Southwest Canine Corps of Volunteers, Inc.

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Membership Application

Interested in joining our canine corps?

Be sure to read the team development requirements and member expectations, along with all the wonderful benefits of belonging to Albuquerque’s premier canine therapy organization. If SCCV seems like the right volunteer organization for you, please submit your information below. The Vice President of Team Development will contact you after receiving the information.

Click here to read more about the Evaluation and Team Development Program.

Have you ever been convicted of a felony?

Yes

Have you every been cited by Animal Control?

Yes

SCCV Application History

I am new to the organization.

I'm a curret member with a new dog approximate age.

I'm a former SCCV member.

Have you belonged to any pet therapy dog groups?

Yes

If yes, are you still a member?

Yes

If yes, what is the name of the pet therapy group?

Yes

Gender

Male

Female

Neuered/Spayed

Yes

Current with shots?

Yes

Has your dog shown any acts of aggression?

Yes

Skills and Obedience Training

.....Formal

.....Home Schooled

.....None

.....Other

Describe the type of collar and leash you use with your dog.

Halter

Spike

Martingle

Prong

Harness

Gentle Leader

If you use a halter leash, is it for... check one

Control Reasons

Medical Reasos

Skills your dog can do on command.Check all that apply.

Sit

Stay

Sit/Stay from 10 feet away

Down

Down/Stay fro 10 feet away

Come

Finish

Heel on left side with loose leash

Figure 8 (change directions while heeling)

Additional Skils

Ignore other dogs

Ignore distractions

Allow a stranger to examine him/her

Thanks for submitting!

SCCV Membership Application

Name

Address

City

State

Zip Code

Phone

Occupation

Have you ever been convicted of a felony?

Yes

If yes, please explain briefly.

Have you every been cited by Animal Control?

Yes

If yes, please exlain briefly.

SCCV Application History

I am new to the organization.

I'm a curret member with a new dog approximate age.

I'm a former SCCV member.

City

Have you belonged to any pet therapy dog groups?

Yes

If yes, are you still a member?

Yes

If yes, please explain briefly.

Your dog's name.

Your dog's breed.

Your dog's approximate age.

Gender

Male

Female

Neuered/Spayed

Yes

Current with shots?

Yes

Briefly describe the personality of your dog (expressive, driven, amiable).

Has your dog shown any acts of aggression?

Yes

If yes, please explain briefly.

Skills and Obedience Training

.....Formal

.....Home Schooled

.....None

.....Other

Briefly describe previous training and list any formal obedience schools.

Describe the type of collar and leash you use with your dog.

Halter

Spike

Martingle

Prong

Harness

Gentle Leader

Other

If you use a halter leash, is it for...

Control Reasons

Medical Reasos

Do not use a halter leash

Skills your dog can do on command.Check all that apply.

Sit

Stay

Sit/Stay from 10 feet away

Down

Down/Stay from 10 feet away

Come

Finish

Heel on left side with loose leash

Figure 8 (change directions while heeling)

Additional Skills

Ignore other dogs

Ignore distractions

Allow a stranger to examine him/her

Briefly describe how your dog behaves around people he/she knows compared to new friends.

Briefly describe how your dog behaves with other dogs.

Describe an experience you, yourself, have had with the the elderly, ill adults/children, children in group settings (such as classrooms, teams, club meetings).

Describe briefly any volunteer work you have done.

What activities have you done with your dog?

Briefly explain why you and your dog would be a great therapy team for SCCV.

Thank You for submitting! You will be contacted soon regarding your request.