2 Foster a PuppyApplication

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 *
Address *

Street Address

Street Address Line 2

City ONTARIO ONLY PLEASE

POSTAL CODE
Home Phone Number *

Area Code Phone Number
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
Where will the puppy stay when you are not at home? *
Are you aware that raising a future service dog means approximately one to three hours per day should be devoted to handling, loving, feedback, grooming, house breaking and training 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.
If no, who will take care of the puppy?
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
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Foster a Puppy Application Form

Background Information