MCOA Rescue Volunteer Questionnaire

CONTACT INFORMATION
Name: 
Address: 
City: 
State: 
Zip: 
Phone: 
Work: 
Fax: 

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.

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

  I am a MCOA member (date joined) 
  I am NOT a MCOA member, though would like to be. Please send me more information.
  I am NOT a MCOA 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 Mastiffs crated inside a vehicle.

1.  Do you have access to an enclosed vehicle large enough to transport a mastiff?      Yes       No 
2.  Do you have a crate for transporting a mastiff?      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 mastiff 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 Mastiffs.
1.  How long have you been acquainted with the mastiff breed?  
2.  Have you done any training (obedience/conformation) with mastiffs?      Yes       No 
3.  Would you feel comfortable evaluating a mastiff 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.

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

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 Mastiff in my home, the above information will be verified. I also agree to a personal interview with an MCOA member, if requested, to determine the suitability of my facilities to care for a Mastiff.

Volunteer Signature:___________________________________ Date: 

Please print this form before sending data
Revised: Aug. 1999 Use of these forms without the authorization of MCOA Rescue is prohibited.