|
|
|
|
|
|
Program
Information (check all that apply)
|
|
1.
|
We train Assistance Dogs
|
|
|
|
Owned by our assistance dog
applicants that
|
|
|
|
|
Live with the applicant during the
____ weeks of training.
|
|
|
|
|
Are boarded at our facility during
the ____ weeks of training.
|
|
|
|
|
Live with a foster family during
the ____ weeks of training.
|
|
|
|
|
Live with a volunteer/paid (circle
one) trainer during the ____ weeks of training.
|
|
|
|
|
Other: __________________________
|
|
|
|
That we acquire from
|
|
|
|
|
Our own breeding program.
|
|
|
|
|
Donations of pure breed puppies.
|
|
|
|
|
Donations of pure breed adults.
|
|
|
|
|
Donations of mixed breed puppies.
|
|
|
|
|
Donations of mixed breed adults.
|
|
|
|
|
Shelters/pounds/humane societies.
|
|
|
|
|
Breed rescue organizations.
|
|
|
|
|
Other: ________________________________________
|
|
|
|
2.
|
Puppies that we acquire are raised
by
|
|
|
|
Foster families.
|
|
|
|
Assistance dog applicants.
|
|
|
|
Other: __________________________
|
|
|
|
3.
|
Vet, food and other costs incurred
during the dog's training
|
|
|
|
Are the responsibility of and paid
for by the assistance dog applicant.
|
|
|
|
Are the responsibility of and paid
for by our program.
|
|
|
|
Other: __________________________________________
|
|
|
|
4.
|
We teach assistance dog applicants
|
|
|
|
To train their own dogs (or
dogs we acquire for them) by attending
|
|
|
|
|
Group instructional classes at our
facility and surroundings.
|
|
|
|
|
Private instruction at our facility
and surroundings.
|
|
|
|
|
Private instruction at their home
and surroundings.
|
|
|
|
|
Other:
______________________________________
|
|
|
|
To work the dogs that we have
acquired and trained by attending
|
|
|
|
|
Group instructional classes at our
facility and surroundings.
|
|
|
|
|
Private instruction at our facility
and surroundings.
|
|
|
|
|
Private instruction at their home
and surroundings.
|
|
|
|
|
Other:
______________________________________
|
|
|
|
To work their own dogs that
we previously trained by attending
|
|
|
|
|
Group instructional classes at our
facility and surroundings.
|
|
|
|
|
Private instruction at our facility
and surroundings.
|
|
|
|
|
Private instruction at their home
and surroundings.
|
|
|
|
|
Other:
______________________________________
|
|
|
|
To use their dogs in animal
assisted activities and therapy.
|
|
|
|
5.
|
If, for the ____ days of our
assistance dog applicant instruction,
|
|
|
|
The applicant is required to travel
to and reside at our training site,
|
|
|
|
|
The applicant pays for
travel lodging food expenses.
|
|
|
|
|
Our program pays for travel lodging food expenses.
|
|
|
|
|
Other:
_______________________________________
|
|
|
|
The trainer is required to travel
to and reside at the applicant's locale,
|
|
|
|
|
The applicant pays for the
trainer's travel lodging food expenses.
|
|
|
|
|
Our program pays for the trainer's
travel lodging food expenses.
|
|
|
|
|
Other:
______________________________________
|
|
|
|
6.
|
We train or facilitate the
following types of assistance dogs
|
|
|
Service Hearing Guide
Social/therapy Other: _______________________
|