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Volunteer puppy socialiser full application form

Thank you for being brilliant and taking the time to consider being one of our volunteer puppy socialisers. Please take 5 minutes to fill in the form below. We will then get in touch and invite you in to one of our information sessions when you can answer us questions and find out much more about what is involved

Personal Details

Surname (required)This field is required

First Name(s) (required)This field is required

Address

Post Code

Mobile Telephone Number (required)This field is required

Home phone number

Email address (required)Please enter your email addressPlease enter a valid email address

Date of Birth (required)This field is required

Details of Residence

House type (required)

DetachedSemi-detachedTerraceBungalowGround floor flatBasement flatUpper floor flatOTHER

Is the property? (required)

Owned by youPrivately RentedHousing AssociationCouncil Rented

If you DO NOT own your own home are you allowed to keep a dog? You may require written permission from the landlord

YesNo

Do you have a garden? (required)Please tick a checkbox

YesNo

Is it securely fenced? (required)

YesNo

Please describe the height of the boundaries and what they are made out of eg wood, bushes, hedge (required)This field is required

Is there a suitable exercise area near you such as a public park? (required)Please tick a checkbox

YesNo

Do you intend moving home in the next 12 months?

YesNo

Household Occupants

Please list names, occupation and age of anyone else who lives within your home

Does any household members have any disabilities/ medical conditions/allergies/phobias to dogs? If so please give details

Are you will and do you have the time to attend regular training sessions with the puppy and would you be happy for a puppy trainer to visit you at your home on a regular basis? (required)Please tick a checkbox

YesNo

Pets

Do you have any pets in your home at present (required)Please tick a checkbox

YesNo

If yes please give details

If you have a pet dog.

Are they fully vaccinated? (photo of vaccination card may be asked for at home assessment) (required)Please tick a checkbox

YesNo

Are they vaccinated against Kennel Cough?

YesNo

Are they castrated/spayed?

YesNo

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Do you have any regular visitors that bring pets to your home or regularly visit homes that have pets (required)Please tick a checkbox

NoYes

Please give details

Have you ever owned a dog before (required)Please tick a checkbox

YesNo

If yes please give details

Have you ever raised a puppy before (required)Please tick a checkbox

YesNo

If yes please give details

If yes to either or the above questions, did you attend puppy classes/training classes with your puppy/dog and if so, where was this?

Employment

Are you (main handle or the puppy) in employment (required)

NoYes I work from homeYes Full-time not home basedYes Part-time not home basedYes Shift work not home based

IF YES - Job Title

IF YES - location of your work

IF Yes - what days/ hours do you work?

If Yes - Would you be willing to take the puppy into work on occasion?

YesNo

IF YES - are you able to commit to puppy socialising if you are in employment (this includes attending weekly puppy classes as well as visits from the training team)?

Do you have any other commitment which would require you from being away from home regularly? (Eg, attending clubs, such as WI or Rotary, hobbies, working away from home) please give details (required)This field is required

Why would you like to volunteer as a puppy socialiser for support dogs? (required)This field is required

References

Please give name and contact details of two references. If you have previously had animals this should be a vet, or a professional or friend who knows you well. We may only contact one of the two

Name and contact details of reference 1 (required)This field is required

Name and contact details of reference 2 (in case we can not get hold of the first) (required)This field is required

How did you hear about Support Dogs

Are there any other voluntary roles you would be interested in?

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Support Dogs
21 Jessops Riverside,
Brightside Lane,
Sheffield, S9 2RX

Registered Charity No. 1088281

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Support Dogs 2023. Registered Charity No. 1088281.

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