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Puppy Raiser and Temporary Carer Application

Please complete the form below to submit your application to the Puppy Raising Program or Temporary Care Program. Once submitted, your application will be reviewed by the Guide Dogs NSW/ACT Puppy Development Team. Successful applicants will be contacted and invited to attend a Puppy Raising Information Session. Please note that as part of the application process, Guide Dogs NSW/ACT will also conduct a House and Yard Inspection.

All fields marked with * are required fields.

Apply to become a Puppy Raiser or Temporary Carer

CONTACT INFORMATION

RESIDENTIAL ADDRESS

POSTAL ADDRESS (if different from residential)

HOME LIFE

Please note that the primary carer / handler must be at least 18 years of age.
Please note that the role of a Puppy Raiser is physical and involves lifting, twisting, stretching, bending, kneeling and squatting on a repetitive basis, as well as managing unpredictable pulling on the lead.

Please list the number of people residing in the home in each of the following age categories.
Please note that is not recommended that pups be placed with children under 4 years of age.

Pet #1

Pet #2

Pet #3

PREVIOUS EXPERIENCE AND COMMITMENT

Please note that these sessions run for typically 1-2 hours, and are generally weekly for the first 2 months, and then fortnightly thereafter.
Please note if working full time, the pup must be allowed to attend work with you. Work hours must also be flexible to allow the pup to attend regular meetings regardless of work status.

DIGITAL SIGNATURE

By typing in your name below and submitting this form, you verify that all information you provided in this form is true and accurate.