Adoption Application

Adoption Application

This application is for ALL Noel's Dream Bully Rescue Dogs. We DO NOT reserve dogs.
Before completing this application, please be aware you must legally own your home (OR, if renting have written permission from your landlord to have a dog) and have a fully fenced yard to be considered.

*Priority is given to applications that are submitted with a copy of your valid ID for the mandatory background check - Please email it to NoelsDreamBullyRescue@gmail.com

**Please note: we are an all volunteer rescue and may not be able to respond to every inquiry unless your application is selected for further processing.

Most of the dogs we rescue are either shelter dogs, strays, abuse cases, owner surrenders or similar circumstances. They have already been failed or abandoned previously, therefore, every effort is made to find the most appropriate loving home for each and every dog. This application helps us to learn more about YOU, the home setting the dog will live in, and your level of experience with dogs, if any. We do NOT match dogs to people, we match people to DOGS.

Please make sure to answer ALL questions. The application cannot be processed unless all questions have been answered. Just write N/A if the question is not applicable.

*By completing and submitting this Adoption Application you are consenting to a full background check.*
How did you hear about us?
NAME of dog you are applying for and why?*
About You - Applicant 1
First & Last LEGAL Name Applicant 1:*

First NameLast Name
Address Applicant 1:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Instagram & Facebook Names Applicant 1:*
Email Applicant 1:*
example@example.com
Date of Birth Applicant 1:*
*You must be at least 21 years of age to submit an adoption application.
Phone Number Applicant 1:*

Area CodePhone Number
Cell Phone Applicant 1:*
*Best time to Call:*
Do you give Noel's Dream Bully Rescue permission to conduct a criminal background check?*

YesNoCANADIAN applicant will need to obtain their own background check and email it to NoelsDreamBullyRescue@gmail.com
I am presently:*

Employed Full TimeEmployed Part TimeUnemployedRetiredA Student
Occupation:*
Employer Name, Address, Phone Number:*
How soon do you want to adopt?*
Why are you interested in this particular dog?*
Have you ever owned a dog before? *
Please provide a brief history of any previously owned dogs (NOT current dogs):*
Have all members of the household been informed of your decision to adopt a dog?*
If NO, please explain:
About You - Applicant 2
First & Last LEGAL Name Applicant 2:*

First NameLast Name
Address Applicant 2:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Instagram & Facebook Names Applicant 2:*
Email Applicant 2:*
example@example.com
Date of Birth Applicant 2:*
*You must be at least 21 years of age to submit an adoption application.
Phone Number*

Area CodePhone Number
Cell Phone Applicant 2:*
*Best time to call:*
Do you give Noel's Dream Bully Rescue permission to conduct a criminal background check?*

YesNoCANADIAN applicants will need to obtain their own background check and email it to NoelsDreamBullyRescue@gmail.com
I am presently:*

Employed Full TimeEmployed Part TimeUnemployedRetiredA Student
Occupation:*
Employer Name, Address, Phone Number: *
How soon do you want to adopt?*
Why are you interested in this particular dog?*
Have you ever owned a dog before?*
If yes, please provide a brief history of any previously owned dogs (NOT current dogs):
Have all members of the household been informed of your decision to adopt a dog?*
If NO, please explain:
What dog are you interested in and why?*
Household Information
Full LEGAL Names & AGES of ALL others in the household:*
How many children in the home and ages?*
If no children in the home, are there children that frequently visit? Ages?*
Does anyone in your household have asthma or any pet allergies?*

YesNo
Do all adults in your home agree to the adoption?*

YesNo
Are any individuals in the household currently pregnant?*

YesNo
Who will be the dog's primary caretaker? Children CANNOT be expected to be the primary caregiver. The primary caretaker's responsibility is to make sure the dog is fed, watered, and exercised as well as emotionally and medically cared for.*
What type of home do you live in?*

Single FamilyApartmentTownhouse/CondoMobile HomeMilitary HousingLive with relative/friend
Is your home located in?*

