Puppy Raiser / Puppy Sitter / Volunteer Online Application Form

This form will collect your personal information with varying required fields based on the Application Option you choose.

(*) ARE A REQUIRED ENTRY

Your choice will narrow or expand the questions asked below the contact information area.

If you haven't already read the guidelines for becoming a puppy raiser, please read the Puppy Raiser Page AND review the Puppy Raising FAQ prior to submitting an application

If you haven't already read the guidelines for becoming a Puppy Sitter, please read the Puppy Sitter Page prior to submitting an application

Basic Contact Information

Primary Applicant
Primary Applicant
Choose from List
Yes to add
Choose who will be the primary handler
Type of Choose

Applicant Contact Information - Phone & Email

Choose Which Number you prefer being contacted
Check any that apply
Check any that apply
Check any that apply
Note: This email address will also receive a copy of this application for your records

Co-Applicant Contact Information - Phone & Email

Check any that apply
Check any that apply
Note: This email address will also receive a copy of this application for your records

Employment Information

This section will collect the employer information of the Applicant(s) Use the Add Button to add additional employers.

Other Family Members / Roommates

Use the add button for each additional family member / roommate
List Last Name if different from Applicant

Family & Visitor Considerations

Environment Details

Required for Renters
Required for Renters

Other Household Pets

Name, Breed, Age of Household Pets

Use Add button for each additional household pet

Experience with Dogs

Lifestyle

Daily Care

Puppy Preferences --- While OccuPaws attempts to grant any preferences, there is no guarantee, as puppies are selected based on temperament matching to the raiser and program needs.

Provide anything you would like to share with the Puppy Committee about yourself and/or family regarding becoming puppy caregivers.

Puppy Raiser / Sitter (with Public Access) - Terms & Responsibility

Puppy Sitter (No Public Access) - Terms & Responsibility

Agreement and Signature