Senior Dog Adoption Application

Senior Dog Adoption Application

Thank you for considering adopting a senior dog! Please fill out this application to help us understand your situation and preferences.
Applicant Information
Full Name*

First NameLast Name
Name of Dog You’re Interested In Adopting*
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Best way for us to contact you*

EmailCallText
Household Information
Type of residence*
If other, please describe
Do you… *
If other, please describe
Landlord/Complex Name and Number*
If you own your home, please put N/A
If your home has any breed/weight restrictions please describe*
Put NA if no restrictions apply
How many people live in your household?*
Does each member of the household agree to this adoption?*
This includes roommates, parents, grandparents, spouses, or anyone else who you’re currently residing with…
Ages of children in the household*
If not applicable please put NA
Do you have a fenced yard?*

YesNo
If yes, what is the type and height of the fence*
Type NA if not applicable
If there are allergies in the household, how will they be managed?*
How would you describe the energy/activity/noise level in the household?*
Experience, Care, and Preferences
Are you a first time dog owner?*
Why do you want a dog?*
Examples: House Pet, Companion for Children, Family Companion, As a Gift, Companion for Another Pet, Security.
How many hours per day will the dog be left alone?*
Where will the dog be left alone?*
Ex: Crate, Inside with free roam, Backyard, Chained, Room, Garage.
Where will the dog sleep at night?*
What activities do you plan to do with your dog? How do you see a dog fitting into your lifestyle?*
Have you ever given an animal up to someone else or a shelter? If yes, please describe the circumstances. *
If you have to move, what would you do with your pets?*
Where do your pets go when you go on vacation?*
What level and type of training are you expecting to do with a new dog? *
How much time will the dog spend inside vs outside on a regular basis?*
If something happened to you, who would care for your dog?*
Under what circumstances would you not keep this animal?*
Current Animals
Do you or other people in the household have animals? If yes, please describe who, the number of animals, types of animals, and their names. *
If you have other animals, are they spayed/neutered?*
If you have other animals, are they on heartworm and/or flea-tick preventatives?*
How do you plan on introducing this dog to the household and/or keep it separate from the other animals in the household if they don’t immediately get along?*
References
Please provide the name and contact information of your current Veterinarian *
Please provide 1-2 personal references (name and contact information).*
Additional Information
Please tell us why you want this dog and why you are the best fit.*
Is there anything else you would like us to know about you or your situation?
Should be Empty:

Senior Dog Adoption Application

Applicant Information

Household Information

Experience, Care, and Preferences

Current Animals

References

Additional Information