Puppy Raiser and Guide Dog Boarder Application

Thank you for your interest in Guide Dogs of Texas. We rely on volunteers to help us meet our mission of increasing mobility, freedom and independence for Texans with blindness through education, support and training with professionally trained and personally matched guide dogs.

Your Name(Required)

Prefix First Middle Last Suffix

Date of birth(Required)

Which role are you interested in?(Required)

Puppy Raiser: Raise and train a puppy from 8 weeks to 14 months old.

General Boarder: Take a guide dog or puppy in training home for short term stays.

Weekend Boarder: Take a guide dog in advanced training home on weekends only.

Please check all that apply.

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

What is your preferred method of contact?(Required)

This application will be followed up with a phone interview. Please specify below your preferred contact day and time.

What is your preferred contact day and time?(Required)

The gender, pronoun, and ethnicity fields below are optional. Please feel free to scroll past or fill them out as you like. Fields with a little red star after the name are required fields.

Gender

Pronouns

Ethnicity

American Indian or Alaska native

Asian

African American

Hispanic, Latino or Spanish Origin

Middle Eastern or North African

Native Hawaiian Or Other Pacific Islander

White

Prefer not to answer

What is the size of your household? If you have children, please specify the ages.

Are you currently employed?

Work in office

Work from home

Employed; working 1-32 hours per week

Employed; working 33 hours or more per week

Not employed, looking for work

Not employed, NOT looking for work

Retired

Disabled

Please check all boxes that apply to your employment status.

If you are employed or a student, we will want to visit your place of work or school. Please describe your day and tell us about your employer’s or school’s policy or attitude about you having a service dog at work or school.

Employer Name

Work Phone Number

Have you raised a dog before?

Do you have pets?

If Yes, describe what breed or species, how many, and how old are they?

Thank you very much for completing this form. Please sign below by typing your name.

Signature (Please type your name)(Required)

Date(Required)

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Puppy Raiser and Guide Dog Boarder Application

Puppy Raiser/Boarder for Guide Dogs of Texas, Inc.