Furever Homes Dog Rescue of SETX Application Form

Furever Homes Dog Rescue of SETX Application Form
Applicant Details
Application Status

In progressApprovedDeniedPending more informationOn HoldWithdrew
Applicant Name
Facebook name if different from above
Name of Dog applying for
Your Age (must be 21 yrs of age to apply)*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number (Mobile)*

Area CodePhone Number
Phone Number (Home)*

Area CodePhone Number
E-mail*
example@example.com
Do you own or rent your home?
If rent- please provide landlords phone number

Area CodePhone Number
Landlords Name

First NameLast Name
I / We live in a*

Single Family HomeDuplex / TwinCondo / TownhomeTrailerApartmentOther
Do you have a fenced in yard?*

YesNo
How high is your fence?*
How many people live in the home
What are the ages of the household
Source of Income
Do you currently own pets?
Dogs*
What is the age, gender and breed of your dogs?*
Are your dogs spayed / neutered?*

YesNo
Are your dogs vaccines current?*
If not fixed and/or not up to date on vaccines then why?
Cats?*
Are your cats spayed / neutered?*

YesNo
What is the age and gender of your cats?*
If not fixed then why?
Other animlas?
Are you familiar with heartworm?*
What do you plan to use as a heartworm preventative?*
Where does the pet stay (be confined) while you are out?*
Is your dog used to other pets?

YesNoOther
Is your cat used to other pets?

YesNoOther
How do you discipline your pets and why? (describe)*
Is there any behavior you will not be able to handle?
Do you have a regular veterinarian?*

YesNo
I will/have called my vet and given permission for FHDR to speak to them*
Veterinarian’s name*
Clinic Name*
Clinic's Telephone*

Area CodePhone Number
Number of hours (average) pet(s) spends alone*
Please provide 3 references that have known you for at least 2 years and can speak to your character and pet ownership
Name

First NameLast Name
Reference 1*

Area CodePhone Number
Name

First NameLast Name
Reference 2*

Area CodePhone Number
Name

First NameLast Name
Reference 3*

Area CodePhone Number
Should be Empty:

Furever Homes Dog Rescue of SETX Application Form

Applicant Details

Do you currently own pets?