Image: Courtesy of New Rattitude, Inc. Rat Terrier Rescue100% of your donation goes towards the rescue & medical care of needy dogs.
Image: Courtesy of New Rattitude, Inc. Rat Terrier Rescue
Image: Courtesy of New Rattitude, Inc. Rat Terrier Rescue

New Rattitude Membership Application

Bold field names indicate required fields


• If you are interested in helping ONLY with occasional transports or home visits, please complete our Volunteer Database Sign-Up Form instead of this application.
• If you are interested in fostering, rescue administration, or other on-going involvement, please fill out this entire Membership Application as completely as possible to speed processing


SECTION 1 - ABOUT YOU
First name:
Last name:
Street Address: City: State: Zip:
Nearest Major City:
Email:
*** Please re-enter email address to verify it is correct:
Alternate Email:
Main Phone: Is this phone your: home cell work
Alternate Phone: Is this phone your: home cell work
* Please type telephone numbers in this format xxx-xxx-xxxx only
Best time to call:
Employer: Type of Work:
Work Phone: May we call you at work: Yes No
* Please type telephone numbers in this format xxx-xxx-xxxx only

YOUR AVAILABILITY
Do you have reliable Internet access (check all that apply): weekdays evenings weekends never
Approximately how many hours/week might you be able to devote to volunteer activities:
Is your interest:short term (temporary) only    on-going
Are there particular times of the month or year that you expect to NOT be available:Yes No
       If yes, please explain

Do you currently own pets: Yes No
       If yes, list all pets in the household (species/breed, age, spay/neuter status, & names):
       

YOUR INTERESTS
Please check any of the areas in which you are interested or would like more information (check all that apply):
Progress Reports (phone calls &/or emails, note taking, summarizing results, posting to e-list)
Applications Processing (phone calls, interviewing, note-taking, assessing, analyzing)
Home Visit Coordinating (recruiting via Internet, record-keeping, project orientation)
Transport Coordinating (recruiting via Internet, project management, detail orientation)
Grant Writing (writing skills, organization, detail orientation, contacts) NOTE: Experience Required
Fund-raising (creativity, enthusiasm, good follow-through, organization)
Database Web Programming (programming in MySql and php, detail orientation, project management) NOTE: Experience Required
Social Networker (enthusiasm, diplomacy, organizational skills, creativity)
Data Searcher (Internet researching &/or phone calls, self-motivation, inquisitive nature, detail orientation)



Image: Courtesy of New Rattitude, Inc. Rat Terrier Rescue

SECTION 2 - REFERENCES
Please provide the name, city/state, and phone number of 3 people not related to you, who can recommend you as a conscientious volunteer for Rat Terrer rescue.

Reference 1

Name:     City/State:
Home Phone: Cell Phone: Work Phone:
* Please type telephone numbers in this format xxx-xxx-xxxx only
Relationship (neighbor, friend, co-worker, etc.):

Reference 2

Name:     City/State:
Home Phone: Cell Phone: Work Phone:
* Please type telephone numbers in this format xxx-xxx-xxxx only
Relationship (neighbor, friend, co-worker, etc.):

Reference 3

Name:     City/State:
Home Phone: Cell Phone: Work Phone:
* Please type telephone numbers in this format xxx-xxx-xxxx only
Relationship (neighbor, friend, co-worker, etc.):

If you are interested in Fostering or Dog-Sitting, please continue with Section 3. Otherwise, skip to SECTION 4 below.

Image: Courtesy of New Rattitude, Inc. Rat Terrier Rescue

SECTION 3 - FOSTERING & DOG-SITTING
Can you provide housing for a rescued Rat Terrier?Yes, FosteringDog-sitting (temporary) only No
       Have you read our "FAQ about Fostering"YesNo


YOUR HOME ENVIRONMENT
Are there any other adults in the home?Yes No
       If yes please list all adults in the house & their relationship to you:

Are there any children who regular visit or live in the home?Yes No
       If yes please list names & ages of ANY children who live with you OR visit on a regular basis
        (include grandchildren & other relatives):

Do you live in (choose one): House Apartment Condo/Townhome Mobile Home Other
       Do you own or rent your home: Rent Own
       If you rent, can you furnish a notarized letter from your landlord granting you
       permission to keep foster dogs: Yes No

Do you have a securely fenced yard: Yes No
       If yes, material & height of fence:

VETERINARIAN
Clinic Name: Vet Name:
Street Address: City: State: Zip:
Phone:Office Hours:
Is this your current veterinarian: Yes No
Is this a vet you have used before: Yes No
Is this the vet you plan to use for foster dogs: Yes No
       If no, please fill out the foster vet information below:
           Clinic Name:
           Vet Name:
           Street Address:
           City:            State:            Zip:
           Phone:Office Hours:

ABOUT FOSTERING and DOG-SITTING
Are you home during the day: Yes No No but another adult is
       If not, how many hours per day/week will a foster dog be left alone:

Where will the foster dog stay when home alone:
Loose indoors Inside in crate Basement Garage Inside confined to a room
Outside in fenced yard Outside in dog pen/kennel Outside on chain
Loose outside Other (explain)

Where will the foster dog stay at night:
Free run indoors Inside in crate Basement or confined room On/in bed with family member Garage
Inside dog room Outside in fenced yard Outside in dog pen/kennel Outside on chain
Loose outside Other (explain)

Do you have a crate available to use with a foster dog: Yes No
Do you have training experience: Yes No
       If yes, please explain:

How would you handle behavior problems with a foster dog:

Are you aware that a dog may likely exhibit one or more undesireable beahviors such as chewing, digging, barking/howling,
jumping or trying to escape: Yes No

What would you do if a foster dog started a fight with or bit your dog:
What would you do if a foster dog bit you or a member of your family:

Are you willing to foster special needs dogs (check all that apply):
no
seniors
pregnant
puppies
disabled (blind/deaf/lame, etc.)
above average behavior problems

Are you willing to work with your foster dog on housebreaking, leash training, & basic commands:Yes No
How many dogs would you be able to foster at one time:
Are you willing to drive a short distance to help transport a foster dog to its new home (no more than 150 miles):Yes No
Do you understand that all placements must be done through New Rattitude's applications process:Yes No
Do you agree to return a foster dog to New Rattitude if you are requested to do so:Yes No
Do you agree to read our Foster Parent Handbook to learn about our policies/procedures:Yes No
Do you agree to sign a foster contract for each new foster dog and abide by all conditions outlined within the contract:Yes No
Have you ever fostered for another rescue organization?Yes No
      If yes, list all groups you have worked with, a contact email for each, and approximate dates you worked with them:
      
Have you ever applied to adopt a New Rattitude dog? Yes No
      If yes, approximate date and dog's name (if remembered):
Do you hope to adopt a dog from New Rattitude in the future? Yes Maybe some day Probably not


Image: Courtesy of New Rattitude, Inc. Rat Terrier Rescue


SECTION 4 - ALL APPLICANTS:

If there is anything you would like us to know about you, please tell us:

How did you hear about us:
New Rattitude Website Petfinder AdoptAPet PetSmart Adoption Day Friend or Relative Another Adopter
A Rat Terrier interest group (please list) Other (explain)


By checking this box and submitting this form below, you are attesting to the truthfulness of your answers and that you are 18 years of age or older. If not checked we will assume you are not at least 18 years of age and your application cannot be accepted:

Remember that it can take time to process your application. We will contact you to let you know we have recieved your application and to discuss next steps.
Thank you!