Puppy Program volunteer application

Primary Personal Information

Name *

First

Last

Email *

Phone Number *

Primary 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

Do you rent or own? *

Rent
Own

Any pet restrictions? *

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 two 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

What is your plan to ensure the puppy is not left alone for more than 3 hours? *

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

How did you hear about us? *

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? *

Name *

First

Last

Date of Birth *

Occupation *

Name *

First

Last

Date of Birth *

Occupation *

Name *

First

Last

Date of Birth *

Occupation *

Name *

First

Last

Date of Birth *

Occupation *

Name *

First

Last

Date of Birth *

Occupation *

What type of home do you live in? *

House
Condo
Basement apartment

What is your plan for noise and house training? *

Is anyone living in the home allergic to dogs? *

There will be home visits during the process of volunteering with us. Are you comfortable with this? *

Can you exercise a puppy in a fenced-in area? (A fenced-in yard is not mandatory) *

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

Do you have any dog training experience or have you participated in any dog-related activities? *

Please specify *

Are you familiar with Positive Reinforcement based dog training? *

Current Pets in the Home

Do you have any pet dogs? *

Are their vaccines up to date? *

How does your dog react to unfamiliar dogs, unfamiliar people, and puppies? *

Has your dog ever bitten another dog or person? *

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

How many other 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