Apply to Volunteer

Please answer all questions in the form below and click “Submit” to apply to volunteer. An incomplete questionnaire will delay your application.

First Name:		Last Name:
Address:
City:		County
State:		ZIP:
Home Phone:
Work Phone
Cell Phone:
Email:
I am applying to:		Foster Miniature Pinschers Assist with home checks for prospective adoptive homes Screen owner surrenders and report Place Miniature Pinschers with an approved contract Other
Which states can you cover?
List special skills and areas of interest:
Do you presently own pets?		Yes	No
If yes, list the name and kind for each pet (e.g. Waldo — dog; Fluffy — Cat; Petie — Parrot):
If you own dogs, are they all Spayed/Neutered?		Yes No Not Applicable
If your current dogs are not altered, please explain why not.
Are they up to date with Rabies?		Yes No Not Applicable
Are they regularly tested for heartworm?		Yes No Not Applicable
Are they on monthly heartworm prevention?		Yes No Not Applicable
Are there children presently living in your home?		Yes	No
If yes, please list their ages:
Where do you live? House or apt?
Do you own or rent your home?		Own	Rent
If you rent, do you have permission from your landlord to keep a dog?		Yes	No
Landlord's Name:
Landlord's Phone Number:
Is your yard completely fenced in?		Yes	No
What type of fence?
Fence Height?
Fostering
Have you ever fostered a dog before?		Yes	No
How many hours will the dog be alone during the day?
Where will you keep the dog while you are at work or out on errands?
Do you have a crate to keep the dog in?		Yes	No
Is there a limit to the length of time you can keep the dog until it gets adopted?		Yes	No
If yes, how long can you keep the dog?
Why is there a limit?
Is it okay if an interested person comes to your home to look at the dog?		Yes	No
Are you willing to assume financial responsibility for the every day care of the dog?		Yes	No
Are you willing to take the dog to a vet for spay/neuter, Microchipping, etc. (at AMPS expense)?		Yes	No
Do you understand that all placements must be done through the AMPS application process?		Yes	No
Do you understand that any min pin you foster as an AMPS volunteer is the sole property of AMPS and must be returned to AMPS if requested to do so?		Yes	No
The dog shall reside at the foster family’s address and may not be given to anyone else or placed in any other home or facility. If the dog cannot be kept by the foster family, said family shall notify the Regional Coordinator or Directors of AMPS immediately. The dog may not be sold, abandoned, relinquished to a pound or shelter or another rescue group, transferred or given to any other person, persons, group, organization or institution. By submitting this application, you attest that you have read the above disclaimer and agree to the terms therein.
Home Placements
Are you willing/able to do home checks and post adoption checks for dogs in your area?		Yes	No
Are you willing/able to provide telephone support on training and behavioral issues?		Yes	No
If limited, please describe:
All paperwork for placement in homes (e.g. applications, contracts) must be forwarded to the AMPS Directors within five business days of completion. Are you able to ensure that this requirement is met?		Yes	No
Other Tasks to Assist Owners or Other AMPS Volunteers
Would you able to take a dog to a vet for treatment, spay/neuter, Microchipping, etc. (at the expense of AMPS)?		Yes	No
Would you be able to meet with an interested person at a dog’s location (e.g. owner’s home)?		Yes	No
Would you be able to have an interested person meet a dog at your home?		Yes	No
References
Please provide us with a veterinary reference (including phone number). Note: Due to the new federal laws regarding the privacy act, you will need to contact your vet immediately and give permission for AMPS to contact them regarding the status of your pet’s records.
Please list a personal reference (Required information is Name, address, phone number, relation to you).
You must be at least 21 years old to submit this application.