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Personal Information

* First name

* Last name

* Email

* Email confirmation

Home phone

Cell number

* Current Address

Current Address 2

* Zip

* City

* GenderMaleFemale

Country

*State/Province

Regional Representative

Regional Representative will represent MAD Rescue Inc in a region of the country. This position will work with a group of State Representatives who will be the primary contact for shelters and owners in that state.

Would you like to be a Regional Representative that would work with other state representatives?

YesNoMaybe

Which Region?

State Representative

State Representatives will be a primary shelter and owner surrender contact for a state.

Would you like to represent MAD Rescue Inc as a state contact for shelters and owners?

YesNoMaybe

Which state or states can you represent?

YesNo

Reference Checker

Reference checkers help with the application screening process. They are assigned applications to check two personal references, vet references and landlord if needed. They will work with forms, form letters, and a database.

Can you check personal references and veterinary references for applicants? This position requires phone calls, documents, and database work.

YesNo

Adoption Counselor

This position will work with dogs and applicants to get a match made and completes all the necessary paperwork, put in a transport request, and follow-up on the adoption after the fact. This will be an applicant facing position with direct contact to the applicant and the MAD Rescue volunteers.

Would you like to be an Adoption Counselor?

YesNo

Foster Counselor

A Foster Counselor’s roll will be to assist foster homes with transitioning a new dog to their home and through the process to the dog's forever home.

Would you be interested in being a Foster Counselor?

YesNo

Foster Caretaker Team - Dog Trainer Consultant for the Bridge Program

Are you a professional Dog Trainer?

YesNo

Would you be willing to consult with fosters and adopters on the phone for training tips?

How many years of training experience to you have?

What is your training Technique?

Positive ReinforcementBehavioristBalancedCompulsiveOther

Describe other

Home Visit Coordinator

Will coordinator home visit volunteers around the country. Home visits will be physical and/or video.

Are you willing to coordinator setting up physical and video home visits. This volunteer position requires a greater commitment per week.

YesNoMaybeYes, I can work with a team of HV coordinators

Home Visit Volunteer - Physical Location Visit

This will be a large group of volunteers who will perform in person home visits.

Are you willing and able to perform an in person home visit?

YesNoMaybe

What approximately distance from your city or zip code can you travel for a home visit?

Dog Evaluation and Assessment

Volunteers willing to evaluate owner surrender dogs or dogs who are currently located in shelters.

Are you able/willing to perform behavioral assessments on owner surrendered/shelter dogs of unknown temperament?

YesNoMaybe

Comment

Are you able to pull a dog from shelters to prepare for transport?

YesNo

Are you able to temporarily hold a dog until transport can be arranged?

YesNo

Are you able to take a dog to the vet to be prepared to transport and/or get a health certificate?

YesNo

Home Visit Video Representative

Will conduct video home visits with the applicant. Video home visits will be via tools like Facetime. This position will involve working with guidelines, applicants, and forms. Some database work as well.

Are you willing to conduct Video Home Visits?

YesNo

Are you skilled to conduct video home visits via these methods?

FacetimeSkypeEmailed VideosZooneOtherNone, but willing to learn

Fundraising

Volunteer who is willing to work on fundraising, participate with a committee, or run a fundraising committee.

Are you able/willing to help with fundraising?

Check all boxes that apply.

Yes, I would like to run a committeeYes, I can work with a committeeI can purchase items or making donationsNot interested.

Comment

Grant Writing

Would you be capable and like to join our grant writing team?

YesNo

Applicant Experience

Additional Information about the applicant for skills that could be useful in handling or identifying a dog, as well as for evaluating one.

Please check all that apply to you in regards to dog training background.

Dog TrainerBehaviorist K9 Handler (any specialty, current or former)None

Comment

Foster Caretaker

Would you be willing to work at a Foster Caretaker who contacts foster homes, helps them learn and understand our policy, help them set vet appointments, arrange for a foster box delivery (MAD Rescue expense), set up Foster Wishlist.

YesNo

Comment

Other

Please describe others ways you can.

What other ways would you like to volunteer for rescue?

Transport Driver

Can you Drive Transport to move dogs from shelters to adoptive or foster homes?

YesNo

What is your vehicle description, make, model, and color?

What is your vehicle license plate number?

How far can you typically drive for transport? Please note that all volunteers will be asked if they can drive an no assumptions made that you have to drive.

0 to 60 miles61 to 120 miles121 to 180 miles181 to 240 miles241 to 500 milesAny number, I love to driveCan drive with fuel assistance

Have you driven transport for other organizations?

YesNo

If you have driven for other organizations, which ones?

Do you have any of the following available for transport? Check all that apply.

CrateTetherCar Divider Other

For other, please describe.

Transport Coordination

Are you willing to learn to set up and coordinate transports?

May require more time

YesNo

Are you willing to monitor a transport via text or Facebook messenger on the weekends?

This position monitors and calls or text other legs if transport time needs to be adjusted. May make changes to the run or escalate issues.

YesNo

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MAD Rescue Volunteers Form Including Transport Drivers

Personal Information

Regional Representative

State Representative

Reference Checker

Adoption Counselor

Foster Counselor

Foster Caretaker Team - Dog Trainer Consultant for the Bridge Program

Home Visit Coordinator

Home Visit Volunteer - Physical Location Visit

Dog Evaluation and Assessment

Home Visit Video Representative

Fundraising

Grant Writing

Applicant Experience

Foster Caretaker

Other

Transport Driver

Transport Coordination