Roverchase Puppy Raiser Application
All primary applicants must be 18 years or older, no exceptions. All Roverchase Puppy Raisers commit to providing required care and training for Roverchase Service Dogs in Training. Including, but not limited to, dropping of and picking up from training school on Monday, Wednesday, and Friday each week and attending one group class a week with their puppy at Roverchase. Each commitment term is approximately 18 months.
General Information
Name
*
First Name
Last Name
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How far away, in minutes, is your home from Roverchase, LLC?
*
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Primary Applicants Age
*
Currently attending college?
*
yes
no
If yes, name of college:
Can you typically respond to a phone call/text within 12 hours?
*
Can you easily access online documents?
*
Name, gender, and age of all humans in the household
*
Are all members of the household committed to raising a puppy and following all puppy raising procedures?
Yes
No
Still working on some members
Which family member will be primarily responsible for puppy raising?
*
Who will be responsible for puppy raising if the primary individual is not available?
*
Are any family members allergic to dogs?
Yes
No
Yes, but controlled with medication
Unsure
Are any family members afraid of dogs?
Yes
No
Other Pets and Dog Experience
How many other pets are in the home?
*
Please list names, species, gender, and age of any other animals in the home
*
If dogs, on a scale of 1-10, how much do they like other dogs? (1 being not at all and 10 being every single instance)
If cats, on a scale of 1-10 how much do they like dogs? (1 being very scared/never met and 10 being sleeps curled up with them)
If dogs in the home, please answer all of the following:
Rows
All the time
Most of the time
Some of the time
Rarely
Never
Barks at other dogs on walks
Barks at people on walks
Barks at dogs out in fence
Barks at people out in fence
Barks/growls at strangers entering the home
Jumps on strangers entering the home
Hides from strangers entering the home
Storms: paces, drools, shakes, or hides
Fireworks: paces, drools, shakes, or hides
Is crated when no one is home
Has ever bitten, even snapped at a person
Has ever growled at a person
Has ever growled at another dog
Has ever bitten, even snapped at a dog
Protects toys (towards dogs, cats, or people)
Protects food (towards dogs, cats, or people)
Have any of your pets ever completed formal training?
*
Yes
No
If yes, please give trainer name and company name
If yes, please describe training in as much detail as possible
How many puppies (under 5 months) have you had in your adult life (over 21 years of age)?
*
Lifestyle:
Your puppy will be at school all day on Monday, Wednesday, and Friday (maximum hours are 7am-6pm, minimum hours are 9am-3pm). Let's talk about other times.
Do you rent or own your residence?
*
Rent
Own
Rent to own
What type of residence is it?
*
Apartment
Condo
Townhome
Single-Family Residence
Do you have a fence?
*
Yes
No
If yes, what type of fence
Wooden
Chain Link
Iron
Underground/electric
Other
If yes, how high is the fence?
3ft
4ft
6ft
6+ft
On an average Tuesday and Thursday, how long will the puppy be at the house alone?
*
On an average Saturday, how long will the puppy be at the house alone?
*
On an average Sunday, how long will the puppy be at the house alone?
*
Please list hobbies/activities you are already involved in and whether you plan to take your puppy with you or not
*
Does primary caretake work outside the home?
*
Yes
No
How many hours per week on average?
0-10
10-20
20-30
30-40
40+
Does the primary caretaker travel overnight for work?
*
Yes
No
If yes, how often?
More than once a week
Once a week
More than once a month
Once a month
A few times a year
Do you plan to take your puppy with you to work once they are reliably potty trained?
Yes
No
Sometimes
Haven't Decided
N/A
If yes, have you discussed this with you supervisor/HR?
Yes
No
Are you able to do the following?
*
Rows
Yes, always
Yes, more than 50% of the time
Yes. less than 50% of the time
No
Walk the puppy daily
Practice homework for 20-30 min daily
Attend special events for fundraising
Socialize/train outside the home at least 3 days per week
How did you hear about our Puppy Raiser Program?
Anything else you think it's important for us to know:
Submit
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