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  • How old are you?
  • What do you do for a living?
  • Are there children in your home?
  • How many Children do you have
  • Age of Children (Check all that apply)
  • Do you have any pets at home?
  • How many do you have?
  • What kind of pets are they? (Check all that apply)
  • Are they all spayed/neutered?
  • Have you ever owned a pet in the past that is no longer with you?
  • How many did you have?
  • What kind of pets were they? (Check all that apply)
  • Were they all spayed/neutered?
  • What's your living arrangement?
  • Where will your new pet stay during the day?
  • Where will your new pet sleep during the night?
  • Are you allergic to dogs?
  • Have you ever bred your pets?
  • Do you rent or own?
  • What kind of community?
  • Is this an application for:*
  • How long are you willing to keep dog safe?

  • How will you help get the dog adopted?
  • Are you willing to participate in the training/rehabilitating of this dog as needed?
  • Ideally, how old would you like your dog to be?
  • When would you like to take your companion home?
  • What kind of activities do you plan to do with your pet? (Check all that apply)
  • What kind of activities will you be doing that won't include your pet?
  • What kind of personality would you like your dog to have?
  • What is your coat size?
  • Are you into ’minis’ or ’maxis’?
  • Are you looking for lively conversations with your dog?
  • If you had a choice, would your new dog come with a training manual?
  • How much time will your dog spend away from you?
  • Will you be willing and able to take care of all expenses should your dog become sick or injured?
  • Would you ever consider putting your dog to sleep if a surgery or treatment was too expensive?
  • Should be Empty: