Application Page

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=110 BGCOLOR="#666699" TEXT="#080000" bgproperties="fixed" background="06300840erlcjm.png"> <div> <FONT SIZE="5" COLOR="#FFFFFF" FACE="Arial" ><B>Four Corners Ferret Rescue</B></FONT><B>     |     </B><A HREF="index.htm" TARGET="_top" TITLE="Four Corners Ferret Rescue"><U><B>home</B></U></A></div> <div> <A HREF="id2.htm" TARGET="_top" TITLE="News"><U>News</U></A>   |   <A HREF="id6.htm" TARGET="_top" TITLE="About Us"><U>About Us</U></A>   |   <A HREF="id5.htm" TARGET="_top" TITLE="How to Help"><U>How to Help</U></A>   |   <A HREF="id64.htm" TARGET="_top" TITLE="Giving your Ferret Up"><U>Giving your Ferret Up</U></A>   |   <A HREF="id63.htm" TARGET="_top" TITLE="Before you Adopt...."><U>Before you Adopt....</U></A>   |   <A HREF="id65.htm" TARGET="_top" TITLE="Ferret Nutrition"><U>Ferret Nutrition</U></A>   |   <A HREF="id42.htm" TARGET="_top" TITLE="FAQ"><U>FAQ</U></A>   |   <A HREF="id53.htm" TARGET="_top" TITLE="Media (sounds and webcam)"><U>Media (sounds and webcam)</U></A>   |   <A HREF="id48.htm" TARGET="_top" TITLE="Ferrets"><U>Ferrets</U></A>   |   <A HREF="id54.htm" TARGET="_top" TITLE="Ask Angel"><U>Ask Angel</U></A>   |   <A HREF="id55.htm" TARGET="_top" TITLE="Robbies Reviews"><U>Robbie's Reviews</U></A>   |   <A HREF="id59.htm" TARGET="_top" TITLE="Resources"><U>Resources</U></A>   |   <B>Application Page</B>   |   <A HREF="id58.htm" TARGET="_top" TITLE="Rainbow Bridge"><U>Rainbow Bridge</U></A>   |   <A HREF="id57.htm" TARGET="_top" TITLE="Animal Quotes"><U>Animal Quotes</U></A>   |   <A HREF="id66.htm" TARGET="_top" TITLE="Animal Stories"><U>Animal Stories</U></A>   |   <A HREF="id7.htm" TARGET="_top" TITLE="Contact Us"><U>Contact Us</U></A>   |   <A HREF="id60.htm" TARGET="_top" TITLE="Links"><U>Links</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=190 BGCOLOR="#CCCCFF" TEXT="#080000" background="05d11c00egdysm.png"> <div> <B><IMG SRC="065b0670.jpg" border=0 width="176" height="103" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> <div> <B>Dear Father, hear and bless</B></div> <div> <B>Thy beasts and singing birds:</B></div> <div> <B>And guard with tenderness</B></div> <div> <B>Small things that have no words. </B></div> </td> <td valign="top" height=370 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> Application Page</div> <div> Below you will find applications forms for both volunteering and adopting. You can print the forms </div> <div> out and bring them with you when you come, or you can call me and I can fill it out for you over the phone and you can sign it when you come in. </div> <div> *NOTE: for those under 18 you MUST have a parent sign the form BEFORE you start volunteering. </div> <div> And if you are under 18 wanting to adopt your parents must fill it out, and be willing to be responsible for the ferret, even if it is to be "your" ferret. </div> <bR> <div>  <a href="HTMLobj-211/fourcornersvolunteer.doc"><u>Volunteer Application</u> </a>  Here is our application that will open in Microsoft Word as a .doc file when you download it.</div> <bR> <bR> <DIV ALIGN="LEFT"></DIV> <div> <B>FOUR CORNERS FERRET RESCUE</B></div> <div> <B>VOLUNTEER APPLICATION</B></div> <div> Thank you for your interest in volunteering at the Four Corners Ferret Rescue (FCFR). We are</div> <div> entirely run by volunteers and the donation of their time and services. Any assistance you may be</div> <div> able to provide will be greatly appreciated by our Shelter.</div> <div> The following application is to screen volunteers as to their knowledge and experience with</div> <div> handling ferrets. All information will be expressly used for this purpose, and will not be shared</div> <div> with anyone outside the Four Corners Ferret Rescue. By completing this form, the</div> <div> Shelter gathers all pertinent information as to your experience level and what activities may</div> <div> interest you. Please take a moment and fill this out so we can learn more about you!