ELLD adoption application

Edinburgh and Lothian Lost Dogs - Rescue Foster/Adoption application
PLEASE READ THE FOLLOWING:

Please complete all the information on the following pages. Missing information may delay or result in no contact in the foster/adoption process. Completion of this application form does not guarantee that ELLD will place one of our dogs in your care. Completion of this questionnaire authorises that Alexis Aitchison @ ELLD can verify any information contained herein, including verification of medical records of any present or prior pets treated by the veterinarians listed. Completion of this adoption process is an indication that you have read, understand and agree the information contained within this application is accurate and not misleading in any way. All foster/adoptions are at the sole discretion of Alexis Aitchison at Edinburgh and Lothian Lost Dogs.

Edinburgh and Lothian Lost Dogs - Privacy Policy
We are required by law to explain how we store, use and process your data. Our Edinburgh & Lothian Lost Dogs - Rescue privacy policy can be found on the link above. Please tick the box below to show you have read, understand and agree.

YesNo
Please give careful consideration to adopting a dog. Dogs are not short-term commitments. Make sure your lifestyle allows the time, patience, training, and expense this dog will need over the years. All dogs will be spayed/neutered, vaccinated and microchipped prior to adoption.

Adoption Application
Name of the dog you are interested in adopting*
Adopter's Name*
First & Last Name
Address*

Street Address

Street Address Line 2

CityCounty

Post code
Adopter's E-mail*
Contact Number*

Area Phone Number
Phone Type*

MobileHomeWork
Best time of day to contact you?
Name and ages of all resident adults in your home?
Ages of resident children in the home. And ages of any visiting children to the home.
Pets
Current pets in your home *
Please provide as much info as possible
Where are your current pets kept?*
Indoors/outside in kennels, as much info as you can is helpful.
Have you had other animals as pets in the past?*

YesNo
If yes then what happened to them? *
Did they live until old age? Did you have to rehome any of them? As much info as you can is helpful.
Has the dog warden/local authority ever been involved with any of your pets?
Please list your former pets here. Please list your breed experience, if you have dealt with any behaviour issues. All the dog experience you have had and provide as much info you can. *
Vet details: (please call your vet and give permission to release information to us, this might not be used until after the home check process)*
Vet name, address & phone number
Home
What type of home do you live in?
Is this a house/semi/detached/flat/shared - as much info as you can provide is helpful
Do you rent or own this property?*

RentOwn
If you rent, you must provide proof you are allowed pets, this can be a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have dogs and showing any limitations. Or you can provide us with your landlord's contact information.
Are you planning to move in the near future?*

YesNo
If moving, will this be in the same City/Country?
Do you have a garden? If so, is this enclosed? Are there any neighbouring dogs or animals directly next door?
Please provide as much info as you can
What is the height of the fence/wall or boundary of your garden?
Does your home face onto any main or busy roads?
Work & Lifestyle
Do you work and if so, is this from home or outside the home?
How many hours per day are you at work and away from home? Can you put down the hours everyone works and are away from the home during the day?
Is anyone in your home allergic to animals?
Does anyone in your home fear dogs or ever had a fear of dogs?
Does anyone at home have any disabilities? Please provide as much informations as possible.
Do you entertain guests often at home? Do you have a lot of visitors at home?
Do you have a busy lifestyle? A quiet lifestyle?
How do you spend your leisure time? Is this active/outdoors/at home etc?
Please provide as much info as you can to help
The Dog
Where would the dog sleep throughout the day?
Who would be responsible for walking and exercising the dog?
When, where and how much exercise would you give the dog?
Where would the dog be left when you are out and how long would the dog be on its own when you are out?
Would the dog be allowed the run of your home? Is there anywhere the dog would not be allowed?
Would the dog be allowed to travel in your vehicle?
What would you do if the dog chews furniture, has house training accidents or shows other destructive behavior? *
Are you willing to provide the dog with professional training if needed?*
Based on the description in the dog's bio, do you feel pretty confident that you will likely suit and manage their needs and their lifestyle?*

YesNoNot sureOther
Upon meeting the dog, what would give you cause to not want to adopt it? Please explain.*
Have you discussed this adoption with all members of your household?*

YesNoYes, adults have discussed. Kids don't know yet.
We will be carrying out a home check if the applicant is successful in this part of the process and speaking to all household residents to confirm everyone is aware of this application process and wants to have a dog added to the family. Please do not submit this application if you are "trying to talk someone into" adopting this dog or think "once they meet the dog, they will want one" or "I'm getting this dog as a present for them." In those scenarios, you are welcome to email us to discuss the dog, but we would like all adults in the home to be involved in that email discussion.
What activity level do you prefer?

