I am over 18 Years old (over 21 required to foster) *
If you are not 18 or over please do not continue. We cannot accept volunteers under 18 for liability reasons. However many young men and women help by raising money, blanket, food and toy drives. We would love your help. You do not have to fill out this application to contribute in other ways.
No Yes
Name - First *
Name - Last *
Address *
City *
State *
ZIP *
Phone *
Email *
What are your social media (e.g. Facebook; Instagram) profile names?
Date of Birth: *
Do you have reliable transportation? *
No Yes
Emergency contact name *
Emergency contact phone number *
Have you ever returned a pet to a shelter? *
No Yes
List current pets and their ages: *
How would you describe your "pet experience"? *
Beginner - I haven't had much interaction with pets
Intermediate - I've had dogs/cats in the past but not recently
Experienced - I've had dogs/cats most/all my life
Please list any prior experience working with animals (e.g. other rescue, etc.) *
Do you have a criminal conviction in the last 10 years? *
No Yes
If yes, please explain:
Are you volunteering to fulfill a school volunteer hour requirement or court ordered community service program? *
No Yes
If yes, how many hours do you need to fulfill?
Do you have health insurance? *
No Yes
What kinds of activities are you interested in helping with? (check all that apply): *
Organizing events and fundraisers
Staffing at events and fundraisers
Calling references for applicants
Doing home checks for
Transporting animals (e.g. to/from shelters, vet appointments, etc.)
Photographing foster animals
General administrative tasks
Helping at a shelter (e.g. cleaning cages, washing animals, etc.)
Other
Other - We need all sorts of help... Please list other ideas you have. We appreciate every helping paw!
How many hours per week are you willing to commit to as a volunteer? *
Are you willing to undergo a background check? *
No Yes
Please provide 2 references, please include name, relationship, phone number and email address *
ANIMAL BITE PROTOCOL
Animal bites must immediately receive medical attention and be reported to Sherri-Lee Mercuri 786-720-7479, or if unavailable, Dawn Hall 248-231-6734 who will supervise the response.
I understand that 1) Under no circumstances should a volunteer intervene and put any part of their body at risk in any way should two animals get involved in a confrontation. DO NOT put hands, arms, feet, legs, etc near an agitated dog and 2) any animal in a kennel marked as “QUARANTINE” or “TRAINER” is not to be approached by any volunteer. *
No Yes
If a dog associated with Guardians of Florida Animal Rescue ("GOFAR") bites you, a member of your household, another animal or anyone else please follow the steps below. If a bite occurs:
1. Move the animal to a secure location (i.e. open kennel or crate or other option that both prevents further injury to the person and provides a calm environment for the animal). *
No Yes
2. Report the incident IMMEDIATELY to Sherri-Lee Mercuri 786-720-7479, or if unavailable, Dawn Hall: 248-231-6734 *
No Yes
3. Clearly document the incident and submit paperwork to admin@gofar.dog. Include: o The date and time of the bite o The identity of the person who was bitten o The identity of people who witnessed the bite o Any special circumstances associated with the bite. *
No Yes
If the bite resulted in an injury/broke skin, follow these additional steps:
• Immediately rinse the bite wound(s) with an antiseptic solution, such as iodine or other disinfectant solution. If that is not available, rinse the wound in running water for 5 minutes and do not use soap. *
No Yes
• After a thorough wash and rinse, apply an antiseptic solution, such as iodine or other disinfectant. *
No Yes
We recommend that people seek medical care after any bite. However if you are unsure as to whether or not to see a doctor, here are some guidelines to follow... If the bite did not break skin, no further action is required. If skin was broken, see below depending on the type of wound:
• Scratches: Watch for signs of possible infection - swelling, redness, abnormal discharge. If any of those symptoms occurs, seek medical attention. *
No Yes
• Punctures: The person bitten may need oral antibiotics. Please seek medical attention IMMEDIATELY to prevent sepsis, loss of function, or even death. *
No Yes
• Bleeding: Apply pressure directly to the wound to try to stop the bleeding. If the bleeding is severe call 911. If the bleeding is successfully controlled, please seek medical attention IMMEDIATELY to assess the need for antibiotics. *
No Yes
Dog to dog bites and any injuries caused to another animal should also be reported to Sherri and Dawn, with a follow-up email to admin@GOFAR.dog detailing the incident. *
No Yes
Bites are a very dangerous issue and must be reported immediately per the instructions above. Reporting is especially important for a bite involving an unvaccinated dog. In addition, reporting a bite and the circumstances surrounding a bite enables our Team to develop a more customized plan for the dog. Appropriate medical treatment is also crucial. *
agree
I do not agree
I agree that I have read and understand the above Bite Protocol and understand the process should a Guardians of Florida Animal Rescue animal bite me, a member of my family, another person or another animal. I have added the contact numbers to my phone in case of emergency. *
No Yes
I expressly agree to indemnify and hold harmless Guardians of Florida Animal Rescue ("GOFAR") and any of its agents, officers, representatives and volunteers for and against any/all manner of actions and causes of actions, suits, debts, dues, accounts, bonds, covenants, agreements, judgments, claims and demands whatsoever arising from or relating to any GOFAR animal, placement and/or possession of the animal. I agree to indemnify and hold harmless GOFAR and any of its agents, representatives and volunteers for and against any/all damage and/or injury caused by any GOFAR animal to any other person(s), animal(s) and/or thing(s). *
agree
I do not agree
I have answered all the questions truthfully and I understand that if any intentionally false statements have been given, this application will be void. I understand that Guardians of Florida Animal Rescue, Inc. has the right to approve or deny this application based on its policies. I give permission for rescue personnel to contact my veterinarian to confirm health/vaccination records. I give permission for Guardians of Florida Animal Rescue, Inc. to periodically visit the animal in my home. I authorize the investigation of all statements in this application. I understand that submitting an application does not guarantee approval. *
agree
I do not agree
Please Sign Here: *
Clear
Date *
