Guide Dogs Volunteer Application Form

Your Information

Are you over 18 years old?

YesNo

Date of Birth

You must be over 18 years old

I understand

Which volunteer roles are you interested in?

Do you have a valid Restricted or Full Drivers Licence?

YesNo

You must have a valid drivers license

I understand

Do you have reliable access to transport, such as public transport or your own vehicle?

You must have your own reliable transport

I understand

Do you own your own property or have a letter from your landlord allowing a dog onto the property?

Detail of your application

First Name

Last Name

Email Address

Mobile Phone Number

Home Phone Number

Address

Street Address

e.g. 123 ABC Street

Suburb

City/Town

Postal Code

How did you hear about Guide Dog Volunteering?

What motivated you to apply for volunteer work at Guide Dogs?

How would to describe your nature, temperament and confidence level you have being around large dogs?

Are you willing to learn and be trained about guide dog training and behaviour?

How long do you anticipate you can volunteer for?
(Puppy raising is 12-15 months long)

Are you physically capable of handling a dog between 10-40kg?

Please explain

Do you have any allergies, medical or psychological conditions that may prevent you from working with dogs?

Please explain

Do you have any criminal convictions outstanding or otherwise?

YesNo

Please explain

Employment

What is your current employment status?

Do you have permission from your employer to bring a dog to your workplace?

Describe your work environment.
**If the workplace is a factory, workshop or similar where vehicles and machinery are in operation we will need to visit the site to establish an appropriate area to contain the dog and ensure the dog's safety.

Does your place of employment have adequate grass toileting facilities?
(Puppies need to be toileted at least every hour)

YesNo

Does your employer allow flexible working hours?
(Volunteers are required to meet a Puppy Advisor during working hours)

YesNo

Do you work from home?

YesNo

Household/Family

Although you will be the primary carer for the dog, it is important that other members of the family/household are also keen to be involved with taking care of the dog.

Do you have children in the home?

How many and what are their ages?
**Puppies, like children require a great deal of time and attention. It is strongly recommended that Puppy Raisers have no more than one pre-schooler at the time of placing a puppy in their home.

Do you have any other dogs in your care or around you in your day to day life?

YesNo

Pet Dog Details

i.e. Dogs at home, dogs at work, how many dogs, how old are they, are they vaccinated, etc?

If there are no pets, are you prepared to socialise a guide dog around other pets/animal?

i.e. Dogs at home, dogs at work, how many dogs, how old are they, are they vaccinated, etc?

House/Property

What type of area do you live in?

Do you have an appropriate area in your home where the dog will sleep in their crate?

Where will the dog have access to in the home?

Please provide if you have any additional information about the dog access?

Where will the dog be toileted?

Are there any internal stairs on the property?

Can the stairs be restricted

Do you have any external stairs leading to your property?

Is there a fully secured / fenced area outside your home?
**ALL fencing will need to be viewed and approved prior to placing a dog

Do you have any concerns over the property (pool, poisonous plants, no grassed area) that need further discussion?

If yes please specify?

Are there any other properties (bach, apartment, etc) where you plan to take the puppy to regularly?

If yes, please submit physical address and region of property

Socialising

Are you prepared to take the puppy to the following environments?

Into town (various semi business areas as well as CBD)?

On public transport?

Travel to meet with your Puppy Advisor?

Attend puppy classes in various suburbs?

If you are not prepared to take the puppy to an environment noted above, please provide information on why not

Availability

**It is important that the new puppy has appropriate time to settle into your home before having to be boarded out or placed in our kennel facility

Do you have any upcoming holidays or dates that you are unable to have the puppy / dog with you?

Additional Comments

Do you have any additional comments/concerns you would like us to know or discuss further with you?

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Registration Status

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