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2024 - 2026 Puppy Raiser /Canine Caregiver Application & Contract
Application to be a Puppy Raiser for YSDI, Contract included after the application.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Mailing Address
Your answer
Zip Code
*
Your answer
What is your physical address if different from your mailing address?(Needed for delivery and pick up of program canines).
*
Your answer
State
*
Your answer
Phone Number
*
Your answer
Have you ever been convicted of cruelty to animals?
*
Yes
No
If "Yes" please explain.
Your answer
Do you agree to random home checks at any time before or during the Prospect SDIT's stay with you? (May be a virtual visit by Google Meet, Zoom, etc.)
*
Yes
No
Do you agree to keep in touch weekly with your assigned YSDI Area Supervisor and send them any video or accommodate and agree to any visits or meetings they may request?
*
Yes
No
Maybe
Other
When will you and your household be ready to obtain the assigned SDIT Prospect?
Today
Within a week
Within a month
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Is anyone in your home allergic to dogs?
Yes
No
Clear selection
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