Team ID:_______ Code: ____
Name:____________________ Chapter:__________________
Official FFA Pet Health Record
Today’s Date__________________
Client Name: _____________________________Address _________________________
_________________________________________Phone:_________________________
Employment_______________________________________Phone_________________
Animal's Name____________Breed_____________Color____________Species______
DOB__________Age______Sex______Altered________Date___________
Vaccination History
Fecal Exams
Date
Vaccination
Revaccination
Date
Results
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Dental Care
Allergies
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Reason for Visit
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Weight____________________
Temperature________________
PRACTICUM A: FFA Animal Health Record & Haltering
A Livestock Animal with Quick Release Knot Rubric
FFA Pet Health Record
1. Owner's name, address phone number & employment information:
3= All information collected and spelled correctly
2= One piece of information missing or name misspelled
1=Name misspelled and one an/or more pieces of info missing
0=No information gathered
2. Pet's name:
2=Collected and spelled correctly
1=Collected but misspelled
0=Not collected
3. Breed/Dominant Breed if mixed and Species – written in scientific terms:
3=Breed and Species correctly identified (scientific name of species)
2= Breed and Species correctly identified (not scientific species)
1=One piece of info missing or incorrect
0=No information gathered
4. Age/birth date:
2= All information collected
1= DOB or Age missing or incorrect
0= Both DOB and Age missing or incorrect
5. Sex, castrated or spayed:
2= All information collected
1= Sex or Altered missing or incorrect
0= Both Sex and Altered missing or incorrect
6. Date of visit:
2=Collected correctly
0=Not collected or incorrect
7. Determined reason for visit during:
5=All underlined pieces of information collected (7)
4=5/7 pieces of info collected
3=3/7 pieces of info collected
2=1/7 pieces of info collected
1=Information collected but does not include underlined information
0=No information collected
8. Recorded weight and vaccination history
2= All information collected
1= Weight or vaccination missing or incorrect
0= Weight and vaccination missing or incorrect
10.File completed legibly.
4=Information is written clearly with no misspellings
3=Information is written clearly but spelling errors are frequent
2=Information is difficult to read
1=Information is difficult to read and spelling errors are frequents
0=Information is impossible to read
3
TOTAL POINTS
TOTAL
25
50
Multiply subtotal by 2 to get total.
2
3
2
2
2
5
2
4
Score
Name:____________________ Chapter:__________________
Possible
Team ID:_______ Code: ____
PRACTICUM A: FFA Animal Health Record & Haltering
A Livestock Animal with Quick Release Knot Rubric
FFA Haltering a Livestock Animal & Quick Release Knot
1. Student places crown piece of halter over ears, then slips nose through nosepiece
5
2. Student properly adjusts the halter such that the nose band crosses over bridge of nose halfway
between
the nostrils and eyes.
5
3. Student ensures that the adjustable portion of the nose band is under the chin, not across the bridge
of the
nose.
5
4. Student keeps the standing end or lead rope portion on the left side of the animal’s head.
5
5. Student passes the rope around the post
5
6. Student passes the short end over and under the long end of rope.
5
7. Student creates an opening with short end.
5
8. Student then passes loop thru the opening from the top.
5
9. Student pulls loop tight.
5
10. Student talks through the practicum steps with judge
5
TOTAL POINTS
TOTAL POINTS FROM HEALTH RECORD RUBRIC
50
50
TOTAL
100
Score
Name:____________________ Chapter:__________________
Possible
Team ID:_______ Code: ____