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Applicants Information
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Driver's License State
*
Driver's License #
*
Date of Birth(Month/Day/Year)
*
Occupation
*
How long have you worked there?
*
Do You currently have a spouse or Significant other?
*
Please Select
Yes
No
Spouse/Partners Information
How long have you and your spouse/domestic partner/significant other been together?
*
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Driver's License State
*
Driver's License #
*
Date of Birth(Month/Day/Year)
*
Occupation
*
How did you hear about us?
*
Household Information
Please list the gender and age of any children living in your home
*
If you have children have they been around Giant dogs? Are they fearful or timid around dogs?
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If you answer "yes" what are their needs?
*
Are there any other people that live in your home? Room rental? In-law?
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If so, Please list, along with relationship to this person/people
*
Have you ever been charged with child or animal abuse or neglect?
Yes
No
Landlord/Rental Information
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Rental Agency Name
*
Type/Amount of Deposit Requried
*
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Military Information
If you are active or reserve military: what branch, rank, time in service, duty station and date of last deployment?
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Is there a scheduled deployment in the future? If so when?
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What do you plan to do with your adopted dog when you PCS?
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Are you aware of the shipping costs for a large/giant breed dog when relocating across the country or overseas for a PCS? Are you prepared to pay these?
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General Information
What if anything in your opinion constitutes surrendering your dog back to the rescue?
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Why do you want to own a Mastiff Breed Dog?
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If yes, please list the HEALTH PROBLEMS you are aware of in these breeds
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Do you have a gender preference for a dog? If yes, please specify and List why
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Is there a specific dog in our program you are interested in? If so, who?(If puppies, please list gender only) Why?
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Have you ever owned any breed Mastiff? If yes, what breed?
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Why do you feel you would be a good home for one of the dogs in our program?
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Please list your families lifestyle, likes and dislikes. This helps us select a dog that will match.
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What characteristics are you looking for in a dog? LIST ALL THAT APPLY
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Current/Previous Pets
Please list what animals currently live in your home Please include animal type, pets name, age, sex, breed, and where you got them.
*
Please list all animals you have previously owned in the last 10 years
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What happened to these animals if you no longer have them?
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Have you ever surrendered an animal? If yes, why and when, where did the animal go?
*
Have you ever euthanized an animal? If yes why?
*
Vet Information/Reference
Please contact your veterinarian and let them know that our representative from East Coast general Giants will be reaching out for a Veterinary reference. If you do not currently have pets but own pet pets previously please list your previous veterinarian. If you have never owned a pet before please list the vet veterinarian that you intend to use for your newly adopted, gentle giant.
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
Where did you attend obedience classes(Name of Facility, Name of Instructor, When, What type of class)?
*
What brand of food do you currently feed your dogs?
*
If you do not currently own a dog what brand of food do you plan on feeding your adopted dog? Please understand that large/giant breeds don't do well on cheap or "grocery store" foods.
*
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Yard/Fencing
What type of fencing does your yard contain?
*
If you answered other, please explain what kind
What improvements, if necessary, will you make to ensure the yard is secure?
*
What type of shade is available in the yard?
*
General Information
Where will the dog sleep at night?
*
Who will have primary responsibility for the adopted dog?
*
What do you do with your pets when you go on vacation?
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How much do you anticipate spending on a Mastiff Breed each month? Including food, treats, toys.
*
What make, model and year vehicle do you have?
*
Personal References 2 Non-Family are required
Please make sure to contact your personal references and let them know that a volunteer from East Coast General Giants will be reaching out.
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Please type your full name here
*
Signature
Submission Date
-
Month
-
Day
Year
Date
Please verify that you are human
*
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