Puppy Raiser Application
Before completing this form, please review the following list of responsibilities
that Alpha Bravo CanineTM expects you to do with your puppy. Early
experiences help insure success in later training!

This program is a two (2) year commitment
- Provide a safe environment for a puppy who will be the only dog under 1-year
old in the house
- Lots of love and snuggling
- Lots of daily exercise – long walks, runs, play time
- Diligence with housebreaking
- Regular attendance to SD puppy training classes
- Special games at least twice a week
- Car rides all the time
- Walks in populated places
- Walks in parks and forests – especially important for young puppies to
increase their learning capacity
- Go inside to new and interesting places at least once a week (field trips)
- Take the puppy to meetings so it learns to wait quietly
- Discourage barking, except during playtime
- Absolutely NO feeding from the table – use the dog dish ONLY.

**To become an Alpha Bravo CanineTM puppy raiser you are not expected to
be a professional trainer, but we do ask that you are willing to learn our
positive training methods only and to provide consistency in routine and
training while the dogs are in your care. **

To begin the application procedure to volunteer your home to help raise a
service dog puppy, please provide the following information.

Personal Information
Name *
Your answer
Email *
Your answer
Address *
Your answer
Home Phone *
Your answer
Cell Phone
Your answer
Any other information you want us to know:
Your answer
Home Information
What kind of home do you live in? *
What type of community do you live in? *
Do you have a fenced in yard / area? *
Who currently lives in your home? Please list names and designate child or adult *
Your answer
Do you have any other pets in your home? If so, list type, name, age, and are they spayed / neutered? *
Your answer
Daily Schedule
What is your normal daily schedule? Work, retired? *
Your answer
Who in your home will be responsible for training and/or will this be a shared responsibility? *
Your answer
Experience and Availability
Do you have any experience with dogs? If yes, please explain *
Your answer
Will the service dog in training be left alone at home? If so, how often / how long? *
Your answer
References from people who know you best
One professional and two personal
Professional Reference
Name *
Your answer
Email *
Your answer
Phone *
Your answer
Relationship *
Your answer
Personal Reference #1
Name *
Your answer
Email *
Your answer
Phone *
Your answer
Relationship *
Your answer
Personal Reference #2
Name *
Your answer
Email *
Your answer
Phone *
Your answer
Relationship *
Your answer
THANK YOU for your interest in Alpha Bravo Canine®.
You will be contacted regarding an interview to determine the feasibility of placement of a dog in your home and the availability of a dog for placement.
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