PIYHR Adoption Application

Thank you for your interest in adopting one of our dogs! If you're ready to take the next step, we kindly ask that you complete our adoption application. Please be as detailed and honest as possible on the application, as it helps us to better understand your lifestyle and what type of dog would be the best fit for you. Before applying be sure to check out the basic requirements needed to qualify.

Requirements:

Must be 21 years or older. If not, parent or guardian must provide approval for adoption interest.

If renting, written consent from your landlord or management is required. NO EXCEPTIONS.

Homes that will have the dog alone for 8+ hours will not qualify unless arrangements are made.

All current animals in the home must be spayed/neutered, to date on their rabies/ core vaccines.

All fields in the adoption application must be filled out completely or your application may be denied otherwise.

Once you've completed the application, you can submit any additional requirements using our upload methods. Please note that all requirements must be fulfilled before your application can be processed.

Applicants full name:*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Date Of Birth *

If you are over 70, Please provide the name, age, email and phone number of at least one successor owner under 60 Years old who will inherit your pets if you can no longer care for them, even if you are still living.*

What dog(s) are you interested in?*

Have you filed an adoption application for a dog with other organizations? If you have, kindly specify the names of the other places you've applied to and provide an update on the current status of those applications.*

(Only include places you have applied within the past 12 months)

If the dog you applied for is unavailable, we think he/she will not be a good fit, OR you are unsure which of our wonderful dogs is the right match for you, Do you want to see other options? *

If you responded yes to the question above, provide the following information, and feel free to add more detail if necessary. Please be specific in your responses, including exact age ranges and maximum weight limits. This information will greatly assist us in narrowing down potential options for you.

Breed(s) preference:
Not open to these breeds:
Max weight when full grown (lbs):
Age range (Months to year):
Gender preference:
Dog friendly:
kid friendly:
Cat friendly:
Energy level:

Please answer the above question here:

If the dog you are applying for requires an experienced handler, or if the profile indicates "breed experience preferred," please provide a thorough description of your personal experience with this specific breed or breeds:*

This requirement can be found on the dogs profile

Most of our available dogs are currently in a shelter and we have little to no history on them. Would this be an issue? *

Employer Information:*

Please include the name of your employer, title, and length of time working there.

Do you live in a(n)?:*

Apartment/condoHouseTownhouseOther

If you do not rent your residence but live in a home where you are not listed as a homeowner, we kindly request that one of the homeowners complete this application. The homeowner will be responsible for participating in the application process, which involves an interview, the submission of photographs, and videos.

If renting, is your name on the lease?

YesNoN/A

(RENTERS ONLY) In order to ensure your dog can live with you, we need to see any documentation providing the pet policy as well as written consent from your landlord or management company. Can you provide this?

Landlord's name, phone number, AND email:

IF YOU RENT AND DO NOT PROVIDE CONTACT INFO, YOU WILL BE REJECTED.

If you are renting please upload a copy of your management company and or landlord granting you permission.

We need them to indicate if there are any breed or weight restrictions

Are you the homeowner?*

If you are NOT the homeowner, please provide their name, number, email, and relationship.

** this applies to those that are not renting but are not a homeowner**

Do you plan to move soon?*

How many people including yourself reside in your household? Please provide the names and ages of ALL household members:*

Ex. Name, age, and relationship to them

If there are children in the home, have they been around dogs? *

Do they/you understand some puppies & dogs are going to nip, teeth, jump, etc? Is this going to be an issue?

Do you work full-time, or are gone more than 4-5 hours at a time? What is your plan for the dog while away?*

How many hours will your dog be alone each day?*

Where will your dog spend most of his/her day when you are home?*

Where will the dog stay when he/she is home alone?*

Where will the dog sleep at night?*

Do you have any health conditions/disability that may limit your ability to exercise a dog*

Where will the dog be kept when you're on vacation?*

Please list all pets who CURRENTLY live in your household. Include name, type/breed, age, gender, spay/neuter status, how long owned, indoor/outdoor, cats declawed:*

Are your pets good with other animals?*

If you currently own a dog(s) are they spayed/neutered?*

Have you ever given up a pet? If yes, please explain:*

If the new dog does NOT get along with your current pets (dogs/cats) what will you do? (or vise versa) *

What will happen to this pet should you move or can no longer care for it?:*

Do you have a yard?*

Do you have a fenced yard?*

If so, how tall? What type? Is it secure?

