If you would like to help out, please complete the following application and send it to our volunteer coordinator at brdrvolco@yahoo.com. Thank you so much!!

2009_Volunteer_Application.doc

(Microsoft Word 2003)

Blue Ridge Doberman Rescue

Introduction

Volunteers must be 18 or over to apply - though we love the enthusiasm of our younger dog lovers, Blue Ridge Doberman Rescue (BRDR) cannot allow volunteer agreements within anyone younger than 18. Please do not submit this application if you are under 18 years of age. 

 

If you are under 18 and still want to help, have an idea on how to help or an idea for a fundraiser; please do not fill out this application, instead contact our Volunteer Coordinator at brdrvolco@yahoo.com to share your thoughts.

 

Volunteer Application

Contact Information

 

Name: 

Street Address: 

City:                                                     State:                           Zip Code: 

County:

Home Phone Number with Area Code

Work Phone Number with Area Code: 

Cell Phone Number with Area Code:

How did you hear about BRDR? 

Preferred   Phone Contact Number (we do phone screenings): Home   Work   Cell

E-Mail Address:

 
The following are volunteer opportunities that you may consider. I am applying to:

YES NO --- Foster Doberman Pinschers in your home for adoption
YES NO --- Conduct home checks for prospective adoptive homes 

YES NO --- Check local shelter for Doberman Pinschers and report on the dog and his/her condition:  

YES NO --- Screen, observe and report on Doberman Pinschers being surrendered by their owners directly to the rescue:

YES NO --- Transport Doberman

YES NO --- Place spayed/neutered Doberman Pinschers with an approved contract
YES NO --- Assist in other ways
If YES, list special skills and areas of interest (e.g. fundraising, public outreach):

 

What are the top three reasons that you want to volunteer with BRDR and that motivated you to complete this application?

 

Have you ever been convicted of animal cruelty, neglect or abandonment? YES NO

 

Have you ever been convicted of a felony?   YES  NO   

 

Animal Family Information:

Do you presently own any pets? YES NO
If YES, list the name and kind for each pet (e.g. Sadie - dog; Seamus - cat; Bugs - rabbit):

 

 

 

Have you ever participated in any AKC, UDC, competition or other sports with your pets or other animals? If YES, list the name and activity for each pet (e.g. Sadie - dog; Seamus - cat; Bugs - rabbit): 

 

 

Have you ever bred an animal yourself or supported someone else in breeding? If YES, please describe.

 

Have you personally had to rehome a companion animal for any reason
before? YES NO  

If YES, please explain the situation where the animal was rehomed.

If you own a dog/cat(s) are they all spayed/neutered? YES NO
If NO, why not:

If you own a dog/cat(s) are your animals currently vaccinated or up
to date on vaccinations? YES NO

If you own a dog(s) are your animals annually tested for heartworms
and currently on heart worm preventative? YES NO

 

Family Household Information:   Are there children presently living in the house? YES NO
If YES, what are their ages?

Where do you live: House Apartment Other

Does your home have a yard with a fence? YES NO
If YES, what type fence: Chain Link Wood Other   

Do you own your home: YES NO  If NO,  Do you have permission from your landlord to keep a dog? YES NO

Would you agree to a home visit by a BRDR representative?
YES NO

If you are considering Fostering, please complete the following information:
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 not home? 

Do you have a crate to keep the dog in?

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 OK if an interested person comes to your home to look at the
dog? 

Are you willing to assume financial responsibility for the every day
care of the dog within the normal feeding and routine upkeep? 

Are you willing to take the dog to a Vet for spay/neuter, micro
chipping, routine vaccinations, HW testing, etc? (at BRDR expense)

Home Placements:
Are you willing/able to do preliminary home checks and post adoption
checks for dogs placed in your area?

Are you willing/able to provide telephone support on training and
behavioral issues for dogs you place?

If limited, please describe:


All paperwork for placement homes (e.g., applications, contracts)
must be forwarded to the BRDR Directors within a timely manner. Are
you able to ensure that this requirement is met? 

Other tasks to assist the dog owner or other BRDR volunteers:

Would you be able to take a dog to a Vet for treatment, spay/neuter, routine shots, HW tests
micro chipping, etc. (at BRDR expense)?

Would you be able to meet with an interested person at a dog's
location (e.g. owner's home)?

Would you be able to have an interested person meet a dog at your
home? 



Please provide us with a Veterinary reference (including phone) 

 

NOTE: Due to the new federal laws regarding the privacy act, you will
need to contact your vet immediately and give permission for BRDR to
contact them regarding the status of your pets records. 

Please provide us with a personal reference (Including phone number) References : cannot be family member or significant other:

 

Additional Comments:


** NOTE: Please answer all questions. An incomplete questionnaire
will delay your application.


BRDR thanks you for your application. Your application will be
submitted to our Volunteer Coordinator, and you should receive a
phone interview shortly.