Rescue Application

Application to rescue animals from the Jackson County Animal Shelter in Cottageville, WV or Animal Rights Fur-Ever in Ripley WV
ABOUT US: We have transport assistance to northeastern states and are licensed to send dogs to rescues based in Pennsylvania. If you are south of the MD/PA border or west of WV, alternate transport arrangements will need to be worked out. For rescues in northeastern states, we work with a shelter/rescue/transport network that moves dogs from shelters in WV, KY & OH to rescues throughout the northeastern states. If your application is approved, the coordinator can give you access to this network, which will also give you the ability to pull from more shelters within the network.

The network uses a group site to communicate between the shelters and rescues. Approved rescues who have the ability to check email regularly are welcome to join this group. It is not a Facebook group, so you must use email to join. The shelters post their dogs/cats in need to the rescues via this group site.

This network can also offer assistance with home visits throughout the northeast via the rescues and drivers in our network. An independent volunteer screener reviews/processes the application and checks the references and then sends it back to the shelter's rescue team. She does work a full-time day job so this process can take several days to (rarely) a week to complete depending on how quickly your references respond to her. We appreciate your patience and understanding.
If your application is approved, do you want to join the network's email group and become part of the online community? You will receive shelter pleas for help as well as group discussions on various rescue-related topics.*

YesNoOther
We also have a Facebook group. If you are on Facebook and want to join that group, please give us the link to your wall so the group's moderator can friend you and invite you to the group after your application is approved. If you are not interested, leave this box blank.
We realize this is a lengthy application, but it covers all of the questions our various shelters and transport coordinators have asked of rescues over the years. Once approved, the app can be provided to any shelter in our network upon request should you decide you want to pull from them. This saves you a lot of redundancy in submitting rescue applications to work with our shelters. Most will accept our application as is, but some will want to do a bit of additional screening. It is our attempt to streamline the application/screening process for both our rescues and shelters. At this time we have over 20 shelters in the network. Thanks for taking the time to complete the application.
Status*

New SubmissionUpdated Submission: Our info has changed since approval. We are submitting this so you can update your file.
Today's Date*

MonthDayYear
INFORMATION ABOUT YOUR RESCUE
We rescue*

DogsCatsOther
We are a (check all that apply)

Foster-based rescue using only foster homesFoster-based rescue which also uses boardingFoster-based rescue which also houses cats in a pet store environmentNo-kill shelter with controls on intakeOpen-intake public or county shelter that may euthanize for space or temperamentSanctuary that does adoptionsSanctuary that does not do adoptionsOther
If you are breed-specific, please indicate breed(s) here
Do you rescue heartworm-positive dogs?

YesNoOther
If yes, do you keep them in foster care until they test negative?

YesNoOther
Rescue Name:*
Your Name*
Your Title*
Your Website*
Facebook
How long have your rescue's founders been involved in rescue?*
What other sites do you have? (Check all that apply)*

PetfinderAdoptAPetRescueGroupsRescueMeFacebookTwitterInstagramOther
Mailing Address For Your Rescue *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
County in which your rescue is headquartered*
Your local Animal Control Officer/Dog Warden*
Your Home Address (If your rescue address is a PO box, vet may have to use your home address for health certificate.)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Your Email Address*
Retype Email Address*
Your Cell Phone Number*

Area CodePhone Number
Your Rescue's Phone Number (if applicable or different from cell)

Area CodePhone Number
We request authorized puller information to prevent third-party individuals from falsely pulling animals under your rescue's name. Should your authorized puller contacts change, please notify us by submitting this form again and we will update our files.
Authorized Pullers*

I am the only person authorized to pull animals for this rescueWe have more than one authorized puller. I will list their info below.Other
Authorized Puller 2

First NameLast Name
Authorized Puller 2 Title
Authorized Puller 2 Email
Authorized Puller 2 Cell Phone

Area CodePhone Number
If you have more than 2 authorized pullers, list other people here. Or if you are a very large, multi-state rescue, please explain how we can verify someone who contacts us from your rescue as an authorized puller. For example, is there someone on your board we should contact or cc on emails in response to the inquiry?
Link to your adoption application*
Link to your adoption contract*
Is your rescue a 501(c)(3) non-profit?*

YesNoApplication in progressOther
If you are 501(c)(3), please include the link to the IRS database showing your rescue listed as a non-profit
If your rescue does not have a federal EIN # and it's registered under an individual's social security number instead, please do not list that SS # in the EIN box below. Instead, just put this: SS#/private. We are not interested in receiving anyone's social security number. Please keep that information private.
What is your EIN?*
If you are based in Massachusetts, what quarantine facility do you use?
Does your organization breed?*

YesNoOther
If your state or county requires a license, please supply the license number
How long has your rescue been in operation?*
How many animals have you placed in homes?*
How many foster homes do you have?*
Do you board dogs in a kennel in lieu of fostering?*

YesNoOther
Do you board dogs in a kennel in addition to using foster homes?*

YesNoOther
If you board, what facility do you use?
Do you always do a home visit on a new foster home before giving them an animal to foster?*

