SCDR Application

Second Chance Dog Ranch
Second Chance Dog Ranch is a non-profit organization dedicated to giving a second chance to last-chance dogs and educating the dog community and the public on dog behavior. SCDR is completely funded through fundraising efforts and public donations.

All of our SCDR dogs have been saved from euthanasia, rehabilitated and given a second chance. Each dog comes with extra training resources.
This preliminary questionnaire is designed to help Second Chance Dog Ranch determine if a specific dog is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. Second Chance Dog Ranch reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions!
Applicant Information
Name of the dog you are interested in:*
Your full name:*
Your age:*
Street Address:*
City, State, Zip*
Home Phone:
Format: (000) 000-0000.
Work Phone:
Format: (000) 000-0000.
Cell Phone:
Format: (000) 000-0000.
E-mail:
Character reference and phone number:
Household Information
YesNoDon't Know
Who will be the pet's primary caregiver?*
HouseApartmentCondoMobile HomeOther
OwnRent
If rent, provide name and phone number of landlord:
YesNo
Number of petsSize or weight restrictionsBreed restrictionsNone
YesNo
Height and type of fence
Underground fenceKennelDog Run
How many adults are in your household?*
How many children are in your household?*
If children, what are their ages?
YesNo
YesNo
If no children in the home, do you have children that come over regularly and will be interacting with the dog?
Current/Previous Pet Information
List any pets you own or have owned in the past five years, and their ages
How many of these pets are spayed/neutered?
Where are these animals now?
YesNo
If yes, what group?
YesNo
If yes, what were the circumstances?
Please provide the name and phone number of your current and/or previous veterinarian or clinic:
New Pet Information
YesNo
What would a weekend look like with you and your dog? Are you brewery person or a hiking person?
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*
YesNo
YesNo
If the dog has an "accident" in your home, what type of correction do you plan to use?*
How many hours each day will your new pet be home alone?*
Where will your new pet sleep at night?*
How will you supervise the dog's outdoor activity?*
Where will your new dog stay when nobody is home?*
What length of time will you allow your new pet to adjust to his new home?*
YesNo
YesNo
YesNo
What circumstances would lead you to give up your new dog?*
If you had to give up your dog, what would you do with him/her?*
Petfinder.comFacebookFriend/Family MemberOther websiteOther
I understand that SCDR has a responsibility to take numerous factors into consideration and applying doesn’t guarantee placement.

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I understand that upon adoption, I take full responsibility of the welfare of this animal and will work collectively with Alicia & team for the best interests of the dog.

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Second Chance Dog Ranch

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information