The Border Terrier Club

Questionnaire for Proposed

Bernese Mountain DogJudges

Name:…………………………………………………………………………………………… Initials:……………………………..

Address:……………………………………………………………………………………………………………………………………

………………………………………………………………………………………………….. Post Code:………………………….

Telephone:…………………………………Fax:……………………………………. Email:……………………………………………

1. EXPERIENCE IN THE BREED

Period of involvement in Bernese Mountain Dog related activities:……………………………..years.

Number of Bernese Mountain Dogs registered in your name at The Kennel Club…………………………(Approx.)

Name and K. C. Stud Book Numbers of dogs bred by you or qualified for inclusion in the Stud Book whilst in your ownership.

State breed if other than BerneseMountain Dogs.

Name of DogKCSB No.Name of DogKCSB No.

1.………………………………………………………………… 8….……………………………………………………………………

2.………………………………………………………………… 9….……………………………………………………………………

3.………………………………………………………………… 10...……………………………………………………………………

4………………………………………………………………… 11..…………………………………………………………………….

5………………………………………………………………… 12...…………………………………………………………………….

6………………………………………………………………… 13………………………………………………………………………

7………………………………………………………………… 14………………………………………………………………………

General Information

Please provide below any relevant information concerning your involvement in Bernese Mountain Dogs.(Details of overseas judging appointments should be provided here and the total number of Bernese Mountain Dogs judged abroad entered at 4.1.)

……………………………………………………………………………………………………………………………………………………

2. STEWARDING EXPERIENCE
Please provide the following details: / /
No. /

Show Society

/ No. of classes / Show Type
(Ch. or Open shows only) / Date
1
2
3
4
5
6
7
8
9
10
11
12

3. TRAINING EXPERIENCE

Please give details of Seminars, Assessments etc. that you have attended together with the name of the organising Club and date of the event in respect of the following topics:

3.1 Kennel Club Regulations and judging procedures: new criteria from 01-07-2001 for Breed Specialists – for each seminar attended, please advise name of Kennel Club Accredited Trainer and also advise if you passed Kennel Club examinations

Yes No

Organising Club, date of event and name of trainer: / Have you passed the assessment?

……………………………………………………………………….. …………………………………. ………………………………………………………….

………………………………………………………….…………… …………………………………. ………………………………………………………….

………………………………………………………………….…… …………………………………. ………………………………………………………….

3.2 Anatomy, conformation and movement: new criteria from 01-07-2001 for Breed Specialists – for each seminar attended, please advise name of Kennel Club Accredited Trainer

Yes No

Organising Club and date of event: / Have you obtained the certificate or passed the assessment?

………………………………………………………………………………………………….………… ………………………………….

……………………………………………………………………………………………….…………… ………………………………….

…………………………………………………………………………………………………………… ………………………………….

3.3 The Kennel Club “Hands “On” Assessment of Judges: knowledge of conformation and movement, the points of the dog, the structure of the dog and the conventional measurements of the dog.

Yes No

Organising Club and date of event: / Have you passed The Kennel Club “Hands On” Assessment?

………………………………………………………………………………………………………………………. ………………………….

3.4 Bernese Mountain DogBreed Specific Seminars: new criteria from 01-07-2001 for Breed Specialists – please advise if Seminar/s was/were run in accordance with Kennel Club code of Best Practice (the Club holding the Seminar should beable to tell you, or have already advised you – see any certificates issued to you).

Yes No

Organising Club and date of event: / Have you gained a certificate of attendance?

………………………………………………………………………………………………………….…… ………………………………….

………………………………………………………………………………………………………..……. ………………………………….

4. JUDGING EXPERIENCE.
4.1Please provide the following information for Shows at which you have judged classes of Bernese Mountain Dogs in the UK. You should include any future appointments for the Breed which have been confirmed in writing. /
No. /

Name of Society holding Show

/ Date of Show / Type of Show / No. of Classes for BerneseMountain Dogs / Number of Bernese Mountain Dogs entered / Number of Bernese Mountain Dogs judged
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Total number of Bernese Mountain Dogs judged in the UK:
Total number of Bernese Mountain Dog judged abroad (from Para 1, General Experience):
Total number of Bernese Mountain Dogs judged:

4.2Are you prepared to write and submit a critique to the Dog Press after every Bernese Mountain Dog judging appointment? Please delete as applicable.

YES / NO

4.3Are you on a list of Judges compiled by a Bernese Mountain Dog Breed Club or on the Kennel Club Potential Championship Show Judges List for Bernese Mountain Dogs? If so, please provide the title of the Club(s) and the list(s).

1 / 4
2 / 5
3 / 6

4.4 Do you suffer from any disability which would impair your judging of Bernese Mountain Dogs?

YES / NO

4.5 Please indicate whether you consider yourself to be a Specialist or Non-Specialist judge of Bernese Mountain Dogs.

SPECIALIST / NON-SPECIALIST

4.6 Please provide the following information about your experience in breeds other than Bernese Mountain Dogs. You should include any future appointments which have been confirmed in writing. /
No. / Name of Society holding Show / Date of Show / Type of Show / Number of Classes
Breed Variety / Number of dogs judged
1
2
3
4
5
6
7
8
9
10

4.7 Please provide details of C.C.s awarded by yourself in breeds other than Bernese Mountain Dogs:

Breed

/ Date C.C.s first awarded / Date C.Cs last awarded / No. of occasions C.C.s awarded

4.8Have you attended any Northern Bernese Mountain Dog Club Shows? If so, what was the date of the Show? Please delete as applicable.

YES / NO

Details of relevant Club Show & Date ……………………………………………………….

4.9Additional Notes:

4.9.1 If necessary, additional relevant information may be submitted along with this questionnaire.

4.9.2 The submission of a completed questionnaire will allow The Northern Bernese Mountain Dog Club to consider the candidate for inclusion in its Judging Lists, but does not guarantee or imply inclusion in any of The Club’s Judging Lists whose stated criteria the candidate may satisfy. The Secretary cannot enter into correspondence regarding non-inclusion in the lists.

4.9.3You are requested to provide The Club with annual updates to the foregoing information.

5. DECLARATION.

I confirm that the above information is correct.

Signed ………………………………………………………………… Date……………….

Page 1 of 4 Form amendment date: 31st March 2008.