Pet Dog Adoption Application Form

Thank you for your interest in the CNIB Guide Dogs Adoption program. In order to help process your application, we need to collect some information. This is being collected to help us identify the most suitable home for the dogs available for adoption.

Please note that not every application will receive a response, only those moving forward to a phone interview will contacted.

Hidden Fields

Dog Name

Dog ID

Program

General Information

Please enter the following information below.

First Name:

Last Name:

City:

Province:

Home Phone:

Work Phone:

Work Phone Extension:

Cell Phone:

Email Address:

Date of Birth of Applicant: (DD-MM-YYYY)

Height:

I confirm I have the physical strength to handle a large breed dog

Please note that as part of the application process and prior to being considered for a dog adoption, you will be required to submit a completed background check.

I understand and agree if selected that I will complete a background check.

Home Situation

The following questions will help us learn more about your living environment and its potential challenges.

1. Describe your home and neighbourhood e.g., detached house, apartment, rural, etc.:

2. Do you have a fully fenced yard?

3. What size is your yard?

4. What toilet area would you use for a dog? (Concrete/grass/gravel):

5. If your home is rented, do you anticipate any issues with your landlord or neighbours if you bring a pet dog into your home?

6. How long have you lived at this address?

7. Who else lives in the home? Are there any children in the home? If so, please enter their ages:

8. Does anyone in your home have any allergies to animals?

9. Is anyone in your home suffering from health issues (e.g.: chemotherapy treatment, blood thinners, diabetes, etc.) that may compromise their immune system making them more at risk for animal related diseases?

10. Is everyone in your home comfortable around dogs?

11. Is anyone opposed to bringing a pet dog into the home to live?

12. Do you have any pets?

12.1 Please list what kind of pets and their ages (Please include all species e.g. dogs, cats, rabbits, birds, reptiles, etc.,.):

12.2 Any special consideration with pets? (e.g., Is your dog reactive towards other dogs? Is your cat tolerant of dogs? etc.,.):

Additional Information

The following questions will help us collect additional details that will help in creating a more comprehensive picture of the applicant's needs and situation.

1. What has prompted your adoption application for a pet dog from CNIB Guide Dogs at this time?

2. Have you had any previous dog experience?

2.1 Please describe that experience:

3. Are you able to provide a safe, welcoming and smoke-free environment for a pet dog?

4. What are your expectations for a pet dog?

5. How would you describe your traits/personality?

6. How would you describe your lifestyle?

7. What level of physical activity do you plan to have with your pet dog?

8. Are you committed to provide regular daily walks to the pet dog in different situations and environments?

9. Is there someone in the home during the day?

9.1 If not, what plans would you have to arrange to give the dog the required bathroom breaks?

10. Do you have a backup plan in place for the times when you may need someone to look after the dog when you aren't able to?

11. Are any family members experienced with dogs?

12. What is a typical week like for you? e.g, Activities and hobbies during your free time:

13. Is there a significant amount of travelling throughout the year?

14. Do you go to the cottage?

15. Are you able to afford the cost of dog food and veterinary care for a pet dog for the lifetime of the dog?

16. Are you willing to consider adopting a pet dog with additional known health issues? The potential cost would be discussed prior to adoption.

17. Are you willing to consider adopting a pet dog with known behaviors such as aggression, reactivity, or resource guarding?

18. How did you hear about CNIB Guide Dogs' Pet Dog Adoption Program?

19. If you are accepted to adopt one of the released CNIB Guide Dogs, how soon would you be available to adopt a dog?

20. Would you be willing to sign an agreement stating the terms and conditions of the CNIB Guide Dogs' Pet Dog Adoption Program?

Next Steps

By clicking submit I confirm that the details on this form are true and correct, and understand that this information will be sent to our Adoptions Team for consideration, and that not every application will receive a response, only those moving forward to a phone interview will contacted.

I would like my details to remain on file for a period of 12 months to potentially be considered for other adoptable dogs.

Should your application profile match the dog you are interested in, a team member will be in touch to arrange a phone interview and answer any questions you may have.

Contact Information