Career Change Dog Application form

Career Change Dog Adoption Application

Career change dogs start at $5,000 and increase based on training. The fee for these dogs helps us keep the costs down for people with disabilities acquiring Service Dogs.
How did you hear about us?
Full Name*

First NameLast Name
Age*
E-mail*
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number - Home

Area CodePhone Number
Phone Number - Cellular*

Area CodePhone Number
Phone Number - Work

Area CodePhone Number
Do you:*

OwnRentLive with ParentsOther
If Renting: Please indicate landlord contact information. If Other: Please explain.
Household Setting

RuralSuburbanUrban
Describe your Homes Activity Level*

Busy/NoisyModerate Comings/GoingsQuiet with Occasional Guests
Please List all People Living in the Household (Include Name, Relationship, Gender and Age)*
Does Anyone in your Household have Allergies to Animals?*

YesNo
*Are all members of the household interested owning a dog?*

YesNo
Is there a certain age range or breed(s) you are interested in?*
Please List any Pets you have (Please include Name, Type, Breed, Age)*
Do any of them have behavior issues (fear, aggression...) Please explain. *
Some dogs change careers because of behavior or training issues. Are you willing and able to take your dog to training if needed?*

YesNo
Have you raised and trained a dog before?*

YesNo
If Yes please explain
What is your experience with dogs - obedience, handling, showing, fostering, etc.? *
Is your family able to afford the cost of owning a dog (medical, feeding, supplies...)?*

yesnosome
Do you have a fenced yard?*

YesNoPartial
How many hours in a day would the puppy/ dog be left alone?*
What are you plans to exercise and socialize your puppy/ dog? *
Have you ever had to rehome a dog? If so, why?*
Vet Reference: Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Reference #1: Full Name*

First NameLast Name
Relation to applicant(s):*
E-mail*
Phone Number*

Area CodePhone Number
Reference #2: Full Name*

First NameLast Name
Relation to applicant(s): *
E-mail*
Phone Number*

Area CodePhone Number
By submitting this application, you acknowledge that our Career Change dogs start at $5,000 and increase based on training and expenses. We are not a rescue and a lot goes into these dogs such as grooming and care training, proper socialization, manners, ease of handling, problem prevention, obedience, and more. The fee for a Career Change dog allows us to focus our funds on supporting our mission -helping people with disabilities get medical Service Dogs. Thank you for understanding and for your support!
Thank you for your interest!

You will be added to our wait list and can look forward to hearing back from us when we have a dog available. Please follow our Instagram and Facebook accounts to watch pups in training! You never know... one of them may just become your future companion!
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Career Change Dog Adoption Application

Thank you for your interest!