An urban areaA suburban areaA rural area
Do you:*

LEGALLY OWN your residenceRentLive with parentsOther
How long have you lived at your current address?*
** If you own your residence in a Condominium complex you will be required to obtain a letter of approval from the Condominium Association stating that they approve of a dog (and a "Pitbull type" dog, if applicable) living at the residence.** NO EXCEPTIONS.
If you rent, please enter your LANDLORD'S NAME, ADDRESS & PHONE NUMBER: (Please write N/A if you own)*
If you rent, have you received the approval of your landlord to have a dog of this size & breed?*

YesNo
How many people in your household?*
Does your residence have a yard?*

YesNo
If so, is the yard COMPLETELY fenced in? YOU MUST HAVE A FULLY FENCED YARD TO BE CONSIDERED*

YesNo
What TYPE of fence (Picket, Vinyl Stockade, Chainlink, Invisible, etc) and how HIGH is the fence?
How large is the fenced area?
Does your fence / yard have a locked gate?*

YesNo
Can strangers gain access to your yard?*

YesNo
If you have no fence, how do you plan on your new dog being able to relieve themselves and have daily exercise?*
If you have a pool, is it completely fenced in?*

YesNoNO POOL
About the Dog
Are you looking for a:*

MaleFemaleNo Preference
Do you prefer a(n):*

AdultPuppySeniorEither
Name of the Dog you are interested in:*
Additional Requirements about the dog you would like to add:
Dogs living situation:*

Dog will be a house pet, living inside with familyDog will live outdoorsDog will live in basement or garageGuard dogDoghouse provided
If you selected Guard Dog please indicate the situation:

BusinessResidenceOther
If other, please explain:
How will you exercise the dog?*

Leash walk every dayWill be free to run in fenced yardWill have cable run in the yardWill be free to roam around (Off leash and unsupervised in an unfenced area)Will bring to dog park (Enclosed public area where all dogs are allowed to run and play together off-leash)Other
Additional Details:
Where will the dog spend her/his days?*

CrateFenced YardLoose in the houseGarageBasementTied OutdoorsKennelOne room in the houseOther
If Other, please explain:
What outdoor activities would you include your dog in?*
Are you moving in the near future? If so, explain:*
What is the name of your local shelter?
Where will your new dog sleep?*
Will the dog be allowed on the furniture? If not, how will you get the dog off the furniture if she/he does jump up there?*
Do you plan to rough house (play rough) with the dog?*

YesNo
Would you like a recommendation to a dog trainer?*

YesNo
How much time will the dog spend alone during the day?*
Where will the dog be kept when you are not home?*
Where will the dog stay when you are on vacation?*
Where will the dog spend her/his nights?*
Are you willing to allow the dog a MINIMUM of a 2 WEEK DECOMPRESSION PERIOD before introducing her/him to any new people, places, animals, etc?*

YesNo
Under what circumstances would you give up your dog?*
If for ANY reason you decide a dog placed in your home is not the right fit, are you willing to immediately contact only Noel's Dream Bully Rescue to transport back the dog?*

YesNo
Other Pets & Experience
Do you have other DOGS? Please check ALL that apply*

No other dogsOne or more neutered maleOne or more spayed femaleOne or more NON-SPAYED femaleOne or more NON-NEUTERED male
Please specify the breed(s) and age(s) of other dogs: (Please write N/A if no other dogs)*
If you had other dogs in the past, please let us know the current disposition of those dogs:*

Still have the dog(s)Died of old age or fatal diseaseWas hit by a vehicle, stolen or lostGave to friends, relatives or acquaintanceSold the dog
Please specify what happened:
What kind of other animals do you own? PLEASE LIST ALL:*
*If applicable, Why are you looking to adopt a pit bull type dog specifically? If you are not applying for a "pit bull" type dog just write "N/A".
*If applicable, Please relate any prior experience you had with dogs/pit bull type dogs:
What type of walking equipment do you use for your dog(s)? Please list any collars, harnesses, or leashes that you use or have used for walking or training:*
How do you approach dog training and discipline? Please give examples of how you address the following behaviors: jumping, mouthing, barking, leash pulling:*
Have you ever taken a pet to a shelter or given an animal away?*

