Facility Dog Handler Application 

  • Facility Dog Handler Application

    New Life K9s

  • Facility Information

  • Dog Handler Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Is it your intention to remain in this occupation/facility for a minimum of 5 years?*
  • Have you ever owned a dog?*
  • Do you have a preference in the dog's gender?*
  • Do you consent to a visit to your work from a New Life K9s representative?*

  • If a representative cannot come to the facility, are you willing to provide:

  • 1) A video of your work environment?*
  • 2) Three references that we can contact?*
  • Are you willing to attend New Life K9s training to receive your new dog?*
  • Do you have any disabilities, mental health conditions, or medical conditions that may impact your work with the dog?*

  • Dog Care

  • Are you willing to have the dog for extended periods of time if another handler becomes unavailable?*
  • Will the dog go home with you?*

  • After Hours Home

  • With whom do you live?*
  • Where do you live?*
  • If you are renting, do you have permission from your landlord to have a dog?*
  • Format: (000) 000-0000.
  • Does your living situation have a:*
  • Do you live with children?*
  • Do you own any pets currently?*
  • Are you willing to take responsibility for a dog for the rest of his/her life, possibly 10 years or more?*
  • Do you consent to a visit to your home from a New Life K9s representative?*

  • If a representative cannot come to your home, are you willing to provide:

  • 1) A video of your home?
  • 2) Three references that we can contact?
  • Are you willing to take the dog home on workday evenings/weekends?*

  • I indemnify and hold New Life K9s harmless from and against all claims, losses, and/or liabilities for damage done by the dog to any person or property. I indemnify and hold New Life K9s harmless from and against all governmental charges or fines and attorneys’ fees arising out of the acts or omissions of New Life K9s, including but not limited to interactions with instructors, attendees, incarcerated handlers, involved in instruction and placement.

    I acknowledge that the information contained on this form is true and correct to the best of my knowledge. I understand that any misrepresentation of facts may result in the removal of the dog from the facility.

    I acknowledge that New Life K9s does not provide financial assistance to clients.

  • Date*
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  • Should be Empty: