Adoption Application
Which dog are you interested in adopting?
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Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Family & Living Information
Are you expecting a child or planning family changes in the near future?
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Yes
No
Does your job require frequent travel out of town?
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Yes
No
Are you subject to relocation?
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Yes
No
Does everyone in the home want to get a dog?
*
Yes
No
Home Information
Are you a student or in the military?
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Student
Military
Neither
Please describe everyone living at the home, including yourself
*
Rows
Name
Relationship
Age
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
Person 7
Person 8
Do you or anyone living in the home have pet allergies?
*
Yes
No
Unknown
How long have you lived at your current address?
*
Please describe your neighborhood (urban/suburban/rural)
*
Please describe your yard (fenced/not fenced/partially fenced/type of fencing)
*
If yard is unfenced, how will your dog do his/her bathroom business?
Tell us about your home:
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Apartment
Townhouse
Single-family home
Other
Do you own or rent your home
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Own
Rent
Does your landlord allow pets?
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Yes
No
Unknown
Pet Information
Do you have pets currently?
*
Yes
No
Do your pets get along with other animals?
Please describe current pets in the home
Rows
Name
Breed
Age (approx)
Indoors/Outdoors
Notes
Spayed/Neutered
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5
Pet 6
Please describe where the dog will stay when you are home
*
Please describe where the dog will stay when you are away for overnight trips
*
Please describe where the dog will sleep at night
*
How many hours a day will the dog be alone?
*
Do you have a crate?
*
Yes, I have a crate and will use it 1-4 hours a day
Yes, I have a crate and will use it 5-8 hours a day
Yes, I have a crate and will use it 8+ hours a day
No, I do not have a crate
Have you ever surrendered or rehomed an animal before? If yes, please describe circumstances
Training
If the dog requires house training, what methods are you willing to try?
Crate training
Leave outside
I would need to return the pet
Other
If the dog develops behavioral problems (such as accidents in the house, excessive barking, separation anxiety, aggression, biting, fearful behavior), which of the following are you willing to try?
Self-training
Hiring a trainer
I would need to return the pet
Other
If the dog becomes sick or injured, what will you do?
*
Return the dog to ONCR
I have money saved for emergencies
Apply for Care Credit to cover vet bills
I could not afford to treat the dog for anything other than basic vet care
Other
How much do you expect to spend on this pet per year? (approximate $ amount)
References & Home Visit
Note: Your personal references should not be family members
Please provide two references not living with you
*
Rows
Name
Phone #
Email
Preferred Contact Method
Reference 1
Reference 2
Please provide contact info for your current vet
*
I called my vet on (date)
I spoke with (name) and asked them to release information
Please provide some days and times your family is available for a Home Visit
Please supply any additional information you feel may be helpful to our adoption coordinators as they work through your application. The more information we have about you and your family and situation, the better!
Submit Application
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