(*)

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Zip Code

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Birthdate(*)

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VOLUNTEER PREFERENCES

In what way would you like to volunteer with Taysia Blue? (check all that apply)(*)

List any experience or skills that would lend to your volunteer position(*)

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Applicants for general volunteer positions need to only fill out the preference section. Once complete general applicants can skip to the Acknowledgement Section. Foster Applicants need to complete the entire application.

HOUSEHOLD INFORMATION (Foster Volunteers Only)

Do you own or rent your home?

Own

Rent

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Is everyone in your household aware of and on board with your intention to foster dogs?

Yes

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Please list everyone living in your household. Please list name, age and relationship

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Number of waking hours an adult is at home (*)

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If you have a cat are you able to keep separate?

Yes

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ANIMAL INFORMATION AND BEHAVIORS

Do you have experience with health or behavior issues? Please explain.

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Please list all animals currently living in your home. Please include name, species, breed, age, and if they are intact.

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ACKNOWLEDGEMENT

By submitting this application, I confirm that all of the above information is correct. I agree to hold harmless and indemnify Taysia Blue SHR, Inc. and any other officers or volunteers from any and all claims, suits, causes of action and liability arising out of any claims, suits or causes of actions of any kind. I realize that Taysia Blue SHR, Inc. will not be held responsible for any accident or injury that may occur while I am a volunteer. I understand that I will receive no compensation of any kind for services performed.

I certify that I am over 18 years of age (19 if you reside in Nebraska) and in good health, able to participate in the selected volunteer activities, and competent to enter this release.

Review our entire Volunteer Handbook Here By submitting this form you fully agree to abide by the Taysia Blue Rescue Volunteer Handbook.

Electronic Signature
(Enter your full name)(*)

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Date:

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Please note that some web based email addresses (hotmail.com, live.com, msn.com & outlook.com, yahoo.com, aol.com) are currently not receiving automated emails. Add our domain @taysiablue.com to your settings to improve receipt, or use an alternate email address. Our apologies for the inconvenience.

PLEASE NOTE: By clicking the Submit button, your IP Address will be recorded and this provides a means to verify your identity.