<p>WIN VOLUNTEER APPLICATION FORM</p><p>Please fill out the application and either mail or e-mail it back to us.</p><p>YOUR CONTACT INFORMATION</p><p>Name: </p><p>Full Address: </p><p>Phone numbers: Home Work Cell </p><p>Can we contact you at work in case of a Rescue Emergency? YES NO</p><p>Your e-mail address </p><p>Do you have any children? (Please list by age) </p><p>Please list all pets you currently have: </p><p>Are they spayed/neutered? </p><p>TRANSPORT</p><p>Please fill out this section below if you are able to transport a Westie in Need</p><p>Are you from time to time are you able, to transport a rescued Westie to the Vet, to his/her new home, from a shelter or puppy mill, to their foster home or to pick up from another transport?? YES NO</p><p>Your Availability for transport: Weekdays: What times are you available? Weekends: What times are you available? </p><p>What area of the province /city etc. do you live in? </p><p>How far would you be willing to travel? </p><p>Is your vehicle large enough to accommodate a Westie-sized crate (approx. 30”x21”x24”)? YES NO</p><p>Are you able to board the rescue overnight? YES NO If yes, is your residence a house/apt./condo? Select FOSTER</p><p>WiN does not have a shelter or physical location. Instead, we operate through a tight-knit network of foster homes. Our foster homes are the private residences of individuals who want to help Westies in need, giving them a safe and loving sanctuary while we try to match them with a qualified permanent adoptive home. </p><p>As a foster parent, you would decide when (and if) to accept a new foster Westie.</p><p>Please fill out this section below if you are able to Foster.</p><p>Your Availability: Weekdays: What times are you available? Weekends: What times are you available? </p><p>What area of the province /city etc. do you live in? </p><p>Do you have a SECURE fenced yard? YES NO</p><p>Are you able to drive to pick up a Westie in need of fostering? YES NO</p><p>Some of our rescues are survivors from puppy mills and will need special love, care and time...is this something you can do? YES NO</p><p>Your foster Westie will have to see the Vet (Westies in Need pays all Vet expenses) are you able to drive him/her to a Vet visit? YES NO</p><p>Do you know if your Vet would be willing to assist our rescue by offering a discount in vet care? YES NO DON’T KNOW</p><p>How many Westies could you foster at one time? select</p><p>For how long could you take care of a Westie? </p><p>How many hours a day would the foster Westie spend without human companionship? </p><p>Are you able to foster for an extended time? YES NO</p><p>Are you willing to care for senior and/or sick Westie? YES NO</p><p>HOME VISITS</p><p>This involves visiting the home of an applicant adoptive family after their interviews and reference checks are completed to meet the prospective family in person. Please fill out this section below if you can do a Home Visit</p><p>Your Availability: Weekdays: What times are you available? Weekends: What times are you available? </p><p>What area of the province /city etc. do you live in? </p><p>How far would you be willing to travel? </p><p>Westies In Need (WiN) Rescue will be responsible for the approved medical care of all foster dogs within the organization's program. It is the responsibility of the foster home to provide safe bedding and proper nutrition of all our dogs. WIN will contact the chosen animal clinic and arrange payment for approved medical expenses.</p><p>By participating as a Westies in Need (WiN) Rescue volunteer, I agree to hold harmless WiN Rescue and any volunteer/member of WiN Rescue from any liability arising in conjunction with my participation as a volunteer with them.</p><p>By entering your name in the field below, you agree to all terms and conditions</p><p>Signature: Date: </p><p>Please scan and e-mail to [email protected] or</p><p>Please mail to: </p><p>Toronto & Western Ontario: Corrie Yeoman, 109 Lorne Ave. Newmarket, ON, L3Y 6P2 Ottawa & Eastern Ontario: Kim McLean, 3 Carman Court, Iroquois, ON, K0E 1K0 Quebec: Elizabeth Pierce, 119-16th St., Roxboro, Quebec H8Y 1P1 </p>