Puppy Raiser Application
Thank you for applying to be a Puppy Raiser for Michael’s Angel Paws. Please complete this
application with as much information as possible. If you need more space, please feel free to add
additional pages.
Name(s): _____________________________________________________________________________________
Address: ______________________________________________________________________________________
City: ________________ State: _____________ Zip Code: _________
Home Phone __________________________________ Work Phone: _______________________________
Cell Phone: ___________________________________________________________________________________
Email: _________________________________________________________________________________________
Emergency Contact Information: ___________________________________________________________
Street Address: ______________________________________________________________________________
City: _____________________________________________ State: ____________ Zip Code: ______________
Home Phone: ____________________________________ Cell Phone: _______________________________
Work Phone: _________________________________________________________________________________
Relationship: _________________________________________________________________________________
Are you 18 years or older? _______ Yes ______ No
Do you rent your home? Y__ N__ If your rent, who is your landlord? Name and phone
number: _____________________________________________________________________________________
Place of Employment: _______________________________________________________________________
Street Address: ______________________________________________________________________________
City: _____________________________________________ State: ____________ Zip Code: ______________
Work Phone: ____________________________________ Fax: _____________________________________
Michael’s Angel Paws
Puppy Raiser Application
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Do you anticipate any changes in your employment situation? ( ) Yes ( ) No
If yes, please explain: ________________________________________________________________________
Do you work: ( ) Full time ( )Part time
Hours/week: __________________________
How long have you worked at your present job? ________________________________________
Do you own a reliable vehicle? Y__ N__
Please indicate what experience you have in the health care and handling of dogs.
Please be specific (i.e. have taken a pet first aid course, training classes, volunteered
with dogs etc): _______________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Do you have pets of your own? If so, please state what type, how many and their
ages: __________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Are your current pets spayed/neutered? When were their last vaccinations given?
(NOTE: proof may be requested.)___________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Do you have any children in your home? If so, how many and what are their ages?
_________________________________________________________________________________________________
_________________________________________________________________________________________________
How many adults live in your household? _________________________________________________
Are they aware of your intent to foster? ___________________________________________________
Is anyone in your household allergic to animals? _________________________________________
Please explain how and where you plan to house your puppy:_____________
_________________________________________________________________________________________________
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Puppy Raiser Application
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How much time will you have to spend on your puppy during the weekdays?
______________________________ On weekends? ______________________________
It is important that our puppies be exposed to many new situations. Please list
places that you regularly visit that your puppy would be able to accompany you to:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Name two diseases common to dogs:
1. _________________________________________________________________________________________
2. _________________________________________________________________________________________
Please indicate whether you have successfully completed a dog training class. If so,
when and where?
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Describe your philosophy for dog training for obedience and for manners around
the house: ____________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
I understand that as a Puppy Raiser for Michael’s Angel Paws, it is my responsibility
to be aware of and abide by all current regulations pertaining to the Puppy Raising
Program. I understand that all pups/dogs that I foster through Michael’s Angel
Paws are the property of Michael’s Angel Paws and will remain so until such time as
the dog is legally placed. I understand that Michael’s Angel Paws reserves the right
to inspect my home at any time and may remove foster animals at their discretion.
X ______________________________________________________ Date: _________________________________
(Signature of Applicant)
Michael’s Angel Paws
Puppy Raiser Application
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Office Use Only
Approved: _______________________________________________ Date: _____________________________
(Michael’s Angel Paws Representative Signature)
Michael’s Angel Paws
Puppy Raiser Application
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