YesNoOther
Do you always do home visits on adopters prior to adoption?*

YesNoOther
Current personal animals in your household (all animals not just dogs and cats) *
Current foster animals in your household (all animals not just dogs and cats)*
REFERENCES: Please include your vet and local ACO as well as any shelters you regularly pull animals from.
Reference 1*

First NameLast Name
E-mail*
Cell*

Area CodePhone Number
Reference 1 Type*

Another RescueShelter we've pulled fromVeterinarianOur Local Dog Warden/Animal Control OfficerOther
Reference 2*

First NameLast Name
E-mail*
Cell *

Area CodePhone Number
Reference 2 Type*

Another RescueShelter we've pulled fromVeterinarianOur Local Dog Warden/Animal Control OfficerOther
Reference 3*

First NameLast Name
E-mail*
Cell*

Area CodePhone Number
Reference 3 Type

Another RescueShelter we've pulled fromVeterinarianOur Local Dog Warden/Animal Control OfficerOther
If your rescue has used more than one veterinarian in the last two years, please list additional veterinary contacts here. Any additional references you would like to provide can be listed here as well.
YOUR RESCUE'S PROCESSES AND POLICIES
Are you familiar with parvovirus, how long it can incubate, and how this disease is transmitted?*

YesNoOther
How long do you quarantine shelter animals after transport before placing them in an adoptive home?*
Do you require animals to be spayed or neutered before adoption? *

YesNoOther
If no, do you require spaying/neutering after adoption?

YesNoOther
If spay/neuter is done after adoption, how does your rescue handle this to ensure compliance?
What vaccines are given prior to adoption?*
How often are the animals wormed?*
What is the hold time for new dogs that are received from shelters into your rescue before they are placed up for adoption?*
Do you do home visits for every potential adoption situation?*

YesNoOther
If you don’t conduct pre-adoption home visits each time, then how often do you do visits?
If you don’t conduct home visits each time, why not?
Has you rescue ever euthanized an animal?*

YesNoOther
If yes, what were the circumstances?*
Do you always take back the animal if for some reason the adopter can't keep it?*

YesNoOther
What type of accommodations does your rescue provide for the rescue animals? Check all that apply.*

Foster homeKennel on our propertyGarageLives outdoors in fenced yard or dog runNo-Kill shelter with physical buildingBoarded at vetLicensed kennel facility not on our propertyCats are kept at Petco or Petsmart in cagesCats are boarded at our vetCats are free roaming in fosterOther
Do you agree NOT to have unnecessary, cosmetic surgery performed such as ear cropping, tail docking, & declawing?*

YesNoOther
Do you agree to keep fosters current on vaccinations while in your care & to find a home that will agree?*

YesNoOther
Do you agree to keep fosters on flea & tick control while in your care & to find a home that will agree?*

YesNoOther
Do you agree not to euthanize any animal that our shelter has sent you without checking with us first?

YesNoOther
With the exception of pregnant animals, do you understand that it may be mandatory that the animals you rescue from us be spayed/neutered before going to your rescue? And that you will be required to pay for this surgery?*

YesNoOther
Do you understand that if any of the information on this application is found to be false, or if we find the animal you are rescuing from us is not being given the proper care (personal or veterinarian), we will reclaim the animal?*

YesNoOther
When you confirm a dog or cat, we will require you to submit a vetting order. The day that animal is taken to the vet, the vet's staff will call you for payment. Payment must be made directly to the vet on the day that vetting is done.
What is your standard vetting order for dogs? (check all that apply)*

Rabies vaccineDHLPP vaccineDA2PPV vaccineFecal testWorm with Drontal PlusWorm with DrontalWorm with Panacur - 3 daysWorm with Panacur - 5 daysHeartworm Test4DX Test (may not be available at rural vet)Spay/NeuterCapstarFlea/Tick PreventativeIf pregnant, do not spay (You must send us a spay certificate when surgery is complete.)If pregnant, do not vaccinate (if not already done)Health CertificateEar Check (at vet)Nail Trim (at vet)Bath (at vet)Send me a price quote for all vetting prior to taking dog to vetOther
What is your standard vetting order for cats? (check all that apply)

Rabies vaccineFIV/FeLV combo testFIV/FeLV combo vaccineFecal testDeworm with whatever vet recommendsSpay/NeuterFlea/Tick preventativeHealth CertificateOther
If the shelter requests a site visit, do you agree to allow a volunteer access to your facility/foster home?*

YesNoOther
TRANSPORT INFORMATION
Which of these stops are suitable for you to meet transports to pick up animals on weekends?*

Morgantown WVCumberland MDHagerstown MDMechanicsburg PAHamburg PAMt Pocono PAScranton PAPhillipsburg NJHaskell NJ (northeastern NJ)Stamford CTE Hartford CTBinghamton NYAuburn MASalem NHBrattleboro VTOther
Do you have any questions, comments or additional remarks?
Should be Empty:

Application to rescue animals from the Jackson County Animal Shelter in Cottageville, WV or Animal Rights Fur-Ever in Ripley WV