First Name of Applicant *
Last Name of Applicant *
Address *
City *
Province *
Postal Code *
Phone Number *
Email *
Age *
Names, ages, occupation and relationships of all members of household:
What kind of family home do you live in? * Single Family Townhouse Condo Apartment Mobile Farm Student Housing
Home Size (square footage)
What is the size of your property?
How long have you lived in your home? *
Please describe size, height and type of fencing.
If not fully fenced, how will you keep your dog safe while it is outside?
How much interaction has/have you and your child(ren) had with dogs in the past? *
Does anyone in the home have known allergies to dogs? *
Are you looking for a particular size, sex or age of dog? If so, why? *
Please describe your perfect Assisted companion pet *
What does adopting a rescue dog mean to you? *
Number, Type and Description of any other pets in the house
Have you previously owned any pets in the last 10 years (other than any you may have now), and what became of those pets?
Where do current pets/did previous pets spend most of their time?
What are you currently feeding your dogs (type of food and brand)?
Are you capable of caring for a companion animal? (Exercising, walking, feeding, playing, grooming, and training) *
What is the work schedule of the family members, and how long would a dog be in your home alone? *
How and how long do you plan to exercise a dog both on-leash and off-leash? *
Describe your current daily activities. *
Where will the dog spend the day? *
Where will the dog spend the night? *
Number of hours (average) dog will spend alone? *
What are your thoughts on crate training? *
If 'other', please specify.
If you were to move in the future, what would happen to your dog? *
If yes, please tell us why.
Explain how you will be able to manage the training of the dog in accordance to your current work / leisure schedule *
Name and contact information of your Veterinarian/Clinic you will be using
Have you talked to all of the people in your household about adding a dog to the household, and do they agree? *
When traveling/away from home, what arrangements will you make for the care of your dog?
Any additional information you would like to add?
Reference #1 (Name, phone number and relationship) No more than one relative or family member *
Reference #2 (Name, phone number and relationship) No more than one relative or family member *
Reference #3 (Name, phone number and relationship) No more than one relative or family member *