Dog Adoption application

 

 

Adoption Application
 PLEASE READ CAREFULLY!!
 Thank you for taking the time to fill out our questionnaire. The purpose of this application is to learn a little about your
family and home so that our organization can make the best possible match for both you and our rescue animal. Our main
concern is placing our animals in a compatible home with a family that will give them a LIFETIME commitment of love and
proper care. This consultation process is designed to help us determine if the adoption is in the best interest of both the
animal and the adopter. Please be aware that while completing this application does not bind you to adopt one of our animals,
neither does it guarantee that we will place one of our animals in your home at this time. If you are interested in learning
more about one of our animals, please answer the questions honestly and thoroughly.

Some animals may need some extra time and patience to adjust to yet another new home. Some may need housetraining or
other types of training, and some may just need a little extra love and patience. All animals, regardless of their background
and history, go through an adjustment period when they go to a new environment. There will be a period of a few days,
weeks or in some cases months during which your new pet’s personality is emerging and growing while you get to know one
another. Please remember that this is a stressful time for an animal and hopefully we will be able to work together to make
this a lifetime relationship for you and your rescue pet. You can call on us at any time to help you in any way. With this in
mind, please answer the questions on the application to the best of your ability.

We reserve the right to refuse adoption to anyone for any reason. A representative of our group may conduct home visits
prior to or following an adoption, and our group has the right to reclaim an animal following an adoption if unsuitable home
conditions, evidence of neglect, abuse or other mistreatment of the animal are found on this visit.

IN ORDER TO BE CONSIDERED AS AN ADOPTER TODAY, YOU MUST:

* Be 21 years of age or older.
* Have identification showing your present address.
* Have the knowledge and consent of your landlord.
* Be willing to have a rescue representative visit your home by appointment.
* Be able and willing to spend the time and money necessary to provide training, medical treatment and proper care for a
pet for the entire life of that animal.

 

Please provide the following contact information:

Applicant #1 Name

Age

Applicant #2 Name

Age

Relationship to applicant #1

Address

 City                                                                      State                                   Zip

     

 Home Phone Number            Work Phone Number

  

 Cell Phone Number

 E-Mail address:

 Best way/time to contact you:

Applicant #1 name and address of employer

Occupation

Applicant #2 name and address of employer

Occupation

When will you be ready to adopt a dog?

Are you currently working with any other rescue groups or animal shelters to find a rescue pet?

Is there a specific dog you are interested in adopting from us? If so which one? Or are you interested in having us help you find a match? 

If not, what type of dog are you looking for?

 

Do you have any children?  If yes, what are their names and ages?

Please list the name, age and relationship of any other people living in the residence.

Do you own or rent?

If you rent, what is your landlord’s name and telephone number?

Do you have a fenced in yard?

If yes, please tell us the type and fence height:

Please list your current pets:

Name                                        Age                 Breed           Spayed/Neutered?

Please list your previous pets:

Name                                        Age                 Breed            Spayed/Neutered?

Please list your veterinarian’s name and phone number

Reference #1 Please provide the name, relationship, phone number and e-mail address of someone who can provide thorough responses to questions about your suitability as a pet owner:

Reference #2 (non-family member please)  Please provide the name, relationship, phone number and e-mail address of someone who can provide thorough responses to questions about your suitability as a pet owner:

Is the whole family in agreement with adopting a rescue pet?

 

Do any members of the family have allergies to animals?  If so, how are they treated?

Why have you decided to adopt a dog / puppy?

Will this be your first dog / puppy?

Have you ever surrendered a pet to a rescue group or shelter?

Have you ever given away or placed a pet into another home?  If so please explain.

Have your current pets been tested for heartworm?

Are your current pets on a heartworm preventative?  If so, what brand name are you using?

Is someone home during the day?

What are the work hours of all household members?

Where will your pet be kept during the day?

Where will your pet be kept at night?

Who will be the dog's primary caretaker?

Please describe your exercise plan for the dog?

Please describe your house-training method for the dog?

Please describe your obedience training method?

Are you willing to crate train your new dog?

Do you plan to take your dog to an obedience training class?

What conditions or circumstances would cause you to give up your animal?

What would you do if your dog bit somebody?

If you become unable to care for your pet please list the name and number of the individual that would care for them.

Questions or comments:

By placing your initials in this box you acknowledge that you have answered all of the questions truthfully to the best of your ability and understand that we reserve the right to reject an application for any reason that we discover during the application process: