What dog/dogs are you interested in applying for:
I have read the biography thoroughly and carefully for the animal I am applying for, and believe we would be a good fit.
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I have read the Bio.
I am going back to read the full bio now.
Primary Applicant Name
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First Name
Last Name
Primary Applicant Date of Birth
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-
Month
-
Day
Year
Date
Primary Applicant Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Primary Applicant Email Address
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example@example.com
Primary Applicant Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Are you applying with a Co-Applicant?
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Please Select
Yes
No
Co-Applicant Name
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First Name
Last Name
Co-Applicant Date of Birth
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-
Month
-
Day
Year
Date
Co-Applicant Email Address
*
example@example.com
Co-Applicant Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Co-Applicant Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Household Information:
Please list ALL members of the household with ages and relationship to primary applicant.
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Please describe your home (House, Condo, Townhome, Mobile Home, Apartment, Yard, Fence, etc.)
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How long have you lived at this address?
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Do you own or rent your home?
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Own
Rent
If you are renting, are pets allowed on your lease (we will need to see a copy)
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Yes
No
Are you currently employed?
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Yes
No
Who is your employer and what is their phone number?
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What days/hours do you work?
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Household Information:
How long have you been employed at this job?
Describe the activity level in your household.
Does anyone in your household have animal allergies? If yes, who & what pet?
Who will be primary care-giver and be financially responsible for this animal?
Describe the activity level in your household (Active, Quiet, Noisy, Calm)
Do all people living in the household agree to adopt this pet?
Yes, we do!
We are still in discussions
No, all members do not agree
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Current & Previous Pet Information:
Please list all (if any) current pets and include (NAME, TYPE (cat, dog etc.) SEX & AGE
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If any current pets are cats, are they declawed?
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Yes
No
Do any current animals live or spend most of their time outdoors?
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Yes
No
Are all the above pets current on vaccinations, monthly preventatives (ex.heartworm, flea/tick). Spayed / Neutered. If no, please explain:
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Do any of your current pets have any social or aggression issues (food, attention,etc.)? Please explain:
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Vet name, clinic, address & phone:
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Date of last vet visit:
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Other than those named above, please list ALL previous pets and why they are no longer with you.
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Have you ever relinquished ownership of an animal? If yes, why?
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Have you ever adopted through a shelter? If yes, which one & when?
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Current & Previous Pet Information:
How long have you been looking for a pet?
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Is this pet for your household family? If not, then for who?
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Why do you want a pet? Select all that apply.
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Companion for yourself
Companion for the family
Companion for another animal
To teach child/ren responsibility
To breed
To gift
Other
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What traits are you looking for in an animal? Select all that apply.
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Playful
Low-Maintenance
Quiet
Housetrained
Non-Barking
Inquisitive
Active
Loves to be held/pet
Are you interested in adopting:
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Baby/Juvenile (under 1 year)
Adult (older than 1 year)
Senior (Over 6 years)
Special Needs
Where will the animal be kept when left alone?
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How long will pet be left alone each day?
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Where will you keep the animal while you are at home?
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Do you plan on crating this animal? If yes, when? How long?
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What would you do if the animal did not eat or drink for more than one day?
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Under what circumstances would you euthanize this animal?
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Under what circumstances would you return an adopted animal to this rescue?
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If you move where pets are not allowed, what would you do with the animal?
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How do you plan on house training your new dog/puppy?
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What will you do in the event of aggressive behavior?
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What will you do in the event of barking problems, chewing, mouthing or destructivebehavior?
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It may take a month or longer for a new pet to adjust to its new home. How would you handle it if the dog took longer to adjust to your home or family?
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Do you plan to take the dog to positive reinforcement training? If yes. Where?
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Yes
No
If you are integrating a new pet with current ones; how do you plan to integrate them?What would you do if the introduction did not go well at first?
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What are your questions or concerns about adopting an animal from Love You More Animal Rescue?
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I certify that I have completed this application to the best of my abilities. By submitting this application, I certify that the information I have provided is true to the best of my knowledge. I understand that Love You More Animal Rescue reserves the right to deny my application for any reason. I further authorize the investigation of all statements within this application.
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I certify that I have completed this application honestly and to the best of myabilities
I authorize Love You More Animal Rescue to investigate any/all answers providedon this application.
Primary Applicant Signature
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Date
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Month
-
Day
Year
Date
Co-Applicant Signature
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Today's Date
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Month
-
Day
Year
Date
References
Please provide Name, Email & Phone Number of Landlord & Employer.
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Submit
Submit
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