Adoption Application Adoption Application First Things First Tell us about your ideal adoptee (age, gender, playful, calm, protective, social, etc.): * Who would you like to adopt? * Personal Information First Name * Last Name * Street Address * City * State * AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip Code * Email Address * Phone Number * Household Information What is your occupation? * How old are you? * How many people under 21 live in your home, what are their names/ages, and what is their relation to you? * How many adults (21+) live in your home and what is their relation to you? * Type of Housing * Single Family Multi Family Apartment/Condo Townhouse Mobile Home Military Housing Housing Status * Own Rent Name AND email of your Landlord (phone number only if you do not have their email) : * Written landlord approval is required to move forward with the adoption process. Fenced Yard * Privacy/Wood Chain Link Invisible No Fence Note: Fenced in yards are NOT a requirement. Fence Height * Pet Ownership Do you currently own a dog or dogs? * Yes No Please provide the following information for each dog: Name, age, gender, spayed/neutered, up to date on shots * Please tell us about your dog's personality * Please explain how you introduce your dog to new dogs * Have you had dogs in the past? * Yes No Please tell us their current whereabouts: * Do you own any other animals? * Yes No Please tell us about these animals: * Veterinarian Name * Veterinarian Phone Number * Pet Care Dog's living situation (check all that apply): * Indoors Garage or basement Outdoors Guard dog How many hours per day will the dog be alone? * Where will the dog be kept when alone? * How will you exercise the dog? * Where will the dog sleep at night? * Have you ever taken a dog to training before? * Yes No Who was your trainer? (Name and phone number) * Would you take a dog to training again? * Yes No Are you willing to take a dog to training? * Yes No Please explain why you are not willing to take a dog to training. * Are you willing to house train a dog? * Yes No How will you address undesired behaviors (barking, chewing, potty accidents, etc.)? * Under what circumstances would you consider re-homing your dog? (Moving, new child, new job, new dog, unacceptable behavior, etc.) * Final Information Please provide contact information for at least one reference (not related) that can attest to your character: * How did you find out about the dog you are applying for? (Online, at an event, word of mouth, etc.) * Do you have any open applications with another rescue/shelter? * Yes No Any additional information you would like to provide about yourself and/or the dog you would like to adopt: By selecting the checkbox below, you certify that all of the information provided in this application is true. You also understand that any false information can result in a rejected application. * I understand If you are human, leave this field blank.