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GOLDEN OPPORTUNITIES FOR INDEPENDENCE

Walpole Cooperative Bank

Puppy Cam

Call Today!

1-844-GOFIDOG

Become a Puppy Raiser

Application for Puppy Raisers

Volunteer puppy raisers provide our puppies a safe home, healthy diet, socialization and most importantly lots of love.

Puppy raisers are the backbone of what we do. They are a vital element to its development as a future assistance dog. The puppy raising program provides a unique opportunity for volunteers to assist with our mission. We provide our puppy raisers with assistance throughout its development with classes and one on one instruction if needed.

If you have any questions, please do not hesitate to send us a message. We aim to reply within 5-7 business days.

Home Phone Number:

City/State/Zip:

Email:

Name:

What type of residence do you live in? Apartment or Condo House in the city House in a development or subdivision House in the country or a rural area

If you rent, have you obtained permission from your landlord?

How long have you been at your current address?

Where will the dog stay when no one is home? Loose inside my home In a fenced yard or run In a crate

What hours do you work?

What are the projected hours for the puppy being home alone?

Do they get along with other animals?

If you have a dog(s), list the breed, age, spayed or neutered:

Who will be the primary caretaker of the puppy?

Please list other family members and their ages if children:

Do all of the family members agree to attend to the needs and guidelines of the program?

Have you ever raised a puppy or been involved with another guide dog organization or other related organization?

Are you financially able to raise a puppy? (it is your responsibility to pay for food, flea control, veterinary costs and approved brand toys.)

In the event we do not have a Veterinarian Partner in your area, do you have a current vet that you use?

Please provide your vet's contact information. Clinic Name/Vet Name/Address/Phone:

How much time would you be able to devote to exposing the puppy to the environments outside your home and yard?

Do you understand that the commitment of raising a puppy and being a GOFI Puppy Raiser may last more than one year?

Do you agree to attend 2 meetings a month with the service dog puppy?

Comments/Questions:

Address:

Do you rent or own?

What other animals reside in your home? Dog(s) Cat(s) Other None

Will the puppy be allowed to sleep in your bedroom?

How do you plan to provide exercise for your puppy? Fenced Yard Leash walks Put him on a tie-out Allow him to run free

If NO, where will the puppy sleep?

Are you familiar with the use of a dog kennel or crate?

How do you plan to provide your puppy's need to go outside to eliminate: Take him on leashed walks Place him in a fenced yard or run Put him on a tie-out Use a doggie door

Today's Date:

Please enter RAISER below:

Submit

Upon submitting this application to Golden Opportunities for Independence, you can expect to receive a response within one to two weeks. You will be called to schedule an in home visit by an Area Coordinator. If your application is approved, your name will be placed on a waiting list and you will be notified as soon as a puppy is available. SIGNATURE OF APPLICANT(S): by submitting this form, you agree to the terms and conditions set forth in this agreement.