YesNo
If you answered Yes to the above question, please explain below:
Veterinarian's Name, Address & Phone Number: Please supply the contact information of your current veterinarian or the one who saw your previous pet(s), and their title identification (name). **If you don't have a vet, you will need to choose one, contact them to set up an account and provide their information below. **YOU MUST GIVE THE VET PERMISSION TO DISCLOSE YOUR RECORDS TO US ASAP IN ORDER FOR YOUR APPLICATION TO BE PROCESSED***
Vet records are under the name of:*
Do you plan to keep the dog on Heartworm Preventative?*

YesNo
How many applications have you submitted to other rescues in the last month?*
Please provide at least two references, who are NOT family members, who can attest to your character. *
Additional information you would like to provide about yourself and/or the dog you would like to adopt:
Do you acknowledge and AGREE that the adopted dog would be visited occasionally where the dog lives (once every 6 months on average) by Noel's Dream Bully Rescue or their representative to ensure the dog is doing well?*

YESNO
Adoption Fees
ADOPTION FEES ARE: $575.00 puppy under six months, $450.00 dog over 6 months, $350 bonded pair, $325 senior dog*

Yes, I agreeNo, I do not agree
A Home Check/Visit must be done in the home where the dog will be staying before an applicant can be approved to adopt.*

Yes, I agreeNo, I do not agree
If approved, upon adopting, a contract that states all rules and guidelines for owner commitment MUST be signed and initialed completely to finalize the adoption.*

Yes, I agreeNo, I do not agree
Applicant 1: I hereby attest that all information I have provided on this application is accurate and true.*

Yes, I agreeNo, I do not agree
Applicant 2: I hereby attest that all information I have provided on this application is accurate and true.*

Yes, I agreeNo, I do not agree
Do all Applicants understand and consent that by submitting this application you are consenting to a full criminal background check?*

Yes, I agree
Do all Applicants understand and agree that they MUST submit a valid ID (Current Driver's License, Government Issued ID, etc) with this application in order for it to be processed?*

Yes, I agreeNo, I do not agree
**Priority is given to applications that are submitted with a copy of your valid ID.

PLEASE UNDERSTAND WE ARE AN ALL VOLUNTEER RESCUE AND MAY NOT BE ABLE TO RESPOND TO EVERY INQUIRY UNLESS YOUR APPLICATION IS SELECTED FOR FURTHER PROCESSING.

THE ADOPTION PROCESS IS:

1. Adoption Application is submitted (including consent to a full background check) along with a copy of current/valid ID.

2. Adoption Application is screened.

3. IF the adoption application is determined to be a potential match, a Background check is completed.

4. IF the background check passes, a phone/virtual interview is conducted to screen further to determine if this applicant is a possible match.

5. IF the applicant is determined to be a possible match, all veterinary and personal references are verified.

6.  IF all references pass, a home check is conducted at the home where the dog will live. Possibly more than one home visit if recommendations are made for making the home dog safe.

7. A meet & greet is conducted *if possible* and the dog is local.

8.  Adoption contract is drafted & signed by all parties, adoption fee is collected.

9.  The dog is delivered and transitioned to the approved adopter and all vet records are email or given to the adopter.

*By completing and submitting this Adoption Application you are consenting to a full background check.*
Noel's Dream Bully Rescue

NoelsDreamBullyRescue@gmail.com Ph:339-222-8300 www.NoelsDreamBullyRescue.org
Should be Empty:

Adoption Application

About You - Applicant 1

About You - Applicant 2

Household Information

About the Dog

Other Pets & Experience

Adoption Fees

Noel's Dream Bully Rescue