Outreach Program

 

OUTREACH PROGRAM
Placement Assistance.
 
Little Paws Yorkie Rescue Outreach Program offers assistance to individuals who have a dog to re-home by referring them to qualified individuals who would like to adopt a dog. We often have many applications without a dog to match the adopters needs.
 
If you are an independent rescuer or you need to re-home your Yorkshire Terrier, then this program can help you. This is a perfect program for a family needing to find a new home for their Yorkie but there is not an immediate need for placement.
 
Program Requirements
 
In order to participate in our Outreach Program, you must comply with the following:
1. Foster or board the dog until an adequate home is found.
2. Show proof of vaccinations and alteration in writing.
3.Provide us with as much personal history about the dog as possible. 
4. Use a Little Paws Yorkie Rescue contract with an adoption donation set by Little Paws Yorkie Rescue. 
5. The adoption donation  must be donated to Little Paws Yorkie Rescue.
 
 
What We Do for You
 
1. Post your dog on our Websites, Adopt-A-Pet.com, RescueMe.org, Little Paws Canine Rescue, and several more.
2. Screen applicants and verify references.
3. Provide Adoption contract.
4. Perform all communications between owner and adopter and perform transfer of dog.
5. Complete a home check.
6. Make follow-up calls to new home to ensure a successful adoption.
To place your purebred Yorkshire Terrier in our Outreach Program please complete our Outreach Questionnaire.
 
 
 

 OUTREACH PROGRAM QUESTIONNAIRE

 
Please answer all questions in in order to place your pet in our Outreach Program, we must receive this form along with photos of the dog you wish to place.  Photos must be sent as soon after submitting the form as possible.  All photos should be taken within five (5) feet of the dog at the dog's level. 
Three poses will need to be taken...
1) full body shot of left side while standing
2) full body shot of right side while standing
3) front face shot.
If the tail is not visible in either of the side views, please include a picture of the dog from the back, so that the tail is in full view.
 
Upon submitting this form, please send your dogs photos to im4yorkies@yahoo.com.  The sooner we receive your dogs photo's the faster we can help.
 
Date:__________________________  
 
Dog's name:______________________  
 
Has the dog ever bitten anyone?____Yes, _____No     If yes, please explain __________________________________________________________
 
Owner Information
 
Your full name:_____________________________________
 
Address:__________________________________________
  
City,_________________ State,_______ Zip:_____________
     
Phone (H):______________________________
  
Phone(W or cell):________________________
 
Email address:__________________________ 
 
How long have you had the dog?________________ 
 
Where was the dog purchased? _________________________
 
If from a breeder, please list name and phone number. ____________________________ PH:_____________________
 
Name of your vet. ______________________________________________ 
Vet Phone ____________________________________________________ 
Physical description of the dog.____________________________________
 
Is the dog a purebred Yorkshire Terrier or mix? __________    If purebred, do you have any papers?  ____Yes, _______No
 
Age:__________________ 
 
Height: _______________
 
Weight:_______________ 
 
Color:_________________ 
 
Sex: __________________ 
 
Is the dog spayed or neutered? ________Yes, ________No 
 
Is the dog current on vaccinations including rabies?  _______Yes, ________No
 
Has the dog been tested for Heartworm?  _______Yes, _______No
 
If so, is it currently on heartworm prevention?  ________Yes, _______No  
 
 
How does the dog react to:
Other dogs:___________________________________________________________
 
Cats:________________________________________________________________
 
Strangers:____________________________________________________________
 
Men:________________________________________________________________
 
Women:______________________________________________________________
 
Children:_____________________________________________________________
 
Crates:_______________________________________________________________
 
Car Rides:____________________________________________________________
 
Does the dog pull when walked on a leash? _____Yes, ______No
 
Is the dog afraid of storms? _______Yes, ______No
 
Does the dog show any aggression if approached when he/she is eating?_______Yes, ______No
 
Is the dog housebroken?_______Yes, ______No
 
Does the dog come when you call it?______Yes, _____No
 
Please list any behaviors that your dog needs improvement ex. barking, jumping on people, runs away, fearful of mower/vacuum, etc.):________
__________________________________________________________________________________________________________________
 
Why are you re-homing the dog?________________________________________________________________________________________
 
YOU MUST AGREE TO OUR OUTREACH TERMS  AND THAT LITTLE PAWS YORKIE RESCUE WILL PERFORM ALL COMMUNICATIONS BETWEEN OWNER AND ADOPTER AS WELL AS FACILITATE THE TRANSFER OF DOG TO THE NEW OWNER. 
I  HAVE READ, UNDERSTAND, AND AGREE TO ALL TERMS AND REQUIREMENTS OF THE OUTREACH PROGRAM, I AM THE LEGAL OWNER OF ABOVE DOG AND I AM AT LEAST 21 YEARS OF AGE.  
SIGNATURE__________________________________________ DATE________________________________________