CBHR Adoption Application

Background Check

As standard to adoption applications - we conduct a background check on all interested participants to ensure that all members of the home do not have a criminal history involving animal cruelty/neglect. You are not penalized for speeding tickets, misdemeanors, or if you got into the wrong crowd 10+ years ago (except animal cruelty cases). You may contact us ahead of time should there be something that needs to be discussed. In addition, we do verify if you own your property through the County Auditor.

We do adopt to renters depending on dogs we may have that would do well in an apartment. If we don't think a dog would do well in an apartment, there is a very good reason for it. However, we're open to discuss alternative solutions. Renters MUST provide a copy of their lease stating limits for owning pets on the property which can be emailed at comingbackhomerescue@outlook.com**

All questions are standard questions on our application that you would see from rescue to rescue. Please answer them honestly.

Why we background check?
Doing a background check on our applicants have not been anything new. However, we are now being more direct and open about the process for transparency purposes for the new year. Our goal is to ensure dogs are being placed in safe environments and reduce the chances of dogs becoming abandoned or used in illegal activities.

Primary Adopter * This field is required.Information for additional members of the household will be towards the end of the Background portion. No DL provided will be auto-decline of application. Please contact us for questions or concerns.

First Name

Last Name

Driver License / ID Number

Date of Birth

E-Mail

Please enter your phone

Address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Describe the Property* This field is required.

Renting Property

Ownership of Property

Fully Fenced-In Yard

Live Near Accessible Parks

Apartment

Condo / Duplex

Single-Family Home

Other Type of Home

Handicap Accessible

Other - Needs Discussion

Farm

Employment If not employed - don't fill this portion out. We will discuss it during your phone interview.

Company

Street Address

City

State / Province

Postal / Zip Code

Country

Residing Members of the HomePlease Provide Name/Age/Biological Gender/Relation. ** Biological Gender is important as some dogs may react differently to certain genders due to past experiences. Please feel free to add multiple people on the line if you need more space. ((For the humans only - not pets))

Line 1

Line 2

Line 3

Line 4

Veterinarian Reference Check

The second part of our application review process is to get a veterinarian reference from the clinic you use for the pets in your home. This is also very standard for most if not all rescues/shelter. If for some you do not have one, please let us know. (If you don't have pets - we will already excuse the missing information). A holistic approach for pets is acceptable.

What are we looking for?
Veterinarian comfirms pets are vaccinated, spayed/neutered, was last seen within the year, and are given Heartworm Preventative.

IMPORTANT:
Please call your veterinarian to allow Coming Back Home Rescue to do a record inquiry (let them know you are looking to adopt a dog and we will be doing a Veterinarian Reference Check). If we cannot access your vet, you will be notified before being declined. Alternativly, you can also provide their latest records.

Veterinarian Clinic / Hospital

Clinic Name / Assigned Vet (If applicable):

Street Address

City

State / Province / Zip

Phone Number

Country

Pets in the HomeList Name / Species / Age / Spayed-Neutered / Up-to-Date on Vaccines

If you need more space, feel free to add multiple on one line.

Line 2

Line 3

Line 4

Describe Medical Preferences for Your Pets or New Rescue

Looking to Declaw a Feline

Looking to Devocalize a Dog

Looking for Holistic Options

Looking for Alternative Preventatives

None of the Above

Pet of Interest* This field is required.If none in particular, put "Looking for Best Fit"

Name / Species / ID (If known)

Expectations and Qualities What are you looking for in your new pet?

Deal BreakersWhat qualities would NOT be ideal for you?

CBHR Adoption Application