Please select the contact person from the Pet Listing
Spouse's/Partner's/Roomate's Name (if applicable)
Dog/Dogs Being Considered
Please provide me with at least two personal references with phone numbers that
I may contact in regard to your application.
Name Relationship Phone
Name Relationship Phone
Please tell me the name, address and telephone number of your current veterinarian.
If you no longer have a pet, please provide the name and phone number of the last
veterinarian you did use. If this is your first pet, please list the name and phone
number of the veterinarian you would like to use, should you be approved to adopt
Please answer the following questions to the best of your ability
Do you currently own any animals? If yes, please tell me about them. I would like
to know their age, gender, breed, size, general temperament towards other animals.
Do you have children (or regularly visiting children or grandchildren)? If so, what
are their ages and genders? Can you describe for me their interaction with dogs
that you've had either as pets or when they've been around them.
Do you own your own home? If not, please list the name and telephone number of the
homeowner/landlord. What type of home do you live in: house, apartment, condominium,
etc. Please describe your home to me. (Do you have a yard; if so, is it fenced?)
Does your family live in an urban, suburban, or rural setting?
How many hours a day will the dog be left home alone? When you are not home, where
will the dog be (outside in pen, outside tied to run, outside in yard, inside free,
inside enclosed in an area, or inside in a crate)?
What are the reasons behind your decision to adopt a dog now?
Why have you decided on the dog/dogs that you have applied for?
If you have previously owned dogs or other pets, please let me know about them,
and their current status (passed on, lost, given away, stolen, etc.).
Please do your best to describe the lifestyle of your family. What activities do
you do or do you plan on doing with your dog/dogs?
Do you travel often? If so, what do you plan on doing with your dog while you travel?
Who do you believe will be mostly responsible for the care of the dog?
Please tell me how much training you are willing to do with your dog. Do you plan
on taking your dog to puppy or obedience classes? Have you previously trained dogs?
What level of training are you seeking in your new dog or puppy?
Will your new dog or puppy be allowed on the furniture or beds? If not, will you
have dog beds available for them? Where will the dog sleep each night, for example
on a dog bed in your bedroom, in a crate, on your bed etc.
Where and how will the dog be exercised each day?
How do you plan on disciplining your new dog or pup when needed?
Do you feel as though you have a thorough understanding of all the expenses that
go along with dog ownership?
Do you feel as though, regardless of the expense, your dog will always receive regular
medical care needed throughout his/her life?
Are you financially able to give your dog the proper nutrition needed daily? Many
times this could involve special dietary foods or supplements needed to keep your
dog healthy and as preventatives against further medical needs (for example but
not limited to heartworm preventative, flea/tick preventatives etc.)
I often get many applications for the same dog -- in the event that the dog you
wish to adopt has already been adopted, would you like me to keep your application
on file for when another similar dog becomes available? If so, please let me know
the qualities that are important to you, (ie gender, size, breed, age limits etc.)
Thank you for your interest in adopting a rescued dog.