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Home Visit Volunteer

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Notes:

Please enter answers in the spaces below. You may keep typing as long as you want, the fields will expand.
Please add as much detail as possible. We rely on your thoughts and opinions.

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Applicant's Infomation

Applicant Name:(Required)

First Last

Applicant's Address:(Required)

Street Address City State / Province / Region ZIP / Postal Code

Home Phone:(Required)

Work Phone(Required)

Office Phone(Required)

Mobile Phone(Required)

Email(Required)

Home Visit Volunteer Questionnaire

Do you own a golden retriever you can take on home visits with you? If you have adopted a golden mix from GRR you may take that dog on home visits.(Required)

Yes

No

How long have you owned your golden? You must have owned your dog for a minimum of 6 months.(Required)

What is your dog's name? (Required)

What is your dog's age?(Required)

Where did you get your dog?(Required)

Is the dog you take on the Home Visit spayed/neutered?(Required)

What kind of training has your dog had?(Required)

How does your dog interact with other dogs, cats, birds or other household pets?(Required)

How comfortable are you controlling your dog in an environment where there may be some reactivity from the resident pets?(Required)

What is your plan for setting up the initial introduction between your dog and the resident dog/dogs?(Required)

We only recommend using nylon collars and/or harnesses. We do not allow or advocate the use of any aversive training (including but not limited to prong, choke or any type of electric collars - regardless of vibrate, beep or shock) for dogs and would like to ensure that dogs doing home visits do not wear any of these during a home visit. We also do not recommend retractable leashes on home visits. Do you agree?(Required)

Yes

No

It is extremely important that you document the interaction between all people and animals in the home. You should provide as much detail as possible based on your observations.(Required)

I agree

I disagree

Please let Suzanne Stearns (suzannemstearns@grr-tx.com) know if you feel you need any additional training/support to do home visits.

Please do not make any promises/commitments on whether or not a family is approved during any discussions with them. You are to provide your recommendation only, when submitting the home visit form.(Required)

I agree

I disagree

Please do not make any promises/commitments on timing other than a member of the adoption team will follow up within 2 weeks.(Required)

I agree

I disagree

I have verified this content before signing and agree with the terms and conditions of this form.(Required)

I have verified all information

Signature(Required)

Signature Date:(Required)

MM slash DD slash YYYY

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Gold Ribbon Rescue

1101 W. 34th St. #336
Austin, TX 78705-1907

General Inquiries:
(512) 659-4653 (GOLD)

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