The Long Journey To A New Beginning Animal Shelter
ADOPTION APPLICATION
1) Name of animal you are applying for?
2) Your name:
3) Your street address:
City and State:
Phone number:
Own or rent?
If rent, name and phone number of your landlord:
4) Number of adults in household:
Children:
5) Current animals in the household
6) Animals you have owned in the last 5 years
Name Species Breed
Where are the Pets now?
7) Have you ever given an animal away and if so under what circumstances?
If not, under what circumstances might you see giving up your pet?
8) Are you willing to spend the time adjusting your animal to its new environment and working through problems that may arise?
9) Are you able to provide for your animals medical expenses?
10) Understanding that a dog may live for up to 17 years, are you willing to make that committment for the life of your pet?
11) Are you familiar with the animal control laws in your area?
12) Do you have a fenced in yard?
How will your dog be kept outside?
13) How will you exercise your dog?
14) How many hours will your pet be left alone?
How will he/she be kept while you are away?
15) What will you do with your pet if you go out of town?
16) Does anyone in your family have allergies to animals?
17) Does everyone in your family agree to the adoption of this animal?
18) Who is your current or previous veterinarian?
Phone number?
19) Please provide a personal reference
20) Why do you want this animal?
21) Do you have an active or quiet household?