Adopt Rocco | Nicole’s Fosters & Rescues 🐾💙

Adopt Rocko | Nicole’s Fosters & Rescues 🐾💙

Complete this application to help us match you with Rocko’s calm, loving forever home.
Meet Rocko
About 13 years young • Male • Neutered • Heartworm negative
Rocko is a sweet, easygoing senior who is dog-friendly, kid-friendly and people-friendly. He is house-trained, crate-trained and leash-trained, low energy, loves short walks, sniffing, backyard time, naps, cuddles and simply being near his people.
Applicant / Contact Information
Rocko is being adopted out by me, Nicole Levine.
Applicant Name

First NameMiddle NameLast Name
Spouse/Partner or Co-Applicant Name

First NameMiddle NameLast Name
Street Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
City / State / ZIP
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Household and Home Setup
Type of residence
Do you own or rent your home?

Other
Number of adults in the home
Number of children in the home
Ages of children in the home
Relevant home setup details for a senior dog
Landlord / Property Manager Details
Landlord / Property Manager Name

First NameMiddle NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Dog Approval Status

Other
Yard / Fence / Primary Caregiver
Do you have a yard?
Is the yard fenced?
Fence height (if applicable)
Primary caregiver for Rocko

First NameMiddle NameLast Name
Current and Previous Pets
Current Pets
Previous Pets
Please list every current pet in the home, even if they do not interact with dogs.
For each current pet, include species, name, age, sex, and whether they are spayed/neutered.
Indicate how long each current pet has been in your care and whether they are friendly with dogs.
For any pets no longer in the home, explain what happened to them.
Include all prior pets that lived with you, even if they are no longer owned.
If you have never owned pets before, you may state that in the previous pets section.
Veterinarian History
Current Veterinarian Clinic Name
Clinic Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Clinic Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Date of Last Veterinary Visit for Current Pets

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Can You Provide Veterinary References / History?
Work Schedule and Hours Away
Which days are you typically away from home for work or school?
What time do you usually leave home?

Hour Minutes

AM/PM Option
What time do you usually return home?

Hour Minutes

AM/PM Option
On a typical day, how long would Rocko be alone, and what arrangements are in place for breaks or check-ins?
Daytime and Nighttime Housing for Rocko
Where will Rocko stay during the day?
Where will Rocko sleep at night?
Daily Routine
Describe your household’s typical daily routine
Typical morning feeding time
Typical evening feeding time
How would you provide a calmer routine for Rocko?
Exercise / Activity Plan
How many exercise sessions per day do you plan for Rocko?
Describe the type of exercise and activities you would provide for Rocko.
What best describes the level of activity you plan for Rocko?
Training Approach
Overall training approach

Other
Training methods you use

Other
How will you support house manners and housebreaking?
Crate use

Other
Describe your experience with dog training
Children and Visitor Introductions / Decompression
Who will be introduced to Rocko first?

Other
How will introductions be managed?

Other
Describe your plan for decompression when Rocko first arrives in the home.
How will you help children and visitors interact with Rocko in a calm, dog-friendly way?
Adoption Fit
Why do you believe Rocko is a good match for your home?
Why do you want to adopt Rocko?
How will you meet the needs of a senior, affectionate dog like Rocko?
Routine and Emergency Veterinary Care
Primary veterinarian plan
Plan for routine veterinary care
Plan for emergency veterinary care
Preventive care you will keep up to date

Other
Ability to cover unexpected veterinary costs
Resident Dog and Introduction Plan
Is there a resident dog in the home?
Resident dog’s name

First NameLast Name
Resident dog’s breed
Plan for introducing Rocko to your resident dog
How will you manage the introduction and early integration?

Other
Medication / Veterinary Follow-up Willingness
Are you willing to administer medication if Rocko needs it?
Are you willing to follow veterinary recommendations after adoption?
Are you willing to continue any required follow-up care after adoption?
Out-of-State Transport Plan
Are you applying as an in-state or out-of-state adopter?
Please confirm you understand that Rocko is available for adoption both in-state and out-of-state.
How will you arrange and cover transport costs as the adopter’s responsibility?
Containment / Leash / Lost-Dog Recovery Plan
How will Rocko be safely contained at home?

Other
What type of leash setup will you use for walks?
Describe your plan to prevent escapes and keep Rocko safe at doors, gates, and during transitions.
If Rocko were lost, what steps would you take immediately to recover him?
References
Reference 1 Name

First NameMiddle NameLast Name
Reference 1 Relationship
Reference 1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 1 Email Address
example@example.com
Reference 1 How Long You’ve Known Them
Nicole’s Fosters & Rescues refers to the foster and rescue dogs cared for and placed by me, Nicole Levine. Nicole’s Fosters & Rescues is the name I use for my foster/rescue project and brand. The dog’s adoption and placement are handled by me personally. All available medical records and microchip information will be transferred to the new owner. All dogs are heartworm negative and are spayed or neutered, as appropriate, prior to adoption.
Reference 2 Name

First NameMiddle NameLast Name
Agreements
Acknowledgements
If there is anything you would like to clarify or add about your agreement to these terms, please explain
Primary email for adoption communication
example@example.com
Signature
Applicant Signature
Printed Name

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Adopt Rocko | Nicole’s Fosters & Rescues 🐾💙

Applicant / Contact Information

Household and Home Setup

Landlord / Property Manager Details

Yard / Fence / Primary Caregiver

Current and Previous Pets

Veterinarian History

Work Schedule and Hours Away

Daytime and Nighttime Housing for Rocko

Daily Routine

Exercise / Activity Plan

Training Approach

Children and Visitor Introductions / Decompression

Adoption Fit

Routine and Emergency Veterinary Care

Resident Dog and Introduction Plan

Medication / Veterinary Follow-up Willingness

Out-of-State Transport Plan

Containment / Leash / Lost-Dog Recovery Plan

References

Agreements

Signature