Baltimore Humane Society Dog Adopter Application

Dog Adoption Application

1601 Nicodemus Rd | Reisterstown, MD 21136 | 410-833-8848 Ext/Opt 2
Our goal at The Baltimore Humane Society is to ensure the best possible match for the adopter and animal. Each animal has unique characteristics and specific needs so we make every effort to ensure that animals are matched with suitable adopters so they can remain in their new homes for life.

Please complete the following application to begin the adoption process. This application is for our dogs in general, not for a specific dog in our care. We are open for walk-in visitations on Mondays from 12:00pm to 3:45pm and Tuesday through Sunday from 12:00pm to 4:45pm. NO APPOINTMENT NECESSARY. Please contact the adoption center at 410-833-8848 Ext 2 or animalcenter@bmorehumane.org if you have any questions.
Primary Caretaker's Legal Name:*

First NameMiddle NameLast Name
Date of Birth:*

MonthDayYear
Date
Government Issued ID Number*
(Ex: driver's license, military ID, etc.)
Current Address*

Street Address

Suite/Unit/Apt #

CityState

Zip Code
County of Residence: (City, Baltimore, Carroll, Howard, etc.)*
Are you a college student?*
Email Address*
Cell Phone Number:*
Home Phone Number (if applicable):
Are you a first responder?*
Are you active military or a veteran?*
What are the reasons you would like to adopt a dog from the Baltimore Humane Society? (check all that apply)*

To become a companion for myselfTo become a family dogTo become a companion for a childTo join our guard businessTo train to become a protectorTo become a companion for another petTo become a farm guardian outdoor dogTo be given as a giftTo give a homeless dog a loving homeI am not sureOther
How many people currently live in your home?*

How would you describe your household? (check all that apply)*

QuietActiveBusyLoudCrowdedNoisyOther
What type of housing describes your residence?*

Single family homeApartment/condoTownhouseMobile homeMilitary housingOther
Do you rent or own?*

RentOwnOther
Are there any restrictions regarding pets enforced by your landlord?*
What are the restrictions regarding pets where you live?*
Is there a yard available at your residence?*

YesNo
Is your yard completely fenced in?*

YesYes, but it's a communal dog parkNoNo, but I plan to install a fence
Are you currently employed?*

YesNo
What is your source of income?*
Do you typically work from home or go into the office?*

I work from home exclusivelyI work in the office exclusivelyI work from home and I go into the office
I am adopting for:*

MyselfA family memberA friendOther
Have you ever adopted/owned an animal before?*

YesNo
If you've adopted/owned an animal before, where are they now?*

Live with meRehomed to friend/family memberSurrendered to a shelterRan awayPassed awayOther
Please explain why your animal is no longer in your care.*
Are you committed to taking full responsibility for your new dog's health and welfare for the rest of their life, which could be 10 years or more?*

Absolutely!No
Do you currently have pets living in your home?*

We need to verify your current pets are up to date on their rabies vaccine before adoption. Please upload their most recent rabies vaccine certificate below. If you do not have a copy on hand, please be sure to provide their veterinarian's contact information below.

Upload a clear image or pdf file
Cancelof
Name of Vet Hospital/Clinic*
Phone Number of Vet Hospital/Clinic*
Where will your new dog spend their time when home alone? (check all that apply)*

Indoors - garageIndoors - basementIndoors - own roomIndoors - crateIndoors - free runOutdoors - dog house/penOutdoors - on chain/tie outOutdoors - fenced areaOther
How important is it that your new dog be able to adjust to new situations quickly? (Ex: moving, construction, new roommates, vet visits, traveling, etc.)*

Very ImportantSomewhat ImportantNot Important
On average, how many hours a day will your new dog be left home alone?
Where will your new dog sleep at night? (check all that apply)*

Indoors - free runIndoors - dog bedIndoors - family member's bed/roomIndoors - basementIndoors - crateIndoors - garageOutdoors - fenced areaOutdoors - dog house/penOutdoors - on chain/tie outOther
How much training are you willing to do with your new dog?*

As much as it takesSome, but we are looking for a pretty well-behaved dogI would like to learn about training opportunitiesNone, I want my new dog to already be trained
Which training method/style do you intend to use to train your new dog? (check all that apply)*

Positive reinforcement/reward-basedElectric/electronicAlpha dominanceI am not sure and would like to learn about training opportunitiesI am not interested in training my dogOther
What tools would you use for training? (check all that apply)*

Metal prong collarShock collarMetal choke chainTreats/rewardsCrate/kennelSquirt bottlePhysical punishmentClickerI am not sure and would like to learn about training opportunitiesOther
How would you handle any unwanted/destructive behaviors? (check all that apply)*

Provide appropriate toysPut dog in timeoutPut dog in crate/kennelYell at dogPut dog outsideSmack/hit the dogOther
Under what circumstances would you consider surrendering/returning a dog to a shelter? (check all that apply)*

MovingDivorce/separationNew babyEscaping fenced areaAllergiesToo time consumingPet's medical problemsShedding too muchDestructive behavior/other behavioral problemsChildren lost interestPersonal medical problemsIncompatible with other petsFinancial problemsNone: I would try everything to keep my new family member
How did you hear about The Baltimore Humane Society? (check all that apply)*

Family/friend/colleagueTV commercialRadio commercialAdoption PromotionFacebook/TwitterPrint advertisementInstagram/TikTokGoogle searchAnother shelter/rescueVolunteerStaff MemberPetfinder/Adopt-a-pet
I understand that by only completing this online/digital dog adoption application, I am not guaranteed an approved dog adoption from the Baltimore Humane Society. I also acknowledge that its sole purpose is to ensure all information has been given to attempt the strongest match possible between each potential adopter and cat in their care. I further agree to respect the organization's adoption policies and have provided the information above truthfully and to the best of my knowledge.*

I understandI do not understand and would like clarification
I understand that the above online/digital dog adoption application is general and that the only way to apply for a specific dog is to physically meet them at the Baltimore Humane Society, located at 1601 Nicodemus Road, Reisterstown, MD 21136. I also understand that while the Baltimore Humane Society operates on a first come, first serve basis, they also have the right to deem an animal not the best fit for a specific applicant.*

I understandI do not understand and would like clarification
Should be Empty:

	Legal First Name	Legal Last Name	Full Date of Birth (00/00/00)
Household Member #1
Household Member #2
Household Member #3
Household Member #4
Household Member #5
Household Member #6
Household Member #7

	Type of Animal (dog, cat, rabbit, guinea pig, etc.)	Pet's Name	Pet's Breed	Pet's Age	Pet's Sex
Pet #1
Pet #2
Pet #3
Pet #4
Pet #5

Dog Adoption Application