Foster a Puppy Application Form
Please fill in to apply to be a volunteer foster puppy raiser for ADS.
Ontario Residents Only.
Name
*
First Name
Last Name
E-mail
*
Home Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone
-
Area Code
Phone Number
Work Phone
-
Area Code
Phone Number
Are you currently employed?
*
Full Time
Part Time
No
Do you work from home?
*
Yes
No
N/A
Is your home smoke free?
Yes
No
Do you have a vehicle or transportation? Please provide details
*
Background Information
How did you hear about ADS and why do you want to foster a puppy?
*
Who will be the primary caregiver? (If you are a student please provide your parent's name, telephone number and school you are attending)
*
Are you willing to attend regular puppy classes/vet visits (mainly weekdays with some evening and weekend appointments)?
*
Yes
No
Have you or your family had any experience with raising and house training a puppy/dog?
*
Yes
No
Have you or your family had any experience with crate training a puppy/dog?
*
Yes
No
Have you or your family had any experience with obedience training a puppy/dog?
Yes
No
Have you or your family had any experience with raising and/or resculng an older puppy/dog?
*
Yes
No
Do you currently own any pets?
*
Yes
No
If yes please provide details including how many pets, species, breed , age, sex, neutered/spayed etc...
*
Are all pets up to date on their vaccinations?
*
Yes
No
N/A
If No, please provide details.
How many people presently live in your household?
*
How many adults and how many children? What are the age groups of the children?
*
Does anyone in your home have allergies to animals?
*
Yes
No
If Yes, please provide details.
Do you own or rent your home?
*
Own
Rent
Please describe your home (check appropriate boxes)
*
Urban
Suburban
Rural
Single family
Semi Detached
Townhouse
Apartment/Condo
Do you have a fenced yard?
*
Yes
No
If Yes, is the yard fully enclosed?
Yes
No
N/A
Please give a brief description of your lifestyle including hobbies, activities and schedules including work.
*
Will someone be home during the day with the puppy?
*
Yes
No
If no, how many hours will the puppy be left alone?
Please describe any previous volunteer experience that you have.
*
Is there someone able to relieve and exercise the puppy through the day? (The puppy cannot be left alone for more than 4 hours at a time)
*
Yes
No
Are you aware that raising a future service dog means approximately one to three hours per day should be devoted to handling, grooming, training and caring for the puppy?
Yes
No
Will you be able to take your puppy out in public for socialization at least three times a week? (This means socializing the puppy in malls, restaurants, schools, around other pets and other public venues.)
*
Yes
No
Is the puppy able to go to work with you?
*
Yes
No
Unsure
If yes, describe your work environment.
Will the puppy accompany you on vacation?
*
Yes
No
Maybe
If yes, describe vacation.
Please specify the date when you will be ready to foster a puppy.
*
Do you require a hypo-allergenic breed?
*
Yes
No
Are you interested in fostering an older puppy?
Yes
No
There are numerous theories and methods currently used to train dogs. Autism Dog Services employs its own method of raising and training puppies to become service dogs. Are you prepared to accept and use our methods for raising/training the pup?
*
Yes
No
Have you ever been convicted of a criminal offence for which a pardon has not been granted?
*
Yes
No
Would you agree to a police check?
*
Yes
No
Are you legally entitled to work in Canada?
*
Yes
No
Please list a reference name of a non-family member that we can contact in regards to your application.
First Name
Last Name
Reference Phone Number
-
Area Code
Phone Number
Reference Email Address
example@example.com
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*
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