Rescue Dog Adoption Application

Starting Over Animal Rescue Dog and Puppy Adoption Application
Starting Over Animal Rescue is an all-volunteer, non-profit, animal welfare organization dedicated to the rescue and placement of stray, neglected and abused animals. Starting Over Animal Rescue is completely funded through fundraising efforts and public donations. All of our pets are cared for by foster homes and receive complete medical care, which includes worming, vaccinations, spaying/neutering and microchipping including in their adoption.
This questionnaire is designed to help Starting Over Animal Rescue and yourself determine if a specific dog is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. Starting Over Animal Rescue reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions!

PLEASE CONTACT YOUR CURRENT VETERINARIAN TO GIVE PERMISSION TO SPEAK WITH US
Applicant Information
Name of the dog or puppy you are interested in:*
Your full name:*
Driver's License Number*
Your age: *
Street Address: length of time at this address*
City, State, Zip*
Home Phone:*

Area CodePhone Number
Work Phone:

Area CodePhone Number
Cell Phone:

Area CodePhone Number
E-mail:*
Employer:
Personal Reference Relationship/Time known/Phone number*
Personal Reference Relationship/Time known/Phone number*
Household Information
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
Who will be the pet's primary caregiver?*
Activity in Household*

QuietAverageActive
Do you live in a*

HouseApartmentCondoMobile HomeOther
Do you own or rent?*

OwnRent
If rent, provide name and phone number of landlord:*
Does your landlord allow dogs?

YesNo
Are there any restrictions from your landlord or subdivision?*

Number of petsSize or weight restrictionsBreed restrictionsNone
Do you have a fully fenced yard?*

YesNo
Height and type of fence
Do you have any of the following?

Underground fenceKennelDog Run
How many adults are in your household?*
How many children are in your household?*
If children, what are their ages?
Have your children been around animals before?

YesNo
Does anyone in your home have allergies to dogs or have asthma?*

YesNo
Current/Previous Pet Information
List any pets you own or have owned in the past five years, and their ages/ please specify cat or dog*
Are they spayed/neutered?*
Where are these animals now?*
Have you adopted from an animal welfare group before?*

YesNo
If yes, what group?
Have you ever given up a pet?*

YesNo
If yes, what were the circumstances?
Please provide the name and phone number of your current and/or previous veterinarian or clinic:( Please call them in advance to give permission to speak with us)*
New Pet Information
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*
Are you aware of crate training?*

YesNo
Have you ever house-broken a dog or puppy before?*

YesNo
How long do you think this will take?*
If the dog has an "accident" in your home, what type of correction do you plan to use?*
How many hours each day will your new pet be home alone?*
Where will your new pet sleep at night?*
How will you supervise the dog's outdoor activity?*
Where will your new dog stay when nobody is home?*
What length of time will you allow your new pet to adjust to his new home?*
Are you willing to work through your new pet's issues, if any?*

YesNo
List the types of behavioral issues you would not find acceptable.*
Are you familiar with positive training?*

YesNo
Are you familiar with treat training?*

YesNo
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo
Do you understand that a dog can be an 18 year commitment, and can cost $300 - $500 per year to care for?*

YesNo
We require all puppies/ young dogs to attend at least one puppy/obedience class. Do agree to these terms?*

YesNo
If yes, where?*
Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for?*

YesNo
What circumstances would lead you to give up your new dog?*
If you had to give up your dog, what would you do with him/her*
How did you find out about Starting Over Animal Rescue?*

Adoptapet.comPetfinder.comFacebookFriend/Family MemberOther websitePetSmartOther
Applicants must be !8 yrs of age (or older), have a valid photo ID with current address, and permission from landlord to own a pet. Starting Over Animal Rescue (SOAR) reserves the right to contact individuals and verify all information, including conducting a home visit and vet check.

To the best of my knowledge the information provided is complete and accurate. I understand that if reference or vet checks do not correspond with the information provided, my application may be declined.
Date
Signature
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Starting Over Animal Rescue Dog and Puppy Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information

Date