Great Lakes Mastiff Rescue, Inc. (GLMR) Volunteer Questionnaire
Contact Information
Name:
Street Address:
City: State: Zip Code:
Home Phone Number:
Work: Fax:
Email:
What is the Best time to reach you? Choose One Days Evenings Nights
Thank you for sending this application to help with Great Lakes Mastiff Rescue, Inc.
In order to evaluate where your strengths are and what you would like to do for rescue please respond to the following questions/sections.
HOME VISITS These visits are necessary both prior to placing a dog in a new home and after the placement to ensure that all is well and that the dog and the family are adjusting well.
Would you be willing to do a home visit? Choose One Yes No
Comments:
1. Do you have access to an enclosed vehicle large enough to transport a mastiff? Choose One Yes No
2. Do you have a crate for transporting a mastiff? Choose One Yes No
3. How far are you able to transport from your home?
When are you available? Choose One Days Evenings Weekends
Are you able to evaluate a mastiff in regards to temperament, behavior, sociability, or adoptability? Choose One Yes No This is a very important task and will need a person to have knowledge of the breed and experience working with Mastiffs
1. How long have you been acquainted with the Mastiff breed?
2. Have you done any training (obedience / conformation) with mastiffs? Choose One Yes No
3. Would you feel comfortable evaluating a mastiff with know temperament problems? Choose One Yes No
Short term (Emergency only, overnight, no longer than 3 days). Choose One Yes No
Long term (Until the dog is placed – usually 2 weeks) Choose One Yes No
Do you have a fenced yard? Choose One Yes No
Do you have a means of separating the rescue from your animals? Choose One Yes No
Do you maintain Homeowner’s Insurance? Choose One Yes No
(NOTE: You are required to maintain homeowner’s insurance to foster dogs. Legally you will be considered the “owner” of a dog while it is in your care.)
I certify that the above information is true and I understand that prior to the placement of a foster Mastiff in my home, the above information will be verified. I also agree to a personal interview with a GLMR member, if requested, to determine the suitability of my facilities to care for a Mastiff.
Volunteer signature: _______________________________Date:_________________
If you wish to foster, please also complete the following Family Profile form. If not you may click: NOTE: Do not submit yet if you wish to foster - fill out the form below also and then submit.
Optional Family Profile Form:
After you complete this form, we will need to do a home visit prior to placing a dog with you.
Housing: Do you (Choose one from each box): Choose One Own my home Rent my home Choose One Home Apartment Condo Mobile Home (NOTE: If you rent, before a Rescue Mastiff can be placed with you, you must supply a letter of permission from your landlord, stating that the landlord is aware of the potential size of a Mastiff.)
If at home address for less than 1 year complete the following:
Prev. Street Address:
Prev. City: Prev. State: Prev. Zip Code:
Names and relationship of all other adults living in the house:
Names and ages of children living or visiting on a regular basis in the household: (When the youngest child in the household is less than five years of age or the birth of a child is expected, there will be special consideration by Mastiff Rescue before placing a dog with the family. A newly placed Mastiff will need a tremendous amount of your time, possibly over several months, to help it adjust to it's new home)
Other Pets Owned (breed, age, and sex of each)
Are your animals spayed and/or neutered? Yes No
If No, why not:
Do you have a fenced yard? Yes No If yes, what type of fencing: Choose One I don't have a fence Cyclone (standard) fencing Farm Fencing Privacy fence Invisible Fence (If you do not have a fully fenced yard, (physical fencing, not invisible fencing) you must have an outside kennel at least 12 Ft. X 12 Ft. with a substantial fence at least 4 Ft. high before a Rescue Mastiff will be placed with you. The kennel is not to keep the Mastiff in, but to keep unsupervised children and animals away from the Mastiff until it adjusts to it's new home.)
If you don't have a fenced yard are you willing to put up one or at minimum put up a 12x12 kennel? Yes No
Approximately how large is your yard?
Where will you keep the Mastiff during the day when you are home? Choose One Outdoor Kennel On chain in the back yard In the home with us Laundry Room Other
Where will you keep the Mastiff while you are away during the day? Choose One Outdoor Kennel Garage Back Yard Crated in the house Run of the house With family outside the house Other
Where will the Mastiff sleep at night? Choose One Outdoor Kennel Garage Back Yard Crated in the house Run of the house Other Anywhere it wants
How will the Mastiff be cared for on overnight absences or while on vacation? Choose One Professional Kennel Garage and friend check on him/her Dog Sitter at home Back Yard and friend will check on him/her Stay with family member at their home Other
What do you consider to be appropriate discipline if the dog destroys something or goes to the bathroom on your rug in the house while you are away from the home? Choose One Rub his/her nose in it and put them in the yard Spank the dog and yell at it Clean it up and next time ensure I put them somewhere they can't do any damage while I am away such as a crate
How much time will you be able to spend with the Mastiff daily?
Who will be the main caregiver? Choose One Myself Spouse/Significant Other Kids Other
Are all family members gone during the day? Yes No If yes, for how long:
Have you ever owned a dog? Yes No / When:
What happened to the dog?
Have you ever surrendered a dog/cat to animal control, local humane society or rescue group? Yes No
If Yes, Please explain the circumstances:
Have you ever owned a Mastiff? Yes No
What happened to it?
How many dogs can you legally have where you live?
Is there a leash law? Yes No
What made you choose the Mastiff breed?
What made you want to choose to adopt a Mastiff from a rescue organization:
Are you prepared for the cost of owning a Mastiff? Yes No
What do you think it costs per month to feed and care for your Mastiff?
Would you be willing to pay for transportation costs or to travel a reasonable distance to bring a Mastiff from another state? Yes No
Are you interested in giving foster care to a Mastiff while awaiting the Mastiff of your choice? Yes No (NOTE: Foster families may be given priority in adopting the Mastiff in their care)
Veterinarian Information: (Note: This information must be complete to be considered to adopt)
Phone: Area Code Phone Number:
City: State: Zip:
Personal Reference: (Preferably one that is familiar with the care of your animals):
Dog Preference:
Gender: Choose One Male Female Either Age: Choose One Any age Puppy Young Adult Middle Age Senior NOTE: Generally dogs are from 2-4 years old that come into rescue. If you want a puppy, and are approved to adopt, your name will be held on the approved list until a puppy comes into rescue, but it could be a long wait.
Please list any other information that you feel is important in helping us to determine the best match in a Mastiff for your and your family
:
If you learned about the Mastiff from books, we strongly suggest that you let us know so we can put you in contact with someone in your area or tell you about upcoming dog shows so you can see a Mastiff up close and personal.
PLEASE NOTE THAT THERE IS A NON-REFUNDABLE ADOPTION DONATION OF $450-$550 depending on the dog placed.
I certify that the above information is true and I understand that prior to placement of a Mastiff in my home the above information will be verified. I also agree to a personal interview/home visit with all family members present with a Rescue Service volunteer to determine the suitability of my facilities to care for a Mastiff..
PLEASE PRINT THIS FORM BEFORE SENDING DATA
To submit your data press here:
Questions, suggestions, concerns contact us at Great Lakes Mastiff Rescue Web Master