Baltimore Humane Society Dog Adopter Application

Our goal at Baltimore Humane Society is to ensure the best possible match for the adopter and the 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. This application is for our dogs in general, not for a specific dog in our care. We will review your application and follow up with you within 24-48 hours with next steps on scheduling a meet for adoptable dogs.
Primary caretaker's name: *

First Name Last Name
Email

Confirmation Email example@example.com
Date of birth: *

Month Day Year
Date
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
County of residence: *
Primary phone: *
Please enter a valid phone number.
Alternate phone:
Please enter a valid phone number.
Driver's License number: *
Please list names and and full birthdate (including year) of everyone who lives in your household: *
Do you live in a: *

Single family house Apartment Condo/Townhouse Mobile home Duplex Military Housing
Do you rent or own? *

Rent Own
Are you aware of any restrictions your landlord may have regarding pets? *
Are you currently employed? *

Yes No
If you are not employed, what is your source of income?
I am adopting for: *

Myself A family member Someone else
Have you ever applied for, or adopted, an animal from Baltimore Humane Society? *

Yes No
If so, where is that animal now? *
Do you or any members of your household have allergies to dogs? *

No Yes Yes, but we take medication for them
Please check any of the following reasons you want to adopt a dog: *

As a family pet For a child As a watchdog Companion for another pet Guardian for business Companionship for myself
Other reason you are looking to adopt?
Who will be primarily responsible for your new dog's care? *
Are you committed to taking full responsibility for your 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 your dog? *

Moving Divorce 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 I would try everything to keep my new family member
Other reason(s) why you would consider giving up your dog?
In this section, please tell us a little bit about pets currently in your household, including name, age, species/breed, whether they are spayed/neutered, how long you have owned them, and who has been their primary veterinarian.
Previous veterinarian #1: Name and phone number
Previous veterinarian #2: Name and phone number
In whose name are the vet records?
If you currently have a dog, is it on year-round heartworm medication? *

Yes No
If not, please explain why:
Where will your new dog spend their time when home alone? *

Outside in fenced area In the garage Inside in basement Inside in crate Inside in one room of the house Dog house in dog pen Dog house near tie out Inside, free run of house Outside on chain or tie out Other
Where will your new dog sleep at night? *

Dog house in fenced area In the garage Dog house near tie out Inside in basement Inside, free run of house Inside in crate Inside in one room of the house Dog house in dog pen In my bed/family member's bed Other
Where will your dog spend most its time? *

Inside Outside Inside and outside
Is there a yard available at your residence? *

Yes No
If so, is it completely fenced? *

Yes No No, but I plan to install a fence Not applicable
If a fence exists or you plan to install one, please describe height and material:
How would you handle your dog's destructive behavior? *

Provide appropriate toys Timeout Hit dog/physical punishment Crate Yell at dog Put dog outside Other
How would you describe your household? *

Quiet/sedate Average Very busy/active
Does your dog need to adjust to new situations readily? *

Yes Somewhat Not important
How much training are you willing to do? *

Some training A lot of training No training I would like to learn about training opportunities
What is your preferred training method? *

Reward based I don't know Dominance/alpha 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 Other
If you are unable to care for your dog, what arrangements will you make for them? *
How did you hear about Baltimore Humane Society? *

Friend/family/colleague TV Radio Print Advertisement Facebook/social media Google Another shelter or rescue Other
I understand that completing this form does not guarantee me a pet adoption from 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
Please verify that you are human *
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