Paws of Love Application - Orange Ribbons for Jaime

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Family members in home

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Age of applicant *

Applicant occupation *

Name and age of each family member in the home *

Occupation of each household member *

Please let us know how your family has been directly impacted by gun violence. *

When did this occur? *

What do you think a support animal would provide for you or your family? *

Do you have someone who can take care of the dog on a consistent basis? *

What kind of home do you live in? (house, apartment, condo, etc.) *

Do you have the financial ability to care for the dog on an ongoing basis? *

Will you be willing to share updates on your pup should you be eligible? *

How did you hear about us? *

What role do you think a dog will play in your life? *

For how many hours do you think the dog will be alone during the day?

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The PDSA says dogs shouldn't be left alone on a regular basis for more than four hours. Modern Dog Magazine says crated dogs shouldn't be left home alone for more than three or four hours. PAWS Chicago, a nonprofit no-kill shelter, says five to six hours is the max for an adult dog.

Do you or your family currently have a dog? *

If you do please provide details on name, age, & breed. *

Have you or your family previously had a dog? *

If you have, please provide more details of when you had the dog and for how long. *

Do you have any other pets? *

List them below including type of pet and age of pet. *

Do you have a yard for the puppy to exercise and run around in? If yes, is it fenced in? *

Do you have an idea of costs for grooming in your area (as goldendoodles require regular grooming)? *

Do you have a vet you already know of and would use? *

If you go away do you have a dog sitter in your area you would use? *

If you work, do you have any dog walking services in your area? *

Does everyone in your family want a new puppy? *

Is there anything else you would like for us to know? If so, please provide a personal statement.

Would you be willing to provide us with photo updates of your pup? *

References

Please list the name and phone number of three references as well as their relationship to you. 2/3 references cannot be friends or family.

Reference #1 Name *

First

Last

Reference #1 Phone *

Reference #1 Relationship *

Reference #2 Name *

First

Last

Reference #2 Phone *

Reference #2 Relationship *

Reference #3 Name *

First

Last

Reference #3 Phone *

Reference #3 Relationship *