Apply for a BRAVEHOUND↵

To begin the process of finding you a companion dog, please fill in the questionnaire below.

If you would prefer to download the questionnaire in a printable format (pdf), click the PDF icon. Once the pdf has downloaded, please print, complete by hand and post to us. Please telephone or email us if you have any queries.

BRAVEHOUND Companion Questionnaire
Name | Address | Contact Details
Title
First Name *
Last Name *
Address *
Email *
Home Telephone
Mobile
Date of Birth dd/mm/yy
Your Military Service Details
Branch of Service (e.g. Army, RN, RAF, MN)
Service No.
Regiment, Ship etc.
Date of Joining
Date of Discharge
Details of where you served and rank
Decorations
Your Household
How many people live in the household
Number of Adults
Number of Children
Children's Ages
Do you have regular visitors to the household
Number of Adults
Number of Children
Please describe below how often they visit and the ages of the children
What type of accommodation do you live in
Do you
Do you have a garden
Is it fully enclosed
Please describe below the height and type of fence
Are you planning on any of the following
A Baby
Moving House
Change of working hours
Holiday in the next three months
Present Working Hours/Commitments. Are you currently
Do You
Have you or anyone in your immediate family ever been convicted of abusing or being cruel to an animal
How many hours on average would your dog be left alone daily
Have you considered taking your dog to work with you
Do you own another dog/dogs
If yes please fill in the details below
Breed
Gender
Age
Last Vaccinated
Neutered
Do you own any other pets. Please detail below
Have you owned a dog before
Please provide details
Are you applying for a Bravehound or Training Support for your own dog?
Would your new dog come into contact with other dogs on a regular basis
If yes please specify
Please use this box to note down any other information that you feel might relate to your application
e.g. how much exercise, training and socialisation you could provide etc….
TERMS AND CONDITIONS – PLEASE READ AND TICK BUTTON TO AGREE
You are over the age of 18
.
If you live in rented accommodation, you will undertake to provide proof of the allowance of dogs in your property before any dog can be reserved for adoption.
.
I agree to Bravehound discussing my suitability with PRU and /or other health professionals
.
Additional information upload here
How did you hear about the Bravehound programme
Date : dd/mm/yy
Thank You for your time

Verification
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Some of the applications have been submitted to us without a telephone number or email address.
We apologise that we are unable to respond to these as there is no way to contact you.
The submission form now makes these fields obligatory. We apologise for any inconvenience and ask you to re-submit your application. Thank you.