PET APPLICATION

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 NameLast Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Are you filling this application out as a representative, on behalf of another?
If filling out for someone else, please list their information below
Name of representative(Filling out for someone other than yourself)

First NameLast 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

CityState / Province

Postal / Zip Code
What type of home do you live in?

Other
Do you rent or own your home?

Other
Proof of Homeownership

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.
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Rows	Name of Landlord	Contact Number	City, State

Please list any others living in the home. (Names are optional and not necessary)

Rows	Name	Age	Gender
1
2
3
4
5
6

Need a longer list for people living in your home?

Are there other people that visit your home on a very regular basis? (Adult children, grandkids, caregivers, etc)

Need a longer list for very regular visitors?

Pet Information

Please list any animals currently in your home.

Rows	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?

Current Veterinarian

Rows	Name of Veterinarian	Name of veterinary clinic	Contact Number	City, State

Is your yard fully fenced?
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.)
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

Rows	Full Name	Relationship	Contact Number	How long have they known you?
1
2

Groomer Reference (If applicable)

Rows	Name of Groomer	Name of Salon	Contact Number	City, State
1

Should be Empty:

Rows	Age	Gender
11
12
13
14
15
16
17
18
19
20

PET APPLICATION

Applicant Information

Home Details

Pet Information

Financial

References