New Chapter Representative Interest Form
This form is for groups of puppy raisers of assistance dogs that are interested in partnering with Pawsible Inc. to support their puppy raisers financially. Pawsible Inc. also offers an inter-organizational support network that's focused on puppy raisers and the struggles we face that might not always be addressed by our parent organizations.

Please fill out the questions below to the best of your ability and only complete this form if you are submitting it on behalf of a group of raisers at a university or other location-based grouping. You should be a member of leadership in your group. If you are an individual that is in need of assistance, please contact us directly at pawsibleinc@gmail.com
Email address *
First & Last Name *
Pronouns
Puppy Raising Instagram Handle *
Location of your Puppy Raising Group (if university group please include name of university)
Puppy Raising Parent Organization *
Costs that Parent Org covers (Check only those that fully apply) *
Required
Approximately how many individual puppy raisers and puppies are in your group? Do not include current prospective raisers or past raisers/dogs
Active Puppy Raisers/Sitters
Current Puppies-in-Training
1-5
5-10
10-15
15-20
20-30
30-50
50-75
75-100
100+
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