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BREEDING HOST

APPLICATION

 

Hosting a Breeding Dog makes a life changing impact by bringing more Assistance Dogs into the world for future PAWS Clients. Thanks for applying to be a PAWS Breeding Host!

Please complete the Breeding Host application prior to orientation. You may submit the application online or bring the completed app with you to orientation.

Paws with a Cause

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Prospective Breeding Stock Home Interview

Name
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Age (if minor)
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Address
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City
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State
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Zip
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County
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Home Phone
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Cell Phone
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Work Phone
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Email Address
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Place of Employment/Occupation
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Household Members

Member 1 Name
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Age if minor
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Relationship
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Place of Employment/Occupation
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Member 2 Name
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Age if minor
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Relationship
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Place of Employment/Occupation
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Member 3 Name
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Age if minor
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Relationship
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Place of Employment/Occupation
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Member 4 Name
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Age if minor
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Relationship
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Place of Employment/Occupation
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Name of person responsible for the majority of the dog's care
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Pet Background

Have you ever owned a dog?
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Have you owned any other animals?
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Are there currently any other dogs residing in the home?
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Dog 1 Name
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Breed
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Age
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Spayed/Neutered?
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Have they lived with other dogs?
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How do they behave around other dogs?
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Dog 2 Name
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Breed
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Age
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Spayed/Neutered?
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Have they lived with other dogs?
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How do they behave around other dogs?
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Dog 3 Name
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Breed
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Age
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Spayed/Neutered?
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Have they lived with other dogs?
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How do they behave around other dogs?
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Are there any animals housed outdoors?
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If yes, list here:
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Have you ever trained a puppy or a dog?
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Have you ever whelped puppies?
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Have you ever housed an intact dog in the past?
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If so, please list for whom and describe the experience briefly:
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Responsibilities

Will the dog be left home alone during the daytime?
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How many hours?
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Is your yard completely fenced in?
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If not, do you agree to provide a kennel run or a trolley style tie out for the dog?
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Do you agree to keep the puppy on a leash at all times unless it is a completely fenced in area?
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Do you agree to exercise the puppy daily?
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If housing an intact female, do you have ample room for whelping and care of the puppies once born?
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Do you have support of all family members in the home?
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In the event of family illness, emergency, or vacation time what provisions will be made for the care of the dog?
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Do you feel comfortable with your knowledge of basic dog care and first aid for dogs?
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If not, are you willing to learn?
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Do you have a Veterinarian you are currently using?
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May we contact your veterinarian for a reference?
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Name of Veterinarian:
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Phone
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City
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Address
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State
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ZIP
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How much time are you able to commit for the daily care and training of a dog?
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When would you be available to take a dog?
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Do you have a preference for a specific breed of dog?
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Do you have a preference for a male or female dog?
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If you do not own your home or live in an apartment, do you have permission from the landlord to have a dog?
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Are you aware of the financial commitment (vaccinations, food, obedience classes, monthly heartworm, cleaning/whelping supplies medication) that occurs when housing a breeding stock dog?
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Are you aware of the time constraints in housing a breeding stock animal?
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Please list three personal references:

Reference Name 1
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Phone
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Address
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City
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State
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ZIP
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Relationship
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Reference Name 2
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Phone
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Address
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City
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State
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ZIP
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Relationship
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Reference Name 3
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Phone
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Address
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City
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State
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ZIP
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Relationship
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Breeding Host Classes

Do you agree to attend monthly obedience classes with the breeding stock dog?
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Where will you attend obedience classes?
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How did you hear about the Paws With A Cause Breeding Host Program?
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Why do you want to host a PAWS Breeding Dog?
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