Online Puppy Raiser Application form

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Online Puppy Raiser Application form

Canines with a Cause wants to thank you for your interest in becoming a puppy raiser. Your efforts in completing this form in the most accurate way are greatly appreciated.

There is an investment of over $14,000 per dog that makes it to graduation in our program and approximately 2 years of training.

Please note that we are unable to process applications that are not complete. Minimum age requirement to puppy raise for Canines with a Cause is 18 years of age. Puppy's main caregiver should be completing this application.

GENERIC INFORMATION:

Full Name for puppy's main caregiver:

Puppy Raiser's age:

Street Address:

Town/City:

Province/State:

Postal Code/Zip Code:

Telephone:

area code

Fax Number:

area code

E-mail Address:

EMERGENCY CONTACT INFORMATION:

Name of emergency contact #1:

Phone number :

E-mail Address:

Relationship:

Name of emergency contact #2:

Phone number :

E-mail Address:

Relationship:

HOME SETTING:

Please select the living environment that best describes your home:

Do you have a fenced yard?

Yes No

If not already fenced, would you be able to provide an outdoor enclosed area that would accommodate the dog's needs?

Yes No

Do you live in an area:

Urban Suburban Rural

Do you:

Own Rent

If you rent, do you have the landlord's permission to have a foster puppy living with you?

Yes No

How many adults live in the home?

How many children live in the home?

Please indicate the ages:

Is anyone in your home alergic to dogs?

Yes No

Is everybody in your home in agreement to fostering a puppy, with the understanding that the puppy will be given up?

Yes No

LIFESTYLE:

Are you currently:

If working or studing outside the home, would the puppy be able to go with you?
Yes No
If so, please describe the environment:

Please detail any previous volunteer work:

Do you have means of transportation :

Yes No

REFERENCES:

Please provide us with 2 references and their contact information:

DOG INFORMATION:

Do you currently own a dog/s?

Yes No

If yes, please indicate how many, the age, breed, if spayed/neutered and if vaccinations are up to date:

Any other pets in the home?

Yes No

If yes, please indicate what kind of pet/s:

Please describe any previous experience with dogs (I.E. house training, modifying unwanted behaviours)

Please note Canines with a Cause will not place puppies with families with more than another dog in the home or with families whose pets are not vaccinated up to date.

EMPLOYMENT / SCHOOL ENVIRONMENT: Please leave blank if non-applicable

Are you currently attending or planning to attend

School
College
University
Work

Name of School/College/University:

Full time - Hours:
Part time - Hours:

Please describe the setting: (downtown, high rise, shopping mall, etc)

Is there anything there that may pose a hazard to the health or well-being of the CWAC puppy?

Yes No

Loud and/or dangerous machinery, vehicles, toxic vapors or fluids, slippery or littered floors, high frequency noises etc.

Please name and describe:

Please indicate how you heard about Canines with a Cause, and include any questions you may have for us:

UNDERSTANDING THE COMMITMENT: Please read questions from 1 to 13 and answer YES or NO at the bottom of the form.

CWAC requires that:

You take the puppy in public social outings for a minimum of 3 times a week. Socialization is important to the success of our program. Social outings can be restaurants, grocery stores, malls, public events, public transportation, elevators, schools, offices and so on.
The puppy is not left alone for longer than 3 hours during the day.
The puppy is crated at all times when unsupervised. Combination of crate breaks and use of 'umbilical leash' (puppy's leash is attached to puppy raiser's waste thus able to supervise puppy while doing house work) is optimal.
You groom the puppy regularly.
You commit to the CWAC Puppy Raiser Guidelines and specific instructions provided by CWAC regarding the care, training and wellbeing of the CWAC puppy.
The puppy is never left unattended in the backyard, pool, near a lake, even in fenced yards as his/her safety could be at risk and undesirable behaviors can develop I.E. digging, chewing trees and plants etc.
The puppy is never encouraged and allowed to go on mechanical escalators & revolving doors.
You attend weekly (or bi-weekly) organized training sessions.
You use only the equipment and methods of handling and training laid out by the CWAC head trainer.
You give the CWAC puppy only the dog food provided by CWAC.
You complete and provide regularly monthly reports that records the progress of the puppy.
You provide the CWAC puppy with at least 3 good outdoor walking exercises during the day.
You understand that the puppy has a projected turn in date but this could be changed at any point in time due to training needs of a specific puppy, decisions to add the puppy to the possible breeding program or any number of factors deemed necessary by the CWAC head trainer.

Are you able to commit to that? (1 to 13): Yes No

If you have specific questions or would like more information please let us know:

By submitting this form, you certify that the information you provided is truthful and accurate.