</div> <bR> <div> Name: _______________________________________________ Date: __________________</div> <div> Address: ____________________________ City: ____________ St: ____ Zip: ___________</div> <div> Phone No. (H): _______________________________ (W): _____________________________</div> <div> Best # to contact you? _________________________ Best time to call? ___________________</div> <div> Email Address: _________________________________________________________________</div> <div> Occupation: ____________________________________________________________________</div> <div> Age: _____________If less than 18, please have a parent or guardian sign giving their</div> <div> permission for you to volunteer with us: _____________________________________________</div> <div> Do you have any pets now? ________________</div> <div> Have you ever owned a ferret before? _________ If yes, do you still have him/her? __________</div> <div> How many years of experience do you have with ferrets? _______________________________</div> <div> What kind of experience do you have with ferrets? (breeding, showing, pets):________________</div> <div> _____________________________________________________________________________</div> <div> _____________________________________________________________________________</div> <div> When would you like to volunteer? (Check all that apply)</div> <div> _ <FONT SIZE="2" COLOR="#000000" FACE="TimesNewRoman" >Monday                </FONT>_ <FONT SIZE="2" COLOR="#000000" FACE="TimesNewRoman" >A/M</FONT></div> <div> _ <FONT SIZE="2" COLOR="#000000" FACE="TimesNewRoman" >Tuesday                </FONT>_ <FONT SIZE="2" COLOR="#000000" FACE="TimesNewRoman" >P/M</FONT></div> <div> _ <FONT SIZE="2" COLOR="#000000" FACE="TimesNewRoman" >Wednesday                </FONT>_ <FONT SIZE="2" COLOR="#000000" FACE="TimesNewRoman" >Available at short notice?</FONT></div> <div> _ <FONT SIZE="2" COLOR="#000000" FACE="TimesNewRoman" >Thursday</FONT></div> <div> _ <FONT SIZE="2" COLOR="#000000" FACE="TimesNewRoman" >Friday</FONT></div> <div> _ <FONT SIZE="2" COLOR="#000000" FACE="TimesNewRoman" >Saturday</FONT></div> <div> _ <FONT SIZE="2" COLOR="#000000" FACE="TimesNewRoman" >Sunday</FONT></div> <bR> <div> What activities would you like to partake in (check all that apply)?</div> <div> <B>General:</B></div> <div> _ <FONT SIZE="2" COLOR="#000000" FACE="TimesNewRoman" >Cleaning Cages</FONT> </div> <div> _ <FONT SIZE="2" COLOR="#000000" FACE="TimesNewRoman" >Playing with Ferrets</FONT></div> <div> _ <FONT SIZE="2" COLOR="#000000" FACE="TimesNewRoman" >Washing Laundry </FONT> </div> <div> _ <FONT SIZE="2" COLOR="#000000" FACE="TimesNewRoman" >Filling Water Bottles </FONT></div> <div> _ <FONT SIZE="2" COLOR="#000000" FACE="TimesNewRoman" >Bathing Ferrets </FONT></div> <div> _ <FONT SIZE="2" COLOR="#000000" FACE="TimesNewRoman" >Cleaning Ears </FONT></div> <div> _ <FONT SIZE="2" COLOR="#000000" FACE="TimesNewRoman" >Clipping Nails</FONT></div> <bR> <div> I, ________________________________________ (print name), hereby agree to abide by the</div> <div> following policies during the time I am volunteering for Four Corners Ferret Rescue:</div> <div> 1) I understand it is my decision to volunteer for FCFR and will not hold FCFR liable for</div> <div> any damage, injury or harm caused directly or indirectly through my volunteer activities</div> <div> with FCFR.</div> <div> 2) I will remember that in all my dealings with the public as a volunteer, that I am</div> <div> representing FCFR, and that the public will consider my words and actions regarding</div> <div> rescue representative of the attitude and position of FCFR as an organization. If I enter</div> <div> into activities of a political or controversial nature, I am doing so as an individual,</div> <div> separate from FCFR.</div> <div> 3) I understand that as an individual, I cannot enter into agreements for the organization;</div> <div> any such activity will be forwarded to the Director of the Shelter.</div> <div> 4) I accept full responsibility for expenses incurred by myself as a volunteer for FCFR.</div> <div> Although I may be reimbursed by FCFR, I must have prior approval from the Shelter Director, as well as the necessary documentation and receipts.</div> <div> 5) I will always remember that I represent a non-profit organization and cannot profit from</div> <div> any activity related to the organization.</div> <div> 6) I understand that FCFR cannot guarantee or be held responsible for the health, behavior</div> <div> or temperament of the ferrets I may handle. I am aware that ferrets may cause personal</div> <div> or property damage and agree to keep the ferrets in my care securely contained.</div> <div> I understand and agree to all of the above. I also understand that this form must be received and</div> <div> approved before I may volunteer at FCFR:</div> <bR> <bR> <div> Signature_______________________________ Date: _________________________________</div> <bR> <bR> <bR> <div>  <a href="HTMLobj-212/Four_Corners_Ferret_Rescue.doc"><u>Adoption Application</u> </a>  This is our application for adoption.  