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Paragon Puppy Raiser/Sitter/Dog Companion Application Form
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Email *
Are you applying to be a
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General Information
First name *
Last name *
Age
 *
Birthday
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DD
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Cell phone number *
Do you consent to being texted by us? *
Street address *
City/Town *
Zip Code *
County *

Co-Raiser Information

(If raising with another person/family outside of your home or if the Primary Raiser is under 18 years old. The Co-Raiser must also submit a completed application)

Please list the co-raisers: 
Name
Address
Phone Number

Home/Life Setting
The following questions will pertain to the conditions present in the home where the puppy will be raised
Do you own or rent your home?
 *
If you rent, is your landlord aware of your intent to raise a puppy?
Clear selection
Please list all people that live in your home.
Provide name, relationship to you, and age of each individual.
*
What does your typical day/week/weekend look like?
 *
Do you expect any major changes in your life in the next year? If yes, please explain.

Name all pets in the home including name, species, breed, age, and if they are spayed/neutered.* 

*If you have current dogs/cats in the home, we will need to see vaccination records that your dogs/cats are up to date on all required vaccines prior to puppy raising.

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How do your current pets get along with dogs?
Poor
Great!
Clear selection
Please describe your response to the question above
Employment/School
Are you in school?
 *
If yes, where and in what year will you graduate?
If you are in college or post-high school training classes, can you bring the pup in training with you to class (when pre-approved by us)? If yes, please describe your class environment. High schoolers do not bring dogs to class. 
Are you employed?  *

If employed, where and what type of work do you do?

If employed, can you bring the pup in training to work with you (when pre-approved by us)? If yes, please describe your work environment and how often you are able to bring the puppy to work. Note: High schoolers do not bring dogs to their jobs.

If you are in school and/or employed and are unable to bring the puppy with you, please describe your plans for the puppy throughout the day.*

*It is our policy not to leave a puppy alone for more than 3-4 hours.

Your Experiences
The next set of questions focus on your experience with dogs and your motivations for applying to be a puppy raiser
Have you ever owned/been full-time guardian of a dog before?
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If so, what breed(s) and size(s)?
Do you have any dog training experience?
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How much time per day do you plan to spend handling, loving, feeding, grooming, toileting, and training the puppy?
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Are you willing to socialize and train the puppy at home and in public?
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Do you have the ability to travel to attend puppy raising classes weekly?
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Why are you interested in being a puppy raiser?
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How do you expect you will feel when it's time to say goodbye to your puppy?
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How did you hear about our puppy raising program?
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Are you comfortable working with other volunteers, staff, interpreters, clients and others from diverse backgrounds?
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Please let us know about accommodations you may need and/OR any conditions that may be relevant to pup handling and exercising:
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Please feel free to share anything else here, including your preferred pronouns:
Below please list 2 or 3 character references who are not relatives. Include name, address, phone number, email, and relationship to you *By filling out these references, you agree to allow a representative from Paragon to contact your character references. *
Things to Consider

These puppies are all service dog candidates and you, as a Puppy Raiser, are expected to uphold Paragon's training, guidelines, and procedures. If you are found not following IHDI's guidelines, training, and/or procedures, IHDI reserves the right to terminate you from the Puppy Raising program.

Paragon staff will make all decisions regarding placement, acceptance into the hearing dog program, training, feeding, care, and medical treatment of all puppies being raised.

Paragon retains ownership of the puppy in a Puppy Raiser's care.

A Puppy Raiser may be asked to return the puppy to Paragon at any time.

Our pups in training are not permitted to go to dog parks. Violation of this rule will result in termination from Paragon’s Puppy Raiser program.

Paragon does not make any guarantee relating to the animals' health, temperament, behaviors, or actions.

Paragon is not responsible for any property damage or personal injury suffered by you, members of your household, including your own animals or any third parties. It is the Puppy Raiser's responsibility to provide adequate controls to prevent such damage or injury.

As the puppies grow and learn, the variety of possible venues will grow as well. However, it is important that puppies are only exposed to settings and experiences that they are developmentally prepared to take part in. Consequently, you can only have the Puppy in Training accompany you to places and experiences pre-approved by the Paragon staff.


By clicking the box below you are stating that you have read through, understand, and agree to all points outlined under the above "Things to Consider"
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Required
Paragon’s NON-DISCRIMINATION POLICY

Paragon strictly prohibits and does not tolerate discrimination against applicants, clients, volunteers or any other covered person because of race; color; religion; creed; national origin or ancestry; sex (including gender, gender identity or expression, orientation and pregnancy); age 40 and over; physical or mental disability; Veteran status; genetic information; citizenship; language; family or marital status; political affiliation; socioeconomic status; or any other characteristic protected under applicable federal, state or local law.

Thank you so much for your interest in raising a puppy with Paragon!
A copy of your responses will be emailed to the address you provided.
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