Baltimore Humane Society Dog Adopter Application

Dog Adoption 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 pre-approval process. This application is for our dogs in general, not for a specific dog in our care. Please visit our shelter Monday 12pm-4pm and Tuesday-Sunday 12pm-5pm to meet our adoptable dogs.
Primary Caretaker's Legal Name: *

First Name Middle Name Last Name
Email Address *
Date of Birth: *

Month Day Year
Date
Address *

Street Address

Street Address Line 2

City State

Zip Code
County of Residence: (Baltimore, Carroll, etc.) *
Cell Phone Number: *
Please enter a valid phone number.
Home Phone Number:
Please enter a valid phone number.
Government Issued ID Number (i.e. driver's license) *
Are you a first responder? *
Are you active military or a veteran? *
Please list full names and full birthdates (including year) of everyone who lives in your household: *
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? *
Are you currently employed? *

Yes No
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? *

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) *

As a family pet For a child As a watchdog Companion for another pet Guard business Companionship for myself Other
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
Under what circumstances would you consider giving up/surrendering your dog? (check all that apply) *

Moving Divorce/separation New baby Escaping fenced area Allergies Too time consuming Pet's medical problems Shedding Destructive behavior/other behavioral problems Children lost interest Personal medical problems Incompatible with other pets Financial problems I would try everything to keep my new family member
Please list the name and phone number of your current pet's veterinary hospital. *
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.

Upload a clear image or pdf file
Cancel of
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 per day will your new dog be left home alone?
Where will your new dog sleep at night? (check all that apply) *

Indoors - free run Indoors - dog bed Indoors - family member's bed/room Indoors - basement Indoors - crate Indoors - garage Outdoors - fenced area Outdoors - dog house/pen Outdoors - on chain/tie out Other
Where will your new dog spend most of its time? *

Indoors Outdoors Indoors and Outdoors
Is there a yard available at your residence? *

Yes No
Is your yard completely fenced in?

Yes No No, but I plan to install a fence Not applicable
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 dog/dominance Classical conditioning I am not sure Other
What tools would you use for training? Please check all that apply:

Prong collar Shock collar Choke chain Treats/rewards Squirt bottle Physical punishment Clicker I am not sure Other
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 form does not guarantee me a pet adoption from The Baltimore Humane Society and 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 agree
Should be Empty:

	Species	Name	Age
Pet #1
Pet #2
Pet #3
Pet #4
Pet #5
Pet #6

Dog Adoption Application