Puppy Raising Questionnaire

Full Time Puppy Raiser

Occupation(Required)

Business Name(Required)

Business Street Address

Business City(Required)

Business State(Required)

Business Postal Code

Business Telephone(Required)

How many days and hours are you employed weekly?(Required)

Do you feel that you can handle a young dog in training in addition to your everyday responsibilities?(Required)

(Required)

Full-time Puppy Raising

Which state do you live in?(Required)

If you're outside of New England, where are you located?

Are you willing to travel for outings? (Please note that we are located in New Hampshire, however, outings and puppy classes may take place in different areas based on where puppy raisers are located. There will also be a virtual component to provide additional support to puppy raisers.)(Required)

Yes

Personal Information

First Name(Required)

Last Name(Required)

Street Address(Required)

City(Required)

State(Required)

Zip Code (5 digit)(Required)

Phone Number(Required)

Mobile Phone

Email(Required)

How many members in your household?(Required)

Number of children in your household(Required)

Children's ages

What is the best time to contact you and how?(Required)

In case of emergency, name a relative we can call if we could not reach you

Emergency Contact First Name(Required)

Emergency Contact Last Name(Required)

Emergency Contact Phone(Required)

Emergency Contact Relationship(Required)

Are you willing to provide your date of birth for a background check?(Required)

Yes

Birth Month

Birth Day

Birth Year

Training Experience

Do you have previous puppy raising or dog training experience?(Required)

Yes

Are you willing to take field trips and go to places that are not part of your normal routine and follow FRSD rules for training?(Required)

Yes

Do you have any physical limitations that might affect your ability to train a dog?(Required)

Yes

If yes, please explain.

Please describe any other dog experiences you have had, particularly any positive or negative.

Are you willing to provide progress reports and meet regularly for training sessions with the Puppy Program coordinator? (Full-time Puppy Raisers take weekly obedience classes and check in monthly)(Required)

Yes

How soon would you be able to commit and how flexible is your schedule?

Living Environment

Do you own or rent?(Required)

Own

Rent

Do you have a fenced yard?(Required)

Yes

Describe your home and yard and any potential safety issues for a dog

Are you willing to have an FRSD representative do a home check?(Required)

Yes

Other Information

On average, how many hours would the pup be left alone each day, if at all? (Please enter numbers only)(Required)

How did you hear about FRSD?

Why do you want to help us raise a FRSD puppy?(Required)

Do you have a reliable computer and do you readily use email?

Do you have reliable transportation?(Required)

Yes

Would you be willing to post updates about your puppy in training on social media? (Instagram, Facebook, etc)(Required)

Yes

What are your hobbies/interests?(Required)

Is there any other information you would like to provide?(Required)

Submit Questionnaire

By checking this box, I attest that all information in this application is true and correct to the best of my knowledge.

Name

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