Do you agree to provide monthly preventatives?:*

How would you describe your dog-owning experience?*

I have had dogs of my own as an adult.I grew up with dogs or have worked with them but have not had my own as an adultI have never had one or have limited experience with dogsOther

Overall level of dog training experience in the household on a scale 1-10*

Have you had experience with behavioral or medical issues with your previous or current pets? If yes, please explain.*

How many dogs have you possessed in the last five years, and what is their current status or whereabouts?*

Would you be open to a heartworm-positive dog?*

Heartworm disease is not contagious, meaning that a dog cannot catch the disease from being near an infected dog. Please do not let a minor issue like this change your mind. HW is curable!

Share your reasons for wanting a dog*

How will you exercise your dog? & How often?*

Do you plan on enrolling your new dog in obedience classes? If the answer is no, please explain how you plan on training your new pup.*

How would you discipline your dog if he or she misbehaved/ chewed household items?*

Are there any behaviors that would be unacceptable to you? Please be realistic with your response.*

Puppies are going to nip, cry, jump, etc. Most of our dogs are not trained AND accidents are bound to happen with all dogs

Do you understand it takes up to 3 months for a dog to adjust to a new home? (View picture above)*

What method do you intend to use to housetrain your dog?*

What food will you feed the dog? (Specify brand if known)*

Would you like food recommendations?

Pets are an investment of your time and money. Can you afford to provide medical care, grooming, proper diet, shelter, and exercise for your new dog?*

Are you able to make a long-term commitment to care for your pet for its entire life span, which could be as long as 15 years or more*

Who is your veterinarian (name and phone)?*

If you do not currently have a vet, would you like a referral?

Will you purchase pet insurance?*

YesNoMaybeUnsure

All of our dogs are located in TX and will only be transported out of state if adoption is finalized. Are you willing to commit to a dog you have never met before?*

Is there anything else you would like to share with us?*

How did you hear about us?*

Reference 1:*

Please provide their full name, phone number, email, relationship, and years known.

Reference 2: *

Please provide their full name, phone number, email, relationship, and years known.

Did you send this link to your references? https://form.jotform.com/232537242171046 (you might have to copy and paste)*

YesNoI want PIYHR to contact them

I understand pictures of my family, pets, backyard, and where the dog will sleep are required prior to final placement.*

Clear

DID/ WILL YOU USE ONE OF THE METHODS BELOW TO SEND US THE REQUESTED INFORMATION (see above)? IF YES, WHICH ONE?*

I emailed Pawsinyourhandsrescue@gmail.comI texted the rescue number: 781-697-9691I uploaded everything to the portal https://form.jotform.com/221481903110140I will upload everything to this application.I will email PIYHR to request a shared (secure) Google Drive folder

Please feel free to upload the required/requested documents, pictures, videos, etc. below

I acknowledge that all the dogs are currently situated in Texas, and they will only be relocated out of the state if they are adopted.*

Clear

Are you aware that your application will be deemed complete only after you have met our specified requirements? Please note that your application will not be processed until we have received the aforementioned requirements.*

Clear

I comprehend that the transportation destination may vary, potentially requiring a 1-2 hour drive.*

Clear

Do you understand PIYHR makes no guarantees on breed--most animals we receive from shelters are mixed breeds. The breeds listed are a guess based on features and characteristics. We cannot guarantee the size or breed of any dog without a DNA test.*

Clear

I certify that the above information is true and correct to the best of my knowledge. I acknowledge that any falsifications can result in my being denied adoption, or, if adoption has occurred, the return of that animal to the rescue.*

Clear

Just a reminder: Your application will only be considered complete once you have submitted pictures and videos. Failure to provide these requirements may lead to a delayed response. Do you acknowledge and understand this?*

Application completion date:*

Date

Paws In Your Hands Rescue: Adoption Application

About Your Home:

Your Experience with Dogs:

Additional Information:

References:

Please read and INITIAL each statement below: