Adoption Application

Your privacy is our top priority. We will not sell or share your information outside of our organization.

Your application will be used solely for adoption screening.

You can request to withdraw your application at anytime.

Adopter's Information

First Name

Last name

Phone

Employer

Home Address

Spouse/Partner's Information (Please enter NA if this section does not apply to you.)

First Name

Last name

Phone

Employer

Dog Preference

I would ilke to adopt

Household Information

How many adults reside in your household? Please also list the age.

How many children reside in your household? Please also list the age.

Is any household member allergic to animals? If yes, please specify the animal type.

Residential Information

If renting, landlord's approval and lease showing pet policy are required.

Landlord's contact information

Lifestyle

What kind of activites do you frequently do during your day off or weekends?

How many hours per day will the dog be left alone?

Where will the dog stay when no one is at home?

Where will the dog stay during the day?

Where will the dog sleep at night?

Experience with Animals

If yes, please provide details.

If you have experience with other animals, please also provide details.

If yes, please provide details.

Pet Care

Please list the household members who will provide the care to the adopted dog.

Please describe the methods you will use to train the dog, including obedience and potty training.

Please describe the activities you will do with your adopted dog.

Please describe normal, typical dog behavioral problems with any age?

What will you do if your adopted dog does not get along with your present pets?

What will you do with your adopted dog if you have to move?

What will you do with your adopted dog if you go on vacation?

What will you do with your adopted dog if you are expecting a child?

If your answer is no, please provide the person's contact information who will be financially responsible for your adopted dog.

What do you consider acceptable reasons to give up a pet?

If there is anything you would like us to know, please feel free to leave you comment(s) here!

Declaration:

By submitting this application and providing my printed legal name, which carries the same legal responsibility as my signature, I certify that all the information provided in this application is true and accurate to the best of my knowledge. I understand that completing this application does not guarantee the adoption of a dog. I authorize the verification of all information provided, including but not limited to contacting references and conducting a home visit.

Printed Legal Name

Thanks for submitting! We will contact you within 3-5 business days if you are selected for the interview!