Following the link will open the application in Word.  It is also reprinted below for your conveinence.</div> <bR> <bR> <DIV ALIGN="LEFT"></DIV> <div> <B>Four Corners Ferret Rescue</B></div> <bR> <bR> <div> <B>Personal Information Section</B></div> <bR> <bR> <div> Name:________________________________________________________</div> <div> Address (physical and mailing, if different from physical address):</div> <div> _____________________________________________________________</div> <div> _____________________________________________________________</div> <div> City: _________________________________________________________</div> <div> State: _____________    Zip Code: ________________</div> <div> Phone:  Home_____________      Work: _____________</div> <div> Email: _______________________________________</div> <bR> <div> Do you rent?  ___Y ___N     If yes, does your landlord know you are     </div> <div>                          attempting to adopt a ferret?  ________</div> <div> If renting, please provide your landlord's name, address and phone number.</div> <div> Name: _______________________________________________________</div> <div> Address: _____________________________________________________</div> <div>                   _____________________________________________________</div> <div> Phone Number: ________________________________________________</div> <bR> <div> *Note:  All renters will be requested to provide a copy of their lease stating</div> <div> permission to keep pets in the home.  If this is not available, written permission from your landlord will be acceptable.</div> <bR> <bR> <div> Please list all members of your household and their ages.</div> <div> ____________________________________________</div> <div> ____________________________________________</div> <div> ____________________________________________</div> <div> ____________________________________________</div> <div> ____________________________________________</div> <div> ____________________________________________</div> <div> ____________________________________________</div> <div> ____________________________________________</div> <div> ____________________________________________</div> <bR> <div> Please list your Veterinarian's name and number and how long you have been going to them.</div> <div> Name:________________________________________________________</div> <div> Address:______________________________________________________</div> <div> Phone:________________________________________________________</div> <div> Number of Years you have been going to them:_______________________</div> <bR> <div> Do you or anyone else in your household smoke?  ___Y  ___N</div> <div> If yes, do you smoke in the house or outside?  And will the ferret(s) be exposed to it?</div> <div> _____________________________________________________________</div> <bR> <div> Please list two personal references, their relation to you and their phone number.  *Note: Only one reference can be a family member.</div> <bR> <div> 1.___________________________________________________</div> <div> ____________________________________________________</div> <div> 2.___________________________________________________</div> <div> _____________________________________________________</div> <bR> <bR> <div> The adoption fee for one ferret is $75.  Are you financially able and willing to pay this expense?</div> <div> _____________________________________________________________</div> <bR> <div> <B>Pet Information Section</B></div> <bR> <div> How many pets do you currently own?  _____________________________</div> <div> Please list below what kinds of pets you currently own and how long you have had them.</div> <div> Species                                         Age               How long you </div> <div>                                                                               Have had them</div> <div> 1._____________               _________        ________________</div> <div> 2._____________               _________        ________________</div> <div> 3._____________               _________        ________________</div> <div> 4.______________            _________         ________________</div> <div> 5.______________            _________         ________________</div> <div> 6.______________            _________         ________________</div> <bR> <div> What kinds of pets have you owned in the last five years?