Puppy-raising application

If you are interested in becoming a Mobility Dogs puppy-raiser, please fill out the form below and press Send.  Once your form is received, we will contact you to discuss your application and, if appropriate, arrange an interview.

Name

Address

Home phone

Mobile phone

Email

PROPERTY DETAILS:

Property Type
Own
Rental
Please note, if you rent you will be asked to provide a letter of consent from your landlord.

Fenced area
Yes
No

LIVING SITUATION:

Members of your household

Pets in household
Yes
No

If YES, please list pets below with detailed information about their temperament
 

LIFESTYLE:

Employment

Please note, if employed outside the home you will have to get permission from your employer to bring a puppy to work with you.

Hours of work

Other interests and activities

Holidays planned in next 18 months

DOG EXPERIENCE: Whilst preferable, it is not a prerequisite to be considered as a puppy raiser.  
Support and training is given throughout the entire period the puppy is with you.

Have you had previous experience with dogs?
Yes
No

THE MOBILITY DOGS' PUPPY: Are you . . .

able to take out for daily exercise
able to spend minimum of 10 minutes per day working on basic commands
able to socialise dog in various environments - eg malls, cinemas, public transport, restaurants
willing to raise dog with good manners that understands rules and boundaries
willing to have dog sleep inside
willing to have dog travel in your car
able to attend fortnightly meet ups and training
able to provide info about dog when requested by trainer

Finally, please tell us WHY you would like to become a puppy-raiser for Mobility Dogs