Application for a
"Change of Career" Dog

Instructions: Print this form and send it to Dogs in Service Inc. by mail
or FAX (908-996-9912)

Dogs In Service Inc. has a limited number of "career change" dogs available. These dogs, for a variety of reasons, are unable to complete their training as Assistance Dogs that work with the disabled. You will be informed as to why the dog is changing careers. Dogs In Service Inc. makes no guarantees as to the temperament, health or training of the dogs it places in pet homes. The average wait time is from six months to a year. You must contact Dogs In Service Inc. every three months in order to remain on the waiting list. The more flexible you are in terms of breed, age and sex the more quickly a dog may become available. We try to match our dogs with the family that offer the most appropriate home for that dog.

Name
Address
Phone (day)		Phone (evening)
Age and name of everyone living in the household under the age of 18:
Is anyone in your household allergic to dogs?		Asthmatic?
Have you owned a dog before (as an adult)?		What kind(s)?
What happened to that dog(s)?
Name of proposed veterinarian:		Phone Number:
Do you have a fenced yard?		Would you fence your yard?
Do you live in the City?                        Suburbs?                                 Country?
Do you Own?                                           Rent?
Do you live in a                House?                   Apartment?                     Condo/Co-op?
(If you rent, live in a Condo or Co-op please include a copy of your lease or a letter from your landlord/board stating that pets are permitted)
Please list any other pets currently living in your household:
Are you willing to attend obedience classes with your dog?

Dogs In Service Inc. uses primarily Labrador Retrievers and Golden Retrievers. Other breeds are occasionally available including Mixed Breeds, Border Collies, German Shepherds and Rottweilers.

Breed preference:	Golden Retriever			Labrador Retriever				Any			Other:
Age Preference:			Under 1 year			Under 2 years			Any
Gender Preference:			Male			Female			Either
Size Preference:		Small (Under 40lbs)			Medium (40-60lbs)		Large (60+lbs)			Any

I certify that the previous statements are true to the best of my knowledge.

I understand that Dogs In Service Inc. makes no guarantees as to the temperament, health or training of the dog. I further agree to hold Dogs In Service Inc., its employees, staff and board members harmless for any damages or legal fees due to my ownership of this dog.

I understand that a dog needs daily training and attention. The dog will need physical exercise each and every day and grooming at least once a week. The dog will require annual veterinary care as well as veterinary care as needed. I am able and willing to provide these things for the dog for the remainder of its life.

I understand and agree that a representative from Dogs In Service Inc. may make announced and unannounced visits to check on the dog.

I understand and agree that if any part of this document is found to be falsified, or if the dog is found to be neglected or abused that Dogs In Service Inc. will reclaim the dog.

I understand that, at any time and for any reason, if I am unable to continue to own and care for the dog that he/she will be returned to Dogs In Service Inc.

  

__________________________________________                _________________________
                     Signature of Applicant                                                                          Date

 

Suggested Adoption fee (to help defray the costs of neutering and medical testing)	$500.00
Additional donation (Tax deductible donation to Dogs In Service Inc.)
Total donation (Payable to Dogs In Service Inc. when receiving dog)
Check Number

For office use only
Date		Date		Date
	Application Received		Application Renewal		Placement
	Interview		Application Renewal		Home check

Special thanks to our friends at The Barker Lounge for their incredible generosity in fundraising for us.  Their hard work will help us with all of our programs.
	Dogs in Service 1271 Route 22 East - Suite 23, Lebanon, NJ 08833 908-996-9911 FAX 908-236-8883 barking@eclipse.net We'd love to hear from you, whether you need more information,   want to share your experiences with dogs in service, or just want to ask a question.
Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it's the only thing that ever has. - Margaret Mead