</div> <div> ____________________________________________</div> <div> ____________________________________________</div> <div> ____________________________________________</div> <div> ____________________________________________</div> <div> ____________________________________________</div> <bR> <bR> <div> Of the pets that you have owned but no longer have, what happened to them? (please be detailed)</div> <div> ___________________________________________________________</div> <div> ___________________________________________________________</div> <div> ___________________________________________________________</div> <div> ___________________________________________________________</div> <bR> <div> Have you taken your pets to the veterinarian for any reason in the past five years?          ______Y ________N</div> <div> If yes, why?</div> <div> ______________________________________________________</div> <div> ______________________________________________________</div> <div> ______________________________________________________</div> <div> ______________________________________________________</div> <div> ______________________________________________________</div> <bR> <bR> <div> <B>Ferret Ownership Information Section</B></div> <div> (Please skip this section if you've never owned a ferret before)</div> <bR> <div> How many ferrets have you owned in the past?________________</div> <div> How many ferrets do you currently own?_____________________</div> <div> Where did you acquire your ferret(s)?________________________</div> <div> If you still own ferrets, what are their ages?____________________</div> <div> What happened to any ferrets that you once owned but no longer have?</div> <div> ______________________________________________________</div> <div> ______________________________________________________</div> <div> ______________________________________________________</div> <bR> <div> Have your current ferrets been vaccinated? ____Y ____N</div> <div> If so, when was the most recent vaccination?_________________________</div> <div> What kind of vaccinations have your ferret(s) had? _____________________________________________________________</div> <div> Have you taken you ferret(s) to the veterinarian for any reason in the past five years?          _______Y ________N</div> <div> Why?_______________________________________________________</div> <div> ____________________________________________________________</div> <div> ____________________________________________________________</div> <bR> <div> Where are your ferrets kept?______________________________________</div> <div> If they are caged, how often/for how long are they given runtime/playtime?</div> <div> ____________________________________________________________</div> <div> What types of food(s) do you feed your ferrets?</div> <div> _____________________________________________________________</div> <bR> <bR> <div> <B>Ferret Knowledge Information</B></div> <div> <B>(This section is to ascertain your current knowledge about ferrets)</B></div> <bR> <div> Have you read (own) any books about ferrets/ferret ownership? _____Which ones?</div> <div> _______________________________________________________________</div> <div> _______________________________________________________________</div> <div> _______________________________________________________________</div> <div> _______________________________________________________________</div> <div> Have you browsed the internet to find any sites about ferrets?____________</div> <div> Which ones?</div> <div> ____________________________________________________________</div> <div> ____________________________________________________________</div> <div> ____________________________________________________________</div> <div> ____________________________________________________________</div> <bR> <bR> <div> How old do you think that ferrets live to be?_________________________</div> <div> What food do you plan to feed - and why?</div> <div> _____________________________________________________________</div> <div> Do you know what vaccinations are necessary for ferrets?  What are they?</div> <div> _____________________________________________________________</div> <div> How will you choose a veterinarian? (if you don't have one already)</div> <div> _____________________________________________________________</div> <div> _____________________________________________________________</div> <div> What kind of cage and accessories will you provide for your ferret?