Black Russian Terrier Club of America, Inc

BRTCA

Rescue Volunteer Questionnaire

CONTACT INFORMATION

Name:
Street Address:
City: State: Zip:
Telephone: Home: Work: Fax:
E-mail:

When is the best time to reach you?

Yes I would like to help with rescue. Add my name to your volunteer list.
No I am no longer able to help with rescue. Please remove my name from the list.

BRTCA Membership: You do not have to be a member of BRTCA to be a Rescue volunteer.

I am a BRTCA member (date joined) // (mm/dd/yy).
I am NOT a BRTCA member, though would like to be. Please send me more information.
I am NOT a BRTCA member and I am not interested in joining at this time.

HOME VISITS

These visits are necessary both prior to placing a dog in a new home and after the placement to insure that all is well and that the dog and the family are adjusting well.

Would you be willing to do a home visit?    Yes     No

Comments:    

TRANSPORTATION

To insure everyone's safety, we prefer to transport BRT s crated inside a vehicle.

  1. Do you have access to an enclosed vehicle large enough to transport a BRT? Yes  No
  2. Do you have a crate for transporting a BRT?    Yes     No
  3. How far are you able to transport from your home? miles.
  4. When are you available? Day Evening Weekends

Comments:

EVALUATION

Are you able to evaluate a BRT in regards to temperament, behavior, sociability, or adoptability? This is a very important task and will need a person to have a knowledge of the breed and experience working with BRTs.

  1. How long have you been acquainted with the BRT breed? .
  2. Have you done any training (obedience/conformation) with BRTs?    Yes     No
  3. Would you feel comfortable evaluating a BRT with known temperament problems?          Yes     No

Comments: 

FOSTER CARE

This is possibly the most important aspect of volunteering and not to be done without a great deal of thought. You must be able to separate the rescue dog from your own animals for the safety of all involved.

Short term (emergency only, overnight, no longer than 3 days).    Yes     No
Long term (until the dog is placed--usually 2 weeks)    Yes     No
Do you have a fenced yard?    Yes     No
Do you have a means of separating the rescue from your animals?    Yes     No

If you wish to foster, we will send you a Family Profile to fill out and we will need to do a home visit prior to placing a dog with you.

I certify that the above information is true and I understand that prior to the placement of a foster BRT in my home, the above information will be verified. I also agree to a personal interview with an BRT member, if requested, to determine the suitability of my facilities to care for a BRT.

Volunteer signature:_______________________________Date: // (mm/dd/yy)

 

PLEASE PRINT THIS FORM BEFORE SENDING DATA