Wild and crazy is coolLeash trained daily jogging partner would be excellentMedium energy, plays a bit then hangs out with youLow energy, walks slowly on leash, a total couch potatoOther
Please check all that apply. I want to adopt this dog...*

As a family petTo train/use for agilityTo train/use as a therapy dogTo train/use as an assistance dog for the disabledTo use as a guard dogFor a jogging/hiking partnerTo interact with lots of friends/familyAs a gift for a friendAs a companion for my dog(s)As a companion for my cat(s)As a companion for my child/children
Please check all that apply. My adopted dog will...

Be kept outside most of the timeBe kept indoors most of the timeBe left outside during the work day while we are awayBe kept inside while we are awayBe crated when we are not homeHave free reign of the house when we are not homeBe taken to formal obedience classesBe trained by me/usTake frequent car rides with usBe mostly interacting with adultsBe interacting frequently with children under 8Be interacting frequently with older childrenMust be housebroken prior to adoptionWill be housetrained by usWill be walked more than one mile per day every dayWill be walked occasionallyBe attending formal group obedience classes with usBe trained by us without the advice of a trainerHave private sessions with a trainer as neededBe attending agility classesBe boarded when we go on vacationStay with family when we go on vacationBe going camping with usOutside free roaming while we are at work.Sleeping in bed with us.Sleeping in a crate at night.Other
Please take time to think, be honest with yourself and us when answering this question. What are you absolutely NOT willing to deal with at the time of foster/adoption or at any time during the settling in period and the life of the dog?*

HousebreakingChewingJumpingPulling on leash during walksCounter surfingObedience trainingFear of menFear of womenFear of childrenMouthiness (may sometimes snag your hand or arm instead of the toy in play and will need redirection/training)GrowlingBarkingRough play with my dogHigh activity levelFood/toy aggression/not willing to share with other dogsFood/toy aggression with peopleWhining/cryingBlindnessLimited SightDeafnessSeparation AnxietyDiabetesSpecial DietLong Term MedicationIncontinence / Leaking UrineTaking classes with the dogGets stressed/carsick when riding in vehicleDoesn't know how to climb stairsCan't climb stairs due to age/arthritis/health issuesHeart conditionSkin allergiesFood allergiesTrimming nailsYeast on coat or in earsFleasTicksI will do whatever it takes to help this dog adjust and work with a trainer to help resolve any training needs.Other
What would cause you to return a dog?*
What do you feel is a reasonable amount of time for a dog to adjust to life with you/your family?*
How do you plan to integrate this dog into your family?*
What would you do if you discovered after adoption (at any time during the life of the dog) if your vet diagnosed an expensive health condition?*
Do you plan to get pet health insurance?*

YesNoOther
How long have you been looking for a dog?*
Are you in contact with any other rescues or shelters about a specific animal?*

Yes, application is pendingYes, just an email inquiry, no app yetNo, but I am looking at several onlineNo, I am only interested in this particular animal
Are you going to meet another animal?*

YesNo
Do you have any additional comments, questions or concerns? Anything else you would like us to know?*
If you are successful in this part of the application process you will receive an email and we will move forward with a home check. If successful after the home check we will move forward.

Adoption Contracts will be signed with the dog having life time rescue back up which means even after adoption, for any reason that circumstances change where the dog is not receiving the attention and care needed, or that the dog cannot be looked after any longer by the adopter then they will be returned to Alexis Aitchison @ ELLD. The rescue back up is provided to ensure the dog has a life line for life and also ensures the adopters have that lifeline too.

Thank you for taking the time to fill out the application form. And I thank you for your patience in advance while you await on a reply.
This is solely run by myself as a volunteer and takes a tremendous amount of time to co-ordinate everything behind scenes with the hands on behaviour work with the dogs, the travelling to kennels, the rehab, the daily husbandry with the sanctuary dogs and general day to day admin.
The applications that are completed fully and are a match to the lifestyle and needs of the dog will be prioritised. The most important thing is matching the dog to the right home and prioritising the time correctly to do this.
Thank You

Alexis @ ELLD
Applicant's Signature*
Today's Date*

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Pets

Home

Work & Lifestyle

The Dog