</div> <div> _____________________________________________________________</div> <div> _____________________________________________________________</div> <div> _____________________________________________________________</div> <div> Where will this cage be placed?</div> <div> _____________________________________________________________</div> <div> How many hours a day will your ferret be inside its cage?</div> <div> _____________________________________________________________</div> <div> What kind of toys do you think are suitable for a ferret?</div> <div> ______________________________________________________________</div> <div> ______________________________________________________________</div> <bR> <div> Ferrets are inquisitive and can become victims of household accidents.  Are you prepared to ferret-proof your home (or portions of it) to keep your ferret safe, even at additional cost?</div> <div> ____________________________________________________________________</div> <div> ____________________________________________________________________</div> <bR> <bR> <div> How do you plan to discipline your ferret when it misbehaves?  (e.g. timeouts, flicking on the nose, etc)</div> <div> ________________________________________________________________</div> <div> ________________________________________________________________</div> <div> ________________________________________________________________</div> <bR> <div> <B>About this Adoption</B></div> <div> Are you interested in a adopting a   MALE  or a  FEMALE  ?</div> <div> What age of ferret are you interested in adopting? __________</div> <div> Are you interested in a particular ferret?  _______Y _______N</div> <div> If so, which one? ____________________________________</div> <bR> <bR> <div> Thank you for the information. If there is anything else you think would be helpful,</div> <div> Please list it below:</div> <div> _____________________________________________________________</div> <div> _____________________________________________________________</div> <div> _____________________________________________________________</div> <div> _____________________________________________________________</div> <div> _____________________________________________________________</div> <div> _____________________________________________________________</div> <div> _____________________________________________________________</div> <bR> <bR> <bR> <div> Four Corners Ferret Rescue reserves the right to refuse adoption to anyone for any reason and to confiscate any ferret because of falsification of this adoption application. No ferret will be adopted to persons having an extensive history of losing, giving away, selling or having animals killed by automobiles. No ferret will be adopted to prospective owners who mislead or fail to provide accurate information on the adoption application. No ferret will be adopted into areas where ferrets are illegal. No ferret will be adopted into a home that does not provide routine medical care, including vaccinations, to their pets. By signing below, you agree that all information given here is accurate & true. </div> <div> <B>Thank you for taking the time to fill out this pre-adoption questionnaire. </B></div> <div> <B>We will review it and contact you. </B></div> <bR> <bR> <div> <B>Heather N. Stotz,                                  </B>APPLICANT SIGNITURE</div> <div> <B>Director of Shelter Affairs               _______________________</B></div> <div> <B>Four Corners Ferret Rescue</B></div> <bR> <bR> <bR> <div>  <a href="HTMLobj-321/adoption_agreement.doc"><u>Final Adoption Agreement</u> </a>  Downloadable in .doc format and also below</div> <bR> <bR> <DIV ALIGN="LEFT"></DIV> <div> Final Adoption Agreement</div> <bR> <bR> <div> Name __________________________________________________________________</div> <div> Address_________________________________________________________________________________________________________________________________________</div> <div> City_______________________  State______________  Zip______________________</div> <div> Phone-  Home:_______________________  Work:______________________________</div> <div> Email____________________________________</div> <bR> <div> By Signing this contract, I am aware of the obligations provided herein and agree to fulfill the terms of the agreement.  I understand that this is a binding contract and that if for any reason I am unable to fulfill the terms, I automatically relinquish all rights to the animal specified back into the custody of Four Corners Ferret Rescue.