Applicant's Name:
*
First Name
Last Name
Co-Applicant's Name:
First Name
Last Name
Address:
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email:
*
Primary Phone:
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(###)
###
####
Alternate Phone:
(###)
###
####
Occupation:
*
Is there a specific dog in our program that you are interested in? If yes, whom?
*
Why do you think you'd be a good fit for this particular dog's personality/temperament? (If you haven't yet, this would be a great time to read the Petfinder bio of the dog for which you are applying to learn if they have special needs, behavioral issues and/or an energy level that jives with your family's lifestyle. We aim to place our rescues in the homes best suited for their individual needs. You can also find detailed info about our ethos and adoption process on our Petfinder page. )
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Preferred Age:
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Young
Mid-life
Senior
No Preference
Preferred Activity Level:
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High Energy
Medium Energy
Calm
No Preference
Preferred Size:
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Small
Medium
Large
No Preference
Preferred Gender:
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Male
Female
No Preference
How soon are you available to begin a Home Trial Visit? If we have multiple approved applications, this could be a deciding factor in who we choose.
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Will the pet be allowed inside the house?
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Yes, this will be an indoor pet
No, this will be an outdoor pet
This will be an indoor/outdoor pet
How long will your pet be left alone daily without humans?
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Where will your pet stay when you are away from your home?
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Are you familiar with crate training during your absence and/or at night?
Yes
No
Somewhat
Have you completed any basic dog obedience classes either in a group setting or one-on-one? If yes, please tell us about it.
Does your yard have a secure fence?
Yes
No
Will he/she be walked and/or allowed to exercise outside daily?
Yes, every day
Yes, most days
On occasion
No, not possible
We generally require working breed knowledge and/or experience for those wanting to adopt our more demanding breeds (GSD, Belgian Shepherd, Malinois, etc.). If applying for a working breed, please tell us about your breed knowledge.
What is your age and the age of the other human members of your household?
Before we assign a volunteer to process your application, is EVERYONE in the household in agreement about adopting this pet? If not, PLEASE have that talk PRIOR to submitting this application.
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Does anyone in your household have allergies to animals? If yes, how do you combat them?
Tell us a little about your (family's) lifestyle, including any special activities in which your pet would be included:
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May we visit your home prior to application approval?
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Yes
No
List and describe all of the pets you've had in the past 10 years, both living and deceased (species, sex, indoor/outdoor, spay/neuter, etc).
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Are you aware that routine maintenance and costs for a pet is an average of $1,000 annually?
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Yes
No, tell me more.
We require a documented history of yearly vaccinations, flea and heartworm prevention to be considered for this pet. Are your current pets (or were your late pets) UTD on yearly vaccinations, heartworm and flea prevention? We WILL confirm this with your veterinarian and ask for a reference. This is non-negotiable.
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Please provide the clinic name, address and phone number of your current or late pet's veterinarian so we can confirm this. If current/prior pets are listed above and this question is unanswered, your application will be considered incomplete and therefore voided.
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List any additional vets/clinics you've used in the last 3 years.
Where do you purchase prescription heart worm preventative, if not from a veterinarian?
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Have you ever sold, given away or surrendered a pet to a shelter?
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Yes
No
If yes, please explain why:
Have you, or any member of your household, ever been cited for leash law violations or cruelty to animals in the past?
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Yes
No
If yes, please explain why:
How long have you lived at your current address?
*
Less than one year
1-5 years
5-10 years
more than 10 years
Rent or own (own means the home is in YOUR name) ? Please be honest, as we will verify.
*
Rent
Own
If you rent, you MUST provide your landlord's name and phone number. If you answered 'Rent' to the above question and this section is unanswered, your application will be considered incomplete and therefore voided.
When you move, or evacuate due to weather, what do you do with your pet?
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Are you aware of your state and local ordinance regarding licensing and leashing dogs?
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Yes
No
I may need to double check to be sure
Please tell us how you found us:
*
Google search
Referred by friend/relative
Advertisement
News/Media
Event/Fundraiser
Other
While we absolutely DO read each submitted application, please understand that we will ONLY reach out to you if you are selected as a match for one of our rescue dogs. While we'd love nothing more than to respond to all applicants, we just do not have that kind of volunteer manpower here at our small but mighty rescue. Once your application is successfully submitted you will be redirected to our 'Adoption Process' page which will explain, in great detail, how we select our adopters.
I understand and will read about your adoption process once I click SUBMIT on my application.
I don't understand and will call, text and email you to ask you for info that is readily available to me on the following page.