All questions must be answered, incomplete applications will be discarded.


Filling out an application does not guarantee approval for adoption. If you are approved we will email or call you. Please follow up your sent application with a separate email to [email protected] to confirm arrival of your application. It takes a couple of days minimum for us to approve and process the applications.


Please, don't forget to click on the "Submit" button when you are finished filling in the application.


Full Name: Spouse's Full Name:


Address:


City: State: Zip:


Phone (H): Phone (Cell): Email:


Place of Employment: Phone (W):


Do you have any children:
Yes
No


- if yes, how many and what ages?:


Please list the names and ages of any other people living in your home:


What hours do you work?: Your spouse?:


How much time will your pet spend alone each day?:


What kind of vehicle do you drive?:


-Will it comfortably hold your pet inside?:
Yes
No


Does anyone in your family have pet allergies?:
Yes
No


-if yes, please explain:



The Pet You Are Interested In


Pet you are interested in:
Cat
Dog


Name of the Pet From our Rescue that you are interested in:


Your Home and Yard


Do you live in a:
House
Apartment
Condo



Do You:
Own
Rent


How long have you lived there? If under 2 years, please give previous address:


If you rent, does your rental agreement permit pets?
Yes
No


If you rent, please provide your landlord's name, address and phone number:


Is your property fenced?
Yes
No


If yes, what type/height is the fence?:


Is your fenced in yard directly accessible from your home?
Yes
No


If no, please explain:


If not fenced, how, when and where will your dog be exercised?:


Where will the dog spend its time alone?:


Where will the dog sleep at night?:


Care and Training of Your Pet


Which member of the family will provide the majority of the care for this pet:


Do you plan to enroll the new dog in obedience class?
Yes
No


Do you believe in dog crates? Why?:


When you go on vacation, where will your dog go and who will care for it?


How long do you feel a dog should be given for an adjustment period?:


Is your family willing to work with a new dog on any issues that he/she may have?:


What dog behaviors would be unacceptable to your family:


Your Other Animals


Have you previously owned a dog or cat?
Yes
No


if yes, where did you get it and what became of it?:


Do you currently have any dogs?
Yes
No


if yes, where did you get it and what became of it?:


Do you currently have any cats?
Yes
No


if yes, where did you get it and what became of it?:


Do you have any other animals?
Yes
No


if yes, how many and what type?:


Name and Phone number of your Vet:


May we call your Vet and ask how you take care of your animals?
Yes
No


if no, why?:


If you do not currently have a pet, how long has it been since you owned one?


Have you ever been charged with animal cruelty?
Yes
No


Have you given up, lost, or euthanized a pet in the past 5 years? Please explain:


if you currently have dogs, cats, or other animals in your home, please fill out the following on each animal:


1. Breed: Name: Age:


Sex
Male Female


Is this pet altered?: Up to date on Rabies?:


DHLPP: Up to date on Rabies?:


On flea/tick preventative?
Yes   if yes, what brand?:
No


What brand of pet food do you use?:


Is this pet and inside or outside pet?:


Where do you leave this pet when it is home alone?:


where does it sleep at night?:


2. Breed: Name: Age:


Sex
Male Female


Is this pet altered?: Up to date on Rabies?:


DHLPP: Up to date on Rabies?:


On flea/tick preventative?
Yes   if yes, what brand?:
No


What brand of pet food do you use?:


Is this pet and inside or outside pet?:


Where do you leave this pet when it is home alone?:


where does it sleep at night?:


General Questions


How did you hear about us?:


Have you ever applied to adopt a pet from us?
Yes   if yes, which pet?:
No


Have you ever applied to adopt a pet from any other rescue or Humane Organization?
Yes
No
if yes, which organization?:
if yes, what were the results?:


Will you allow a representative periodically visit your home?
Yes
No   if no, why?:


What conditions/circumstance would cause you to give up a pet?:


Please, don't forget to click on the "Submit" button when you are finished filling in the application.