NEW ENGLAND BORDER COLLIE RESCUE, INC. (NEBCR)

NEBCR VOLUNTEER APPLICATION

TO SEND US YOUR APPLICATION:
Copy/paste this entire page into an email or Word document, type in your responses, and email the completed form to Reginal1999@yahoo.com

If you have any questions on how to send us your application, please contact us at info@nebcr.org.

Thank you!

Today's Date:
Name:
Address:


Home phone number (and when is a good time to reach you):
Fax number if applicable:
Work number if you are able to be reached at work (and hours you can be reached there):
Cell phone number if applicable:
Email address:
Age:
Occupation:
How did you hear about New England Border Collie Rescue?

1. YOUR FAMILY AND NEIGHBORS

Are there other adults in your household? No___Yes___ (If yes, give their names, ages, occupations, and indicate if each is committed to you volunteering to help:)

Are there children in your household? No___Yes___ (If yes, give their names and ages:)

Will any of your children be with you when you provide services to NEBCR? No___Yes___ (If yes, please explain:)

Is anyone in your household allergic to animals? No___Yes___ (If yes, please explain:)

2. YOUR EXPERIENCE WITH DOGS

Please give a brief history of your experience with Border Collies:

How many years have you been involved with dogs?

Have you ever been bitten or attacked by a dog? No___Yes____ (If yes, please explain:)

Are you comfortable approaching dogs that you do not know? Yes___No___ (If no, please explain:)

Are you willing to assume the risks involved with working with animals who are sometimes frightened and in unfamiliar surroundings may become aggressive? Yes___No___ (If no, please explain:)

Please give a brief history of previous dogs you have had in the past:

I have ___dog(s) of my own now (please describe them as to their breed, sex, age, size, and temperament particularly with regard to other dogs:)

Please list three people who are knowledgeable about your care of dogs. Please include your vet as one of them, and two other people in the dog community. List their names, email addresses or phone numbers, what is their relationship to dogs, and what is their relationship to you>

3. SERVICES YOU CAN PROVIDE:

___I can evaluate adoptive homes before placement

___I can do post adoption followups

___I can provide education to the public (demos at dog/herding events, passing out literature, etc.)

___I am a vet
___trainer
___behavior consultant
___groomer
___other professional (please specify)
___I am willing to give free or
___discounted services to rescue people

___I am willing to help my local Rescue worker with services at his/her home (for example, dog walking, kennel cleaning, dog sitting, etc., please explain:)

___I am willing to provide transportation of dogs
How far and to where are you willing to drive in order to transport a dog?
What kind of vehicle do you own?
How many dogs can you carry or are you willing to transport at once?
Do you own a crate or crates?
Can you fit a crate or crates in your vehicle?
If not, are you able in some other fashion to separate dogs in your vehicle from each other and from the people (including yourself) in your car?
Do you know how to prevent a dog from escaping from your vehicle if the door or window is open? Please explain:

___I can provide "office" services such as photocopying, mailing, computer services, editing, fielding telephone calls, and so on. (Please explain:)

___Other (please explain:)

4. CODE OF ETHICS

___I agree to abide by NEBCR's Code of Ethics
___I will treat all Border Collies in my care humanely
___I will never knowingly falsely represent myself or any Border Collie in my care
___I will never sell a Border Collie that comes into my care as a rescue dog, or otherwise profit from Border Collie rescue
___I will not knowingly give any dog to a research facility, pet shop, dog broker, puppy mill, dog breeder for purposes of breeding, to to any other person, firm, corporation or organization that may cause harm either mentally or physically to any dog that has been in my care ___I will never use NEBCR's name in order to sell a dog or puppy of my own
___I will never use a rescue Border Collie for breeding purposes
___No Rescue dog will leave my care that has not been spayed or neutered -or- I have provided in some way for its spaying or neutering, either by written contract with the new owner or some other method.

Signed__________________________________________________

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