Formulaire de candidature pour la programme de chiots en famille d’accueil

Primary Foster Personal Informationn

Name *

Prénom

Nom

Email *

Phone Number *

Best time to reach you *

Primary Foster Home Address

Primary Address *

Adresse ligne 1

Adresse ligne 2

Ville

État / Province / Région

Code postal

I have another address where the puppy may be spending a significant amount of time

Alternate Address

Alernate Address *

Adresse ligne 1

Adresse ligne 2

Ville

État / Province / Région

Code postal

General Information

Are you at least 18 years of age? *

Are you willing to provide a level one police record check? *

Can you respond to communication via email or phone call within 24 hours? *

Do you have reliable internet to access online information and learning modules? *

Do you work full or part time? *

full time
part time
I do not work

Name of Employer

Are you currently attending University/College? *

Name of Instituition

Please note - applications from students at the following universities are accepted only at certain times of year: Wilfred Laurier - January | University of Guelph – April | Western – July

As the primary responsible foster person, are you willing to commit to the following for approximately one year?

Ensure the health and safety of the foster puppy is a top priority *

Follow Puppy Program procedures and training plans *

Travel to Oakville and/or Breslau facilities for vet visits, assessments, to pick up dog food and attend puppy classes *

Communicate promptly with your puppy staff rep when unsure about an issue with the foster puppy *

Home Setting Information

Please list the name, relationship, age, occupation, and dog experience of other people in the home

How many people do you share your home with? *

Full Name

Date of birth

Occupation

Full Name

Date of birth

Occupation

Full Name

Date of birth

Occupation

Full Name

Date of birth

Occupation

Full Name

Date of birth

Occupation

Is anyone living in the home allergic to dogs? *

There will be a home visit to ensure your home is suitable for a service dog puppy. Are you comfortable with this? *

Do you have a fenced-in yard? (A fenced-in yard is not mandatory) *

Are all members of the household interested in puppy raising and willing to comply wit the procedures? *

Have you raised a puppy in the past? *

Are you familiar with Positive Reinforcement based dog training? *

Have you participated in other dog related activities? *

Who will be responsible for caring for the puppy if primary foster person is unavailable or busy? (Must be 18 years or older) *

Current Pets in the Home

Please list the type (dog breed/cat/bird), name, age, and gender of all pets that are currently in your home.

How many pets do you share your home with?

Pet’s Name Type of Pet Age Friendly to other animals - Y/N

Pet's Name

Type of Pet

Age