ADOPT A STRAY RESCUE

BEFORE COMPLETING THIS APPLICATION PLEASE READ AND INITIAL EACH OF THE FOLLOWING, INDICATING THAT YOU UNDERSTAND AND AGREE TO EACH.

I have discussed this adoption with all adults in my home and we all agree that we are ready to adopt at this time. IF I CHOOSE TO NOT ADOPT AFTER MY APP HAS BEEN APPROVED I WILL MAKE A $50 DONATION TO ADOPT A STRAY RESCUE TO COMPENSATE FOR THE TIME SPENT PROCESSING MY APPLICATION.

I am able to accept this dog within 1 week, if my application is approved.  I UNDERSTAND THAT THE RESCUE DOES NOT HAVE ADEQUATE SPACE TO HOLD ADOPTED DOGS. HOLDING A DOG THAT IS ADOPTED WOULD MEAN ANOTHER DOG WHO NEEDS RESCUE WILL HAVE NOWHERE TO GO. ASKING THE RESCUE TO HOLD MY DOG WOULD BE A DEATH SENTENCE FOR ANOTHER DOG. THEREFORE I WILL NOT APPLY UNLESS I AM ABLE TO ACCEPT MY NEWLY ADOPTED DOG WITHIN 1 WEEK OR AS SOON AS HE/SHE IS ELIGIBLE TO LEAVE THE RESCUE.

I understand that most AASR dogs are located in Arkansas unless their listing specifically states otherwise. As such, meet n greets are not an option and I am ok with accepting this dog based on the description and pictures provided.

I have notified my personal and vet references that they will be contacted by AASR and have given them permission permission speak on my behalf.

I have spoken with my landlord/property management (if you reside in a rental) and have their permission to adopt this pet and have notified them that a AASR representative will contact them to verify the pet policy.

I understand that rescue dogs often come from negligent and/or abusive situations, and therefore will need time to adjust to our home and family. I will not have unrealistic expectations of this pet. I will give adequate time, space, and patience to allow this dog to fully adjust to our home. I will follow the 3/3/3 rule of adopting. (3 days to decompress, 3 weeks to get comfortable, 3 months to fully adjust)

I will learn about and adhere to proper introductions of my current pets and new pets.

1. What is the name of the dog you wish to adopt?

2. Where did you hear about this dog/our organization? (Example: Facebook, word of mouth, website, etc)

3. Name

First NameLast Name

4. Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

5. Email

example@example.com

6. Phone Number

Please enter a valid phone number.

7. Phone Number

Please enter a valid phone number.

8. Age of Applicant

9. Place of Employment

10. Occupation

11. Work hours

12. Which one best describes your work situation?

I work from home.I am outside of the home during work hours.I work from home part time and work in the office part time.

13. How many hours per day do you work outside of the home?

14. If you work from home, please select one of the following:

I work from home permanently.I currently work from home due to COVID but will return to the work place eventually.

15. My expected return to work date, if applicable:

16. If you will be returning to the work place eventually, what is your plan to prepare your pet and prevent the onset of separation anxiety in your absence?

17. Please list all adults over the age of 18 that reside in the home, their names, ages, relationship to you, and phone number.

18. Please list all children under the age of 18 that reside in the home. Include any children who live in the home on a part time basis, such as joint custody or regular weekends. List name, age, and whether the child lives with you full or part time.

19. Please check the one that best describes your home:

20. Please check the one that best describes your living situation:

I own my homeI rent my homeI live with friends/relatives

21. **If you rent, you must provide your landlord or property management name and phone number here:

22. **If you live with friends/family, you must list the name of the home owner and their phone number here:

23. Size of home

24. How long have you been at this address?

25. Do you have a fenced yard? If yes, please describe the type of fence and size of yard

26. If you do not have a fenced yard, please explain how you will handle bathroom needs and giving your pet adequate exercise:

27. Are you planning a move in the foreseeable future?

YesNo

28. What would happen to your pet if you move?

29. Please check one of the following:

I currently have pets in my home.I do not have pets currently but I have had pets in the past 5 years.It has been more than 5 years since I last owned a pet.I have never had a pet of my own.

30. If you currently have pets, or have previously had pets, please list them here. PLEASE INCLUDE: type of pet, name of pet, age, breed (if known), and what happened to them if they no longer live with you. If they are deceased please list cause of death. ***Please list all current and previous pets.***

31. If you currently have pets, are your pets spayed/neutered?

YesNoN/A

32. Are your pets up to date on vaccinations?

YesNoN/A

33. Are your pets on heartworm prevention?

YesNoN/A

34. What type of heartworm prevention and how often is it given?

35. If you have pets currently or within the last 5 years, please provide the name and phone number for your veterinarian here:(You MUST call and give them permission to speak with us. Failure to provide this info or give permission to release info to us will disqualify you from adopting from us.)

36. Where will your pet spend most of his/her time? (Indoors, outdoors, crated, free roam of home, free roam of yard, restricted to one area of the home...be specific)

37. Where will your pet be when no one is home? (inside, outside, crated, etc.)

38. Will your pet be allowed on your furniture?

39. Where will your pet sleep?

40. Have you ever house trained a pet before?

YesNo

41. Do you have the patience to house train a new pet?

YesNo

42a. Are you able and willing to enlist the help of a qualified trainer if behavior issues arise with your new pet? This could mean separation anxiety, house training issues, destructive tendencies, difficulty getting along with other pets, fear of certain people in your life, etc.

YesNo

42b. Explain if needed

43a. Do you understand that many dogs can live to be 16+ years old, and are you committed to making this pet part of your family for however long he/she lives?

YesNo

43b. Explain if needed

44a. Do you understand that often times as pets reach their senior years, they sometimes develop arthritis, incontinence, or other health issues, and are you willing to love them even if these issues arise, and will you commit to seeking the help of a veterinarian if health issues arise?

YesNo

44b. Explain if needed

45. Are you aware that newly adopted dogs often have bathroom accidents when coming into a new home, and are you willing and able to help you dog adjust and learn during this adjustment period?

YesNo

46. Do you have a plan in place for your pet in the event that your pet outlives you?

47. Please tell us about any circumstances that would cause you to rehome or return your pet:

48. Do you have any questions about the dog you are applying for, that would influence your decision to adopt or not adopt this dog? If yes, please list those questions here.

49. Why do you wish to adopt this dog/puppy?

50. If you checked "other" please explain

51. If the dog you are applying for is no longer available or not the right match for you, would you like to be considered for other adoptable dogs?

YesNo

52. If yes, are there any specific requirements or requests such as breed, gender, size, age?

53. Have you ever adopted from a shelter or rescue before?

54. If you have previously adopted from a shelter or rescue, please list the name of that organization, the name of the pet, and year of adoption.

55. Do you currently have adoption applications in to other rescues or shelters?

56. Please list at least 3 NON FAMILY references below. Please include name and cell number for each. (Please make sure they are aware that we will contact them either by phone call or text)

Signature

ADOPT A STRAY RESCUE

PERSONAL INFORMATION

EMPLOYMENT

PLEASE TELL US ABOUT YOUR HOME

CURRENT/PREVIOUS PETS

HOME ENVIRONMENT

GENERAL INFO