Retrieving Independence

Volunteer Application

Retrieving Independence Volunteer Application

* First Name

* Last Name

* Email

* Address

* City

* State

* Postal Code

Birthday

* Phone

* Emergency Contact

* Emergency Phone

* Employer

* Volunteer Interests:

Any other volunteer interests:

Please complete and upload the Liability Waiver found on the right of this page before submitting your volunteer application.

* Waiver

Tell us about your home

* Describe your home:

* Do you rent or own your home?

* 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, etc.):

* Is anyone in your home allergic to dogs?

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

* Do all members of your household fully understand and support your desire to welcome a Retrieving Independence puppy in training into your home and abide by all training guidelines and policies?

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?

* Have you or anyone in your household received any formal obedience training with dogs?

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

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

Tell us about your life

* Are you willing and able to bring a service dog in training to your work?

What are your normal work hours per week?

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

* What are some regular locations or activities the service dog in training would visit and experience with you?

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

* Are you willing and able to attend regular training meetings in order to maintain active Puppy Raiser (1-2 meetings per month) or Puppy Sitter (1 meeting per month) status?

* Are you willing and able to complete regular written and/or in person evaluations for your assigned service dog in training?

Are you willing and able to provide regular transportation for your assigned service dog in training to vet appointments, training meetings, prison facilities, etc.?

* Do you agree to notify Retrieving Independence immediately at the first sign of injury or illness of your assigned service dog in training?

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

* Do you agree to follow all feeding, grooming, and training protocols as detailed in the Puppy Raising Manual and explained by Retrieving Independence staff?

* Do you acknowledge that the dogs you may work with are owned by Retrieving Independence and that you are in no way entitled to ownership of the dog?

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

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

* How did you hear about Retrieving Independence?

* 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!

Downloads

Liability Waiver

Please download and complete the Liability Waiver and attach to your volunteer application before submission