Retrieving Independence

Volunteer Application

Retrieving Independence Application

* First Name

* Last Name

* Email

* Address

* City

* State

* Postal Code

Birthday

* Phone

* Emergency Contact

* Emergency Phone

* Employer

* Volunteer Interests (check all that apply)

Any other volunteer interests:

* Tell us about your home (multiple will apply):

* If you rent, does your rental agreement permit you to keep animals in the residence?

* Do you have a fenced yard?

* Tell us about all individuals living in your residence (name, gender, age, dog allergy - yes or no):

* Will you be the primary caretaker of the puppy/service dog in-training?

* Are all members of the household in agreement to foster/furlough a service dog in-training and agree to abide by RI's terms and guidelines?

If 'no', please explain:

If you have pets, please tell us about them (type/breed, name, age, gender, spayed/neutered, temperament, etc.):

Tell us about your past experience with animals

* Have you ever raised a puppy or dog before?

* How many dogs have you had?

* If you have pets, are they all up-to-date on their vaccinations?

* Has anyone in your household received any formal obedience training with dogs?

If yes, please explain the situation and style of training:

Provide the name and phone number of the veterinarian you currently use (if applicable):

Tell us about your work situation:

What are your normal work hours per week?

* Do you work on the weekends?

* Are you willing/permitted to bring a service dog in-training to your work?

* Will the weekend furlough drop-off times be a conflict with work or other obligations (Friday late afternoon for pick up and early afternoon on Sundays for drop-off)?

* Are you willing to take the puppy/service dog in-training out in public on a regular basis for socialization?

* How much time will you be able to devote to socializing your puppy/service dog per day/weekend?

* Do you agree to pick-up and dispose of the dog's waste at all times when out in public?

* Are you able to make an 8 week commitment to puppy raising and/or a 12 month commitment to weekend furloughing?

* Are you willing to attend regular training sessions with RI at least 2x/year?

Do you have access to the follow places for training/socialization? (Please select all that apply)

* Do you agree to return the dog to RI at any time upon request for additional training or placement?

* Do agree to follow all feeding, grooming, bathing, and training instructions as explained by the RI training staff?

* Are you able and willing to provide transportation to the veterinarian designated by RI in case of emergency?

* Do you agree to notify RI immediately at the first sign of injury or illness of your assigned dog?

* Are you willing to keep a written training, health, and socialization log?

* Do you have friends or family members either on staff or incarcerated at a TN prison?

Pick up for Turney: 256 Seaboard Lane, Franklin, TN 37067. Pick up for DJRC: 3881 Stewarts Lane, Nashville, TN 37243

Facility Preference

* How did you hear about RI?

* Do you acknowledge that the dog is owned by RI and that your role is to provide socialization and supplemental training until the dog is fully trained and ready for placement and that you are in no way entitled to ownership of the dog?

* To the best of your knowledge, is everything in this application true and accurate?

Thank you so much for your support and application!

New Volunteer Application

Thank you for your support and interest in serving as a volunteer for Retrieving Independence!