ALIVE Rescue Behavior Modification Scholarship Application
All questions are required.
Owner Name *
Your answer
Household Members *
List names and ages of all people living in the home.
Your answer
Pets Name(s), Age(s), and Breed(s) *
List all pets in household.
Your answer
Owner's Address *
Your answer
Phone Numbers *
Your answer
E-mail address *
Your answer
Veterinarian Name and Phone Number *
Your answer
Briefly describe the behavior you wish to improve in your pet(s). *
Your answer
Are you seeking funding for: *
Check all that apply
Required
What methods have you already attempted to change your pet’s behavior? Have you already consulted with a trainer? If so, who? Please provide records if available. *
E-mail records to info@aliverescue.org or fax to 773.913.8100
Your answer
Have you consulted with your veterinarian about your pet’s behavior? If so, please explain. *
Your answer
What are your plans for your pet if the behavior modification plan is unsuccessful? *
Your answer
How much time do you expect to spend on working with your pet to modify this behavior on a daily basis? *
Your answer
What can you afford to pay on a bi-weekly or monthly basis for the behavioral modification plan? *
Your answer
Scholarships are based on owner commitment and financial need. Please explain why you would like to be considered for this scholarship. *
Your answer
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