2 Foster a PuppyApplication

Ontario Residents Only please...

Name *

First Name Last Name

E-mail *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Phone Number *

- Area Code Phone Number

Cell Phone

- Area Code Phone Number

Work Phone

- Area Code Phone Number

Do you have a vehicle or transportation? Please provide details *

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

Enter the message as it's shown *

2. Foster a Puppy Application Form

Background Information