Team-Member Application | How Can I Help the Dogs?

 Team Member Application

Personal Information

Name:
Age:
Address:
Home Phone:
Cell Phone/Pager:
E-Mail address: (example: RottiesRule@aol.com)
Do you currently own Rottweilers? Please list names/ages/sex

What activities do you participate in with your Rottweilers?

What do you want to do for The Rottie Connection?

Foster care (Please complete bottom portion of application)
Office, Computer Skills (please specify)
Staff Adoption/Education Table
Transportation - specify locale, type vehicle, distance
Public Relations (writing, placing advertising) Do you have media contacts?
Training/Dog Walking
Grooming
Home Visits - specify area
Making/Returning Phone Calls
Visiting Shelters
Desktop Publishing
Veterinary Services

Is there any other service you are able to provide is not listed here?

What training clubs, humane societies or other organizations you belong to?

Please provide the name and phone number of three references:

Space for additional comments:


Liability Waiver

I, , agree to not hold TRC or any of its volunteers, associates or foster care providers liable for any physical, emotional or property damages that are a direct or indirect result of activities involved in the placement, transport, grooming, training or evaluating of Rottweilers in any way associated with TRC. This includes any and all activities I perform as a TRC volunteer. I understand that my electronically-generated signature [below] is valid as a means of legal signature for the purpose of this adoption application (Yes or No)

Signature: Date: 

If you are not filling in the foster information, please go to the bottom of this page and "SUBMIT" the application


Foster Information

Please complete the remainder of this ONLY if you are planning to foster a dog for TRC

Co-Applicant's name, if applicable
Number of Children: Their ages
What breeds of dogs have your children lived with? 
Which best describes your current home? 
House |Condo |Apartment |Mobile Home
Rent | Own | Live with Parent
Please provide the name and phone number for your landlord (renters) or land owner (mobile home)
Besides your immediate family, who else lives in your home (name, age, relationship)?

Does your home have a fenced in yard?

What provisions will be made for your foster dog when no one is home during the day? evening?

Do you prefer to foster a male or female dog?  Age Range? 
Any specific criteria for your foster? 

Do you have any pet(s) currently? List type, breed, age, & sex.

Tell us about the pets you have owned over the past 10 years, i.e. type of pet(s), how many years you owned them, reason for no longer owning them.

Have any pet of yours ever gotten lost? Poisoned? Killed by a vehicle? If yes, please provide explanation.

Veterinarian's Name & Phone Number. Please also tell us what name the pet is under at the vet's office.

Are your pets current on vaccinations? 
Are your pets spayed/neutered?
Are your pets on heartworm preventative? What brand?
When did you visit your veterinarian last? 

All of the dogs placed through The Rottie Connection have undergone thorough temperament evaluations, which will be provided to the foster family. While in foster care, we begin training and work to resolve any behavioral obstacles before adoption. Generally we are only able to give you the dog's history from the time it enters our program. In foster care, you will find out more about this dog in the first two weeks than our temperament evaluation will provide. Please discuss your level of comfort with training and retraining, and the methods you are most likely to use for house manners and basic obedience.  Your comments are encouraged.

Additional Comments: 

Thank you for completing the foster portion of this application. We look forward to having you on our team!

Please return original, signed copy to:
The Rottie Connection
PO Box 248
Pompton Lakes, NJ 07442