Application form

Download document list first. You will need to collect this information before your application will be considered. These need to be submitted either my mail to:

92 Wakefield Street, Breslau, ON, N0B1M0

or scanned and emailed to jacqueline.gori@gmail.com (jpeg photos of documents will not be

considered)

Have you downloaded the document checklist(required)

Yes

What Program are you applying for?(required)

Psychiatric Service Dog Facility Dog

Choose one of the following?(required)

Owner training? Require a fully trained dog?

Do you already own a service dog prospect?(required)

No Yes

Do you drive or are able to attend in person classes?(required)

Yes No

Do you agree to let Partners with Paws use your story for fundraising purposes. This includes photos and videos.(required)

Yes, I agree that Partners with Paws can use information, including photos and videos

First Name(required)

Last Name(required)

Email(required)

Phone(required)

Address Line 1(required)

Address Line 2

City(required)

Postal Code(required)

Are you currently employed? If so please enter your employer and job title(required)

In summary please give us an idea of what your daily schedule is like and how you plan to fit in a Service Dog?(required)

Owning a Partners with Paws dog will require a commitment of ongoing training, how many hours a day are you committed to training your Service Dog?(required)

What is your dog experience and why do you think a Service Dog is right for you?(required)

Are there any other pets in the household?(required)

If you are applying for a Psychiatric service dog are able to provide all the documents on the document list? (This is not applicable to a Facility Dog application)

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