Pets Purpose Animal Shelter - Adoption Application
Please fill out this application truthfully. It is important that we have a good understanding of you and your household so we can make sure every dog gets the best suited home for their individual needs and personality.
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Name
*
First Name
Last Name
What Dog are you applying to adopt?
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Over age of 18?
*
Please Select
Yes
No
All adults in the residing home have agreed upon and are knowledgeable of the application for a dog.
*
Yes
No
Other
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Home Environment - Title
*
Rent
Own
Landlords contact info
Home Environment - Type
*
Apartment
Condo
Mobile Home
House
Home Environment - Yard
*
Acreage
Large Yard
Small Yard
No Yard
Home Environment - Fence
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Fenced Yard
Unfenced Yard
How many people live in the household? Seniors? Children?
*
Are there other dogs in your household?
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Yes
No
If yes, please list them: Name, Breed, Age, Sex
*
If you have other dogs, are they up to date on vaccinations?
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Yes
No
I don't have a dog
Other
If you have other dogs, are they spayed / neutered?
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Yes they are
No they are not
Other
Do you have other pets in your household?
*
Yes
No
If yes, Please List
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How many hours a day are people home?
*
How busy is your family's schedule?
*
Very Busy
Busy
Not Busy
My dog will live
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In my home
In my barn / shop
Outside
Other
When I'm on vacation my dog will
*
come with me
be home alone
go to a kennel
stay with a friend
have a sitter
Other
Are you planning on moving, going on holidays, or have a big change in schedule within a month of adoption?
*
On average, how many hours will your dog be alone on weekdays/weekends?
*
Where will your dog stay during the day?
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loose in the house
crated inside
garage
fenced kennel / run
fenced yard
loose outside
Other
How many hours of exercise can you give your dog on weekdays/weekends?
*
What would you enjoy doing with your dog? On-leash walking, Off-leash walking, Off-leash parks, Jogging, Cycling, Sports / Activities, Etc.
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Which of the following are you willing to work on with your new pet
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House training
Separation anxiety
Jumping / Mouthing
Shy/Fearful behaviors
Play aggression
Barking / Vocalization
Basic training / leash skills
Poor social behavior
Food and/or toy possessiveness
Excitability
Mild aggression
Obedience
Reaction to other dogs
I am not willing to work on any problems.
I need more information to decide.
Who will have the main responsibility for this dog?
*
Have you had a dog before?
*
Yes
No
Have you surrendered or given away a pet?
*
Yes
No
If yes, explain
Classes are encouraged for all dogs; in some cases, it is required. Is classes / training something you can commit to?
*
Yes
No
Have you done obedience training before?
Yes
No
Other
I have lots of experience and could handle a difficult dog
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Yes
No
Other
Do you have a Vet clinic that you deal with already?
*
Expenses can add up quickly. (Illness, food, vaccinations, check-ups,training, boarding, etc.) Is getting a dog something that you can financially commit to?
*
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Adoption Criteria
Gender / Sex
Female
Male
No preference
Coat
Short
Medium
Long
Non-Shedding
No preference
Age
puppy
adult
senior
no preference
Size
small
medium
large
no preference
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So we have a good understanding of what is important to you, pleasecheck which answer is best suited for you and your household
I would like my dog to be friendly with children
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Very Important
Important
Not Important
I would like my dog to be friendly with other dogs
*
Very Important
Important
Not Important
I would like my dog to be friendly with cats
*
Very Important
Important
Not Important
I would like my dog to be friendly with me
*
Very Important
Important
Not Important
I would like my dog to be friendly with visitors to my place
*
Very Important
Important
Not Important
I would like my dog to enjoy being groomed
Very Important
Important
Not Important
I would like my dog to enjoy being held
Very Important
Important
Not Important
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I would like my dog to enjoy being petted
Very Important
Important
Not Important
I would like my dog to be calm
Very Important
Important
Not Important
I would like my dog to be playful
Very Important
Important
Not Important
I would like my dog to be quiet
Very Important
Important
Not Important
I would like my dog to be independent
Very Important
Important
Not Important
I would like my dog to never wake me up at night
Very Important
Important
Not Important
I would like my dog to never show aggressive behaviour
Very Important
Important
Not Important
I would like my dog to be fully trained
Very Important
Important
Not Important
Under what circumstance would you return your dog? Moving, Too costly, New Baby, Aggression, Medical Reasons, Not enough time, Behaviour problem, Etc.
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Have you been convicted of cruelty to animals?
*
Under some circumstances, we do require more for an application to be approved. Example – a good sized yard or proof of fence (all depending on the dogs needs, requirements)
Would you be willing to have a member of Pets’ Purpose Animal Shelter do a home visit, virtual meeting, or submit photos upon request?
Is there anything else that you feel that we should know regarding your application?
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References
Your references should be someone that can attest to your ability to care for an animal and knows your lifestyle. This person CANNOT BE SOMEONE WHO LIVES IN YOUR HOME OR A FAMILY MEMBER / RELATIVE. Not providing reference is reason for our staff to deny your application
Non Relative Reference 1 Name
*
First Name
Last Name
Reference 1 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference 1 Relationship
*
Non Relative Reference 2 Name
*
First Name
Last Name
Reference 2 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference 2 Relationship
*
I certify that all the information given here is true to the best of my knowledge. Any dishonest answers or fraudulent information are grounds for PPASS to reclaim with no compensation to the adopter.
*
Yes
No
Once the application is submitted, it will be processed by an adoptions team member. This typically takes 2-4 days so please be patient. You will receive an email once your application is processed, please check your spam / junk mail.
*
Got it! I will keep an eye out for an email!
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