Collection Agent Nomination Registration Form

Relevant Experience*

Please list any relevant experience, qualifications, or skills that support your application (e.g. breeding, veterinary work, animal handling, administration, DNA collection, etc.).

Motivation*

What is your main reason for wanting to become an Orivet DNA Collection Agent? (Please select one primary reason and add a brief explanation if you wish.)

To support responsible breeding through accurate DNA testing

To provide a convenient DNA collection service to breeders and pet owners

To assist my local canine/feline community at shows or events

Interest in genetics, animal health, and identification

I already work closely with breeders, exhibitors, or pet owners

Other

Interest in the Role*

What interests you most about DNA sample collection and working with Orivet? (Please select all that apply and add a brief explanation if desired.)

Ensuring DNA samples are collected correctly and accurately

Supporting reliable, science-based genetic testing

Working with a reputable, internationally recognised DNA testing provider

Helping breeders and pet owners better understand DNA testing

Being involved in practical, hands-on work at shows or events

Expanding my knowledge of genetics and animal health

Other

Other Interests*

Do you have any professional or personal interests outside of dogs and cats?

Previous Use of DNA Testing*

Have you previously used DNA testing in a breeding program?

Yes

Testing Providers*

Which organisation(s) have you used for genetic/DNA testing? (Please list all that apply.)

Event Attendance*

Do you regularly attend canine or feline events (e.g. shows, agility trials, exhibitions)?

Yes

Microchip Scanner Access*

Do you have access to a microchip scanner?

Yes

* Please kindly note that Orivet is unfortunately unable to provide a microchip scanner. Collection Agents are required to have their own scanner in order to participate in the program.

Microchip Implanter Registration*

Are you a registered microchip implanter?

Yes

Member Body Showgrounds*

Do you regularly visit your member body’s showgrounds?

Yes

Computer and Internet Access*

Do you have access to a computer and the internet to register and process collected DNA samples?

Yes

To ensure members can easily contact you to arrange DNA sample collection, Orivet requires approved DNA Collection Agents to have their mobile number and email address publicly listed and to respond to enquiries as promptly as possible. Do you agree to this?*

Yes

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ORIVET DNA SAMPLE COLLECTION AGENT APPLICATION FORM