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Adoption Application
 
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 the animal you're interested in adopting.
   
 
IN ORDER TO BE CONSIDERED AS AN ADOPTER TODAY, YOU MUST BE AGE 18 OR OLDER
   
 
Name:
   
 
Address:
   
 
Phone number(s) and type(s):
   
 
Occupation:
   
 
E-mail:
   
 
Do you have any children? If yes, what are their names and ages?
   
 
Do you own or rent?
   
 
If you rent, what is your landlord's name and telephone number?
   
 
Do you have a fenced yard? If yes, please tell us the type of fence and how high it is.
   
 
What pets do your currently have in your household? For each, please give us the following information: Type (dog, cat, etc.), age, whether the animal is altered, and whether it is an indoor pet, outdoor pet, or both.
   
 
Other than the animals previously described, what other pets have you had in the last five years? For each, please tell us the type of animal and what happened to him or her.
   
 
Your veterinarian's name, hospital, city, and phone number:
   
 
Is there a dog or pet limit in your city or county? If yes, what is the limit?
   
 
Does anyone in your home have pet allergies?
   
 
Is the whole family in agreement with adopting a rescue pet? If not, who isn't, and what are their reasons?
   
 
Dog adoptions only:
   
 
You would like a dog for: house pet, guard dog, companion, gift, companion for another dog, or other (please explain):
   
 
What will you do if your new dog chews your belongings or shows other destructive behavior?
   
 
How will your dog be confined to your property (please include all that apply)? In the house; in a crate or kennel; in a fenced yard; on a chain; in a garage; on a patio; other...
   
 
How much exercise do you plan to give your dog?
   
 
Cat adoptions only:
 
You would like a cat for: house pet, mouser, companion, gift, companion for other pet, other (please explain):
   
 
Will this cat be allowed outdoors?
   
 
Do you plan to have this cat declawed?
   
 
What will you do if your cat claws the furniture or shows other destructive behavior?
   
 
All adoptions:
 
Is there a specific animal you are interested in adopting from us? If yes, please indicate the animal's name and type, and tell us why this particular animal. If no, please tell us if there is anything specific you are looking for.
   
 
How many hours will this animal spend alone each day?
   
 
How long do you feel an animal should be given for an adjustment period?
   
 
Are you willing to work with a new pet on any issues he or she may have?
   
 
What behaviors would be unacceptable to you?
   
 
What actions would you take to correct these behaviors?
   
 
Questions or comments:
   
 
Excluding your death, what conditions or circumstances would cause you to give up an animal?
   
 
Will you crate your pet when not at home?
   
 
Where will your pet be kept during the day? And at night?
   
 
Best way/time to contact you:
   
 
Thank you for taking the time to answer our questions. We hope that by going through this process, we will reduce the chance of an inappropriate match both for you and for our animals.
   
 

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