</div> <div> By adopting my ferret(s) from Four Corners Ferret Rescue I agree (please initial each line):</div> <bR> <div> _________ Ensure that my ferret(s) are handled in a gentle, loving and responsible manner by myself and anyone that I allow to handle my ferret(s).</div> <div> _________  Never intentionally release my ferret(s) outside.  Any outside excursions require the use of a harness and leash, and constant supervision.  </div> <div> _________  Allow my ferret(s) to free feed on a high quality ferret food (minimum crude protein 32%) and have constant access to fresh water at all times.</div> <div> _________  I will house my ferret(s) indoors, in a cage/enclosure of sufficient room or ferret-proof room when no one can supervise the ferret(s) activities.  The enclosure will contain the minimum: litter pan, bedding, food bowl (with fresh food) and water bottle/bowl with fresh water.</div> <div> _________  Clean the litter pans on a regular basis.  I will check the bedding and play area(s) for cleanliness.  I will clean or replace items as necessary.  </div> <div> _________  Provide basic care including, but not limited to: nail trimming, occasional bathing, ear cleaning, and keeping the ferret(s) free of parasites.  </div> <div> _________  Ensure that the temperature of the ferret(s) and enclosure will not exceed 85 degrees Fahrenheit.</div> <div> _________  Never leave the animal in a vehicle unattended.</div> <div> _________  Have the ferret(s) vaccinated annually against distemper and rabies. </div> <div> _________  Should the animal's health ever be in question, I will seek immediate veterinary advice.</div> <div> _________  Should I be unable to provide consistent care; or should I ever misuse abuse or mistreat my ferret(s),                                  allow anyone else to misuse, mishandle, abuse, or mistreat my ferret(s); should I be unable to afford recommended medical care, unable to keep ferret(s) as a pet or for any other reasons not mentioned above, I will return the ferret(s) to Four Corners Ferret Rescue.  No other transfer of ownership or giving away is permitted, at any time without written consent of the shelter director (Heather Stotz).</div> <bR> <div> In consideration of liability, I hereby release Four Corners Ferret Rescue and it's volunteers from any and all claims of liability for the actions of the ferret(s) being adopted.  This shelter does not make any representations or guarantees: either expressed or implied about the habits, background or temperament of the ferret(s).</div> <bR> <div> I am informed or will be informed of the legal status of ferrets in my state, county, city and township.  I agree to abide by all the local animal ordinances and anti-cruelty laws.  I will not sell or give the ferret(s) away.</div> <bR> <div> If the ferret(s) can no longer be kept, I will return it to Four Corners Ferret Rescue for no compensations.</div> <bR> <div> It is agreed that Four Corners Ferret Rescue retains superior title to said ferret(s): Limited to and for the expressed purpose of assuring the well-being of said ferret(s), and will only exercise its superior claim in the event that it appears to Four Corners Ferret Rescue that the proper and humane treatment as specified in this contract above in which the ferret(s) will be taken through a claim and delivery proceeding.  In the event that legal action is necessary because of a violation of the adoption agreement, all expenses (council and court fees) are the responsibility of the adoptive parent, as signed below.</div> <bR> <div> Signed</div> <bR> <bR> <div> ________________________________________               ______________</div> <div> Four Corners Ferret Rescue Shelter Director                    Date</div> <div> Heather N Stotz</div> <bR> <bR> <div> ________________________________________               _______________</div> <div> New Owner                                        Date</div> <bR> <div> ________________________________________</div> <div> New Co-Owner</div> <bR> <bR> <bR> <div> Ferret's Name: ______________________________               </div> <bR> <div> Approximate Age: ___________________________</div> <bR> <div> Male/Female ________________          Tattoo? _______     Descented? ________ </div> <bR> <div> Distinguishing marks? _____________________________________________________                                   </div> <bR> <bR> <bR> </td> </tr></table></body>