Baltimore Humane Society Dog Adopter Application

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. 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 process. This application is for our dogs in general, not for a specific dog in our care. We are open for visitations Mondays 12-330 and Tuesday-Sunday 12-430pm. Please contact the adoption center at 410-833-8848 Ext 2 or animalcenter@bmorehumane.org if you have any questions.

Applicant's Legal First & Last Name: *

First Name Middle Name Last Name

Date of Birth: *

Date

Government Issued ID Number (i.e. driver's license) *

Address *

Street Address

Street Address Line 2

City State

Zip Code

County of Residence: (City, Baltimore, Carroll, Howard, etc.) *

Cell Phone Number: *

Please enter a valid phone number.

Home Phone Number (if applicable):

Please enter a valid phone number.

Email Address *

Are you a first responder? *

Are you active military or a veteran? *

Not including yourself, how many people actively live in your home with you? *

Please list all household members, not including yourself in the chart below. *

	First Name	Last Name	Date of Birth
Household Member #1
Household Member #2
Household Member #3
Household Member #4
Household Member #5
Household Member #6
Household Member #7

What type of housing describes your residence? *

Single family home Apartment Condo/Townhouse Mobile home Duplex Military Housing

Do you rent or own? *

Rent Own

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? *

Yes No

Is your yard completely fenced in?

Yes Yes, but it's a communal dog park No No, but I plan to install a fence

Are you currently employed? *

Yes No

Do you typically work from home or go into the office? *

I work from home exclusively I work in the office exclusively I work from home and I go into the office

What is your source of income? *

I am adopting for: *

Myself A family member Someone else

Have you ever adopted/owned an animal before? *

Yes No

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

Live with me Rehomed to friend/family member Surrendered to a shelter Ran away Passed away Other

Please explain why your animal is no longer in your care. *

Do you currently have pets living in your home? *

Current Household Pet Information *

	Type of Animal	Name	Breed	Age
Pet #1
Pet #2
Pet #3
Pet #4
Pet #5

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? *

Yes No

We need to verify your current pets are up to date on their rabies vaccine before adoption. Please upload their certificate below to expedite the pre-approval process.

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Upload a clear image or pdf file

Do you or any members of your household have allergies to dogs? *

Yes Yes, but we take medication for them No

What are the reasons you'd like to adopt a dog? (check all that apply) *

Companion for a child Protection for my family Companion for another pet Guard business Companionship for myself Gift for someone else Other

Name of Vet Hospital/Clinic *

Phone Number of Vet Hospital/Clinic *

Please enter a valid phone number.

Where will your new dog spend their time when home alone? (check all that apply) *

Indoors - garage Indoors - basement Indoors - own room Indoors - crate Indoors - free run Outdoors - dog house/pen Outdoors - on chain/tie out Outdoors - fenced area Other

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) *

How would you handle any unwanted/destructive behaviors? (check all that apply) *

Provide appropriate toys Timeout Physical punishment Crate Yell at dog Put dog outside Smack/hit Other

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

Quiet Busy Active Loud Crowded Noisy Other

How important is it to you that your new dog be able to adjust to new situations quickly? *

Very Important Somewhat Important Not Important

How much training are you willing to do with your new dog? *

As much as it takes Some None I would like to learn about training opportunities

What types of training methods do you prefer? (check all that apply) *

Positive reinforcement/reward-based Electronic Alpha/dominance I am not sure Other

What tools would you use for training? (check all that apply)

Prong collar Shock collar Choke chain Treats/rewards Squirt bottle Physical punishment Clicker I am not sure Other

Under what circumstances would you consider giving up/surrendering your dog? (check all that apply) *

How did you hear about The Baltimore Humane Society? (check all that apply) *

Family/friend/colleague TV commercial Radio commercial Print advertisement Social media Google search Another shelter/rescue Other

I understand that completing this online application does not guarantee me a dog adoption from The Baltimore Humane Society and I acknowledge that its purpose is to ensure a strong match between each potential adopter and pet 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 understand I do not understand and need clarification

I understand that this online application is general and not for a specific dog, until I physically meet the dog at the Baltimore Humane Society. I understand that the Baltimore Humane Society operates on a first come, first serve basis. *

I understand I do not understand and would like clarification

Dog Adoption Application