PET APPLICATION
This is the application for pet dogs needing a good home. Pet dogs listed on Nexus Trails have either been dropped from the service dog program (career changers) or are being placed as a pet with potential prior to any task training. A pet will not be given service dog rights. They will be contracted as pets only. If this is a CAREER CHANGER - We work tirelessly to help all of our dogs succeed and thrive in an environment best suited for them. If they have been career changed to pet only, we have decided that they will be unsuitable and/or unhappy as a service dog. Please do not adopt one of our career changers with intent to make them a service dog.
Applicant Information
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Are you filling this application out as a representative, on behalf of another?
Please Select
Yes
No
If filling out for someone else, please list their information below
Name of representative(Filling out for someone other than yourself)
First Name
Last Name
Applicant Age
We ask so we can fit the right dog temperament to you based on age and lifestyle.
If applicant is a minor, please list parent/caretaker name(s).
Applicant Gender
Applicant Occupation
Partner Name, Age, Occupation (If Applicable)
Partner Name, Age, Occupation (If Applicable)
Please name the dog(s) you are applying for here.
Do you understand and agree that this dog will be a pet only and will not be used as a service dog?
Please tell us about yourself and your lifestyle. Why would you be a good match for this dog and this dog be a good match for you?
Home Details
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What type of home do you live in?
*
House
Apartment
Condo
Duplex
Other
Do you rent or own your home?
*
Rent
Own
Other
Proof of Homeownership
Browse Files
Drag and drop files here
Choose a file
If you own your home, we ask for proof of ownership via a mortgage or property tax statement. PLEASE BLACK OUT SENSITIVE INFORMATION. Uploading the document now is optional. If you are chosen as a candidate for a dog, we will send you an upload link at that time if you don't upload now.
Cancel
of
Please provide Landlord information.
Name of Landlord
Contact Number
City, State
Please list any others living in the home. (Names are optional and not necessary)
Name
Age
Gender
1
2
3
4
5
6
Need a longer list for people living in your home?
Longer list, please
Others living in the home, continued
Name
Age
Gender
7
8
9
10
11
12
Are there other people that visit your home on a very regular basis? (Adult children, grandkids, caregivers, etc)
Please Select
Yes
No
Sometimes
Please list any that visit your home very regularly that may also interact with the dog.
Age
Gender
1
2
3
4
5
6
7
8
9
10
Need a longer list for very regular visitors?
Longer list, please
Very Regular Visitors, continued
Age
Gender
11
12
13
14
15
16
17
18
19
20
Pet Information
Please list any animals currently in your home.
*
Name
Dog/Cat/Rabbit etc.
Breed
Sex
Age
Spayed/Neutered?
Up to date on vaccinations?
1
2
3
4
5
Need a longer pet list?
Longer pet list, please
Animals currently in home, continued
*
Name
Dog/Cat/Rabbit etc.
Breed
Sex
Age
Spayed/Neutered?
Up to date on vaccinations?
6
7
8
9
10
Current Veterinarian
Name of Veterinarian
Name of veterinary clinic
Contact Number
City, State
Is your yard fully fenced?
Yes - 4ft
Yes - 6ft
Yes - 8ft
No
Invisible fence only
A fence build is planned for the future
Have you ever had to rehome an animal? What were the circumstances?
*
Do you plan to give your new dog a home with you for the rest of their life?
*
Financial
Do you agree with and are you able to pay the stated fee for this dog?
*
Would you like financing information?
Are you prepared to financially support your new dog for the rest of their life?
*
Would you prefer to travel for pickup or have us deliver the dog to you for a travel fee? (Travel fee is dependant on how far you live from Xenia, OH and will be between $500 - $5,000. This would be calculated for you based on travel distance and local rates.)
I would like to travel to pick the dog up.
I am interested in delivery to me. Please prepare a travel quote for my location.
References
Please provide references that we may contact. Include those who have interacted/cared for your dog or who have witnessed you interact/care for your dog.
Personal References
*
Full Name
Relationship
Contact Number
How long have they known you?
1
2
Groomer Reference (If applicable)
Name of Groomer
Name of Salon
Contact Number
City, State
1
Submit
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