Breed Rep Application Breed Rep Application Application for a Rep or Co-rep Date MM slash DD slash YYYY Desired Capacity(Required) Breed Rep Co-Rep Assistant Breed you want to represent(Required)Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Years at addressAgeHome PhoneWork PhoneCell phoneBest phone number and time to callEmail OccupationEmployerSPDR policy is that we do NOT give out breed rep's names and phone numbers except to shelters. However, some breed reps prefer being called directly by the public, and have asked that we give out their number. We respect breed rep's privacy and will keep private their names and numbers UNLESS told otherwise. Please indicate your preferences below:My phone number can be given to the general public, including adopters, listers, and those needing information about my breed.(Required) Yes No My phone number can be given to other SPDR breed reps and volunteers(Required) Yes No My name and phone can be distributed to other breed reps on a printed list(Required) Yes No My e-mail address can appear on SPDR's website for the general public to contact me(Required) Yes No References: Must not be a family memberNamePhoneRelationshipHow long knownNamePhoneRelationshipHow long knownDog Club Membership (if any)Club NamePhoneYour PositionHow longClub NamePhoneYour PositionHow longCommittee ExprenceYour ExperienceHow many years have you been involved with this breedWhat is your personal experience this this breedWhat would you say are the "pros" of this breedWhat would you say are the "cons" of this breedHow many dogs do you ownHow many dogs do you co-ownBreak down by breedDo you currently hold Hobby Kennel License Commercial Kennel License None of these Do you breed Yes No If yes, which breedsBreeding Purpose Show Pets Working Other Other (describe)How many litters per yearDo you have spay/neuter contracts Yes No What is your policy if one of your puppy buyers can no longer keep their dogDo you show dogs Yes No Which events Conformation Obedience Herding Agility Please list the names of other relevant organizations with which you are, or have been, involvedOther rescue groupRoleYearsOther non-profitRoleYearsVet's OfficePositionYearsPet ShopPositionYearsKennelPositionYearsWhy are you interested in joining SPDR as a Breed Rep We will conduct a phone interview with you, and phone each of your references We will schedule an appropriate time to do a home check with you (as we do for adopters) If approved, you will be contacted to join our next regularly scheduled Breed Rep training session, in which you will receive a Breed Rep Handbook, and introduction into our policies (about 3 hours) After training, your name will be added to our Shelter Contact list, our website (if you desire), and you will be expected to join our Breed Rep Announcement email list (very low volume). Terms of Breed Representative's AgreementI , (full name below), Hereby acknowledge the following policies and agree to abide by them the entire time I am rescuing dogs for SPDR. (check each box below)Agreements(Required) I agree to respond to each person who contacts me about a dog within ONE WEEK of receiving their paperwork, by phone, email, or postal mail I will remember in all my dealings with the public as a breed representitive that I represent SPDR, and that the public will consider my words and actions regarding rescue to be representative of the attitudes and positions of SPDR as an organization. I understand that I am not authorized to speak for SPDR, nor can I enter into any agreements for SPDR; any such activity will be referred to the Board of Directors I have read and understand the SPDR mission (below), and will not undertake any actions that could be considered inconsissistent with the mission. If I engage in any activities of a political or controversial nature, they will be done as an individual, separate from any association with SPDR. I understand that all SPDR rescue dogs are required to be spayed or neutered. In the case of any unaltered dog I handle, I will either alter the dog before placement, or set a date by which I must receive a spay / neuter certificate from the adopter's veterinarian. I understand that all SPDR rescue dogs must not have any prior history of human aggression, nor may any dog I handle as an SPDR rescue dog have bitten a human at any time. I will not sell or place any SPDR rescue dog with a research facility, pet shop, dog broker, puppy mill, or other person, firm, or corporation that may cause harm to the dog, or sell the dog for profit. I understand that I am personally responsible for any and all financial expenses that I incur in my efforts to rescue dogs for SPDR. If I apply to SPDR's Breed Rescue Fund for reimbursement, I agree to abide by its rules, and provide receipts for each expense. I agree that any expenses over the current approved amount for an individual dog (as found in the appendix of the Breed Rep Handbook) must be pre-approved by the Board of Directors. I accept full responsibility for any expenses incurred by me that fall outside of approved expenditures. I understand that ALL money that comes into my possession as a result of the placement of an SPDR rescue dog is SPDR money, although I may be reimbursed by SPDR for expenses. I understand that I represent a non-profit organization and can NEVER profit from any activity related to the organization. I understand that SPDR cannot guarantee or be held responsiblefor the temperment, behavior, or health of rescue dogs that I may handle. I am aware that rescue dogs may cause damage to my personal property, other pets, and humans. I will keep dogs securly contained at all times while in my care. I understand that it is my decision to rescue dogs for SPDR. I will not hold SPDR liable for any damage, injury or harm caused directly or indirectly through my rescue activities with SPDR. I carry insurance coverage in the event of personal or liability damages resulting from rescuing dogs for SPDR. I agree to keep statistics and records of dogs handled, release and adoption forms, monies collected and expenses incurred for each and every rescue dog. I further agree that the SPDR Board of Directors may view these records at any time. In the event of resignation or termination, I hereby agree to turn over all rescue dog records to SPDR within 10 days of resignation or request date. I further agree that upon termination, all breed representitive rescue records become property of SPDR. I agree to read, routinely review, update, and abide by the SPDR Breed Rep Handbook, which will be provided to me if I am approved as a breed rep. I understand that my breed rep position will be terminated by the Board of Directors if my conduct is deemed in opposition of the mission of SPDR, or detrimental to the best interests of SPDR. I understand and agree to all the above, and support the mission of SPDR. I understand that this form must be received and approved, and that I must be trained by SPDR before I may do any rescue work for the organization. I understand the SPDR reserves the right to refuse my application.SPDR Mission Statement:Seattle Purebred Dog Rescue is a non-profit rescue, referral, and education organization dedicated to placing unwanted purebred dogs into suitable homes, and preventing unwanted purebreds from overloading the shelter system. Towards attaining these goals, we promote responsible dog ownership by educating the public in the selection, care and training of dogs. Founded as a non-political organization in 1987, SPDR works cooperatively with breeders, animal shelters, breed clubs, and individuals to accomplish SPDR’s purpose.
