4 Paws for Ability | Guardian Home Application

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Guardian Home Application

Thank you for your interest in becoming a Guardian Home for 4 Paws for Ability! We highly value our Guardian Homes and we wouldn't be able to do what we do without them.

If you have any questions about the form or the process of being a Guardian Home, please feel free to email GuardianHome@4pawsforability.org.

Record Type

Your Name:

Your Date of Birth

Today's Date

Street Address

Apartment Number/Secondary Address Information

City

State

Zip Code

Please enter Your Email Address

Primary Phone Number

May we text you at this phone number?

No Yes

This field is required

Secondary Phone Number

Spouse's Name

Spouse's Email Address

Do you have experience with animals and/or animal training? Please explain:

Why are you interested in becoming a guardian home for 4 Paws for Ability?

What are the preferred breeds you are interested in?

Are you familiar with the breed(s)?

What personality/temperament/energy level do you see as the perfect fit for your home? Please explain.

Employment Information

Are you currently or have you ever been employed by 4 Paws for Ability?

Yes No

This field is required

Occupation/Employer Name

Employer's Phone Number

Employer's Address

Length of Employment

Spouse's Occupation/Employer Name

Spouse's Employer's Phone Number

Spouse's Employer's Address

Spouse's Length of Employment

Living Arrangements

Do you own your home?

No Yes

This field is required

If yes, whose name is on the deed?

Do you rent your home?

No Yes

This field is required

If yes, what is your landlord's name?

Your Landlord's Phone Number

Does your home have a fenced in yard? (This is not a requirement to be a Guardian Home.)

Partial Fence No Yes

This field is required

If you have a fence, please describe it (chain link, wood panels, picket, etc.) and any gates that are part of the fence.

If you do not have a fenced in yard, do you have access to a fenced area?

How do you plan to exercise your dog?

Do you have roommates?

No Yes

This field is required

Please list the names and ages of people who reside in the home.

Are all adults living in the home in agreement of becoming a Guardian Home for 4 Paws for Ability?

N/A No Yes

This field is required

If you have children in the home, have they had exposure to dogs?

No Yes

This field is required

If the children in the home have had exposure to dogs, please describe it (ie. you've had previous dogs, they spend time with friends or family who have dogs, etc).

Please explain your understanding of the responsibilities of being a Guardian Home for 4 Paws for Ability.

Please describe any situations that might prompt your desire to return the dog to 4 Paws for Ability.

Dog Care

Who will do the majority of care for the dog?

Where will the dog reside during the day?

Where will the dog reside overnight?

Where will the dog reside when left alone?

What will you do with the dog when you travel? If they will stay with someone else, who would that likely be?

What is the average amount of time the dog will be left alone in the home on a daily basis?

If the dog will be left alone for 6 hours or longer, what will you do to accommodate the dog's needs?

Pets within the Home

Do you currently have any dogs living in your home?

If yes, please list each dog's name, age, breed, and if they are spayed or neutered.

If yes, are they current on their vaccines?

N/A No Yes

This field is required

If they are not current on their vaccines, please explain.

If yes, are they on heartworm preventative?

N/A No Yes

This field is required

If they are not on heartworm preventative, please explain.

What is the name of your current veterinarian?

Current Veterinarian's Phone Number

Full Name on the Account at your Current Veterinarian

Do you currently have cats or small animals in the home?

If yes, what kind and how many?

Do you currently have any animals that live outside?

No Yes

This field is required

If yes, what kinds of animals?

Have you had any other pets in the last 10 years?

No Yes

This field is required

If yes, please list each animal's name, species, age, gender, and what happened to them.

Participation in the Guardian Program

Are you willing to assume costs associate with travel to and from 4 Paws for Ability?

No Yes

This field is required

Are you willing to assume supply costs OR assume travel costs to pick up supply items from 4 Paws for Ability?

No Yes

This field is required

Are you willing to bring your dogs to 4 Paws for Ability for a temperament test by a member of our staff?

N/A No Yes

This field is required

Are you willing to attend an Online Orientation before your Onsite Orientation?

No Yes

This field is required

Virtual Home Visit

How did you hear about our program?

Please list names and phone numbers and/or email addresses of 3 personal references.

Please choose your preferred forms of communication:

This field is required

Phone Call

This field is required

Text

This field is required

Any Additional Comments

Home Visit

Please upload a photo of the front of your house with a street number visible, your backyard (or the location on the property you will be pottying the dog), and all spaces inside the home that the dog will have access to. If you have more photos, please email them to GuardianHome@4pawsforability.org

Thank you for your interest in becoming a Guardian Home!

Photo

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Please contact mattfrederick@4pawsforability.org if you have questions about a form

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