MCAR Adoption Application Form

Application Process:

Completely fill out the application. Red asterisks are required fields; if a question does not apply fill in with N/A. It can take 7-14 days of submission to process your application. Please advise your references and veterinarian that a volunteer from Miller’s Cause will be contacting them. You must give prior permission to your vet to speak with us. Please take pictures of the inside and outside of your home to include the area’s dogs will be kept and the entire fenced perimeter including gates of your yard. Part of the application process is contacting your veterinarian, four personal references, a background check and home check. One attempt will be made to contact your veterinarian, if additional information is required, you will be required to provide that information to us. If your application is approved, a meet and greet will be scheduled. If that goes well, you will receive an agreement and invoice via email to complete and sign. Both must be completed and returned before arrangements will be made to move your new canine friend into your home. Transport arrangements vary and can have fees associated with them. Any transport fees will need to be paid in advance of the move. Please ask if you have questions. ***At this time are not transporting out of state. You must be willing and able to come pick up the dog. Also note our board requires 3 years of vetting history to include vaccinations and YEAR ROUND (12 months) heartworm prevention. Please ensure you have this before applying.*** Thank you.
How did you hear about Miller's Cause?
Particular Dog Applying for?
Full Legal Name *

First Name Last Name
Date of Birth (MM/DD/YY) *
E-mail *
Address (Physical) *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number - Home

Area Code Phone Number
Phone Number - Cellular *

Area Code Phone Number
Phone Number - Work *

Area Code Phone Number
Occupation *
Do you live in a: *
Do you: *

Own Rent Live with Parents Other
If Renting: Please indicate current landlord contact information. If renting less than a year, also include prior landlord information.
Include name and phone number
What size/type of pets allowed?
Are you required and able to pay the pet deposit?
Have you discussed with your landlord adding a dog into your home prior to applying?
Household Setting *

Rural Suburban Urban
Describe your Home's Activity Level *

Busy/Noisy Moderate Comings/Goings Quiet with Occasional Guests
Please List all People Living in the Household (Include Name, Relationship, Gender and Date of Birth) *
We must have legal name and date of birth to conduct the background check.
Do you have regular visitors? If so, please provide age and frequency *
Specifically provide ages of any children visitors
Does anyone in your household have allergies to animals? *

Yes No
Are all members of your family agreeable to adopting a dog? *

Yes No
Do you have a preference in gender of adopted dog? *

Male Female No Preference
Do you have an age preference for your adopted dog? *
What size dog are you willing to adopt? (Check all that apply) *

Small Medium Large
Please describe the type of dog you are willing to adopt (Please include breed, coat length, personality traits, energy level, hypoallergenic) *
The more specific you are the better able we are to match a great dog in your home.
We cannot guarantee a dog to be housebroken, are you equipped to train with love and patience? *

Yes No
Have you had any experience with an emotionally or physically neglected or abused dog? *

Yes No
If Yes please explain
Do you use a crate with your current dog? *

Yes No
Are you willing to use a crate with your adopted dog? *

Yes No
Do you have a fenced yard? *

Yes No Partial
Type of fence? *
Material
Height of fence? *
How tall?
How many gates? *
Are gates locked or lockable? *
Any holes or gaps? *

Yes No
Describe:
Describe any gaps
Is the fence attached to the home? *

Yes No
If you do not have a fence, do you plan to install a fence?

Yes No
If yes, when?
How many hours in a day would the dog be left alone? *
When no one is home, where will the dog stay? *
Be specific! Inside/Outside, crate, laundry room, etc.
When you are home, where will the dog be kept? *
Where will the dog sleep at night? *
What are your plans to exercise your new dog? Please list any parks nearby or trails, how many walks a day, approximate length, and activities such as agility. *
Describe the circumstances when you would walk/exercise the dog on leash. *
When walking your dog, what is your preferred leash? *
A vet reference check is one of the most important aspects of the application process. We will not proceed with an application if it does not meet the minimum vetting requirement for current and past pets. This includes 3 years of vetting history to include vaccinations and year round (January through December) heartworm prevention.
Current/ Recent Vet (that has cared for your pet within the last 5 years) *
Previous Vet *
Specialist Vet *
Vet you plan on using for your newly adopted dog? *
What kind of veterinary care do you plan to provide? *
Describe those pets you CURRENTLY own. If you have more animals than space provided, please email millerscause@gmail.com with the additional pet information.
Pet #1 *
Pet #2
Pet #3
Pet #4
Describe those pets you PREVIOUSLY owned within the last 10 years. If you have more animals than space provided, please email millerscause@gmail.com
Pet #1 *
Pet #2
Pet #3
Please list 4 personal non-related references familiar with you and your pets; who have been to your home and seen how you interact with and care for animals.
Reference #1: Full Name *

First Name Last Name
Relation to applicant(s): *
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
Reference #2: Full Name *

First Name Last Name
Relation to applicant(s): *
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
Reference #3: Full Name *

First Name Last Name
Relation to applicant(s): *
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
Reference #4: Full Name *

First Name Last Name
Relation to applicant(s): *
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
Why do you want to adopt a dog? *
What are the most important traits and characteristics of a dog for your home or lifestyle? *
What do you think are the most important responsibilities in owning a dog? *
Are you familiar with the breed you are interested in? *

Yes No
Have you done research on this breed and understand the unique characteristics and needs of the breed? *

Yes No
Have you submitted an application with another organization to adopt? *

Yes No
Do you agree to notify us immediately if you are adopting a dog from another organization? *

Yes No
Have you ever had an application denied from an animal welfare organization, rescue group or animal control facility? *

Yes No
Have you ever surrendered a dog to a shelter, rescue or rehomed privately? *

Yes No
Are you willing to housebreak a dog? *

Yes No
Do you understand that changing a dog's environment can cause the dog to have accidents? *

Yes No
Describe how you would housebreak a dog and how you would handle a dog potty accident. *
Do you understand that we may know very little about the history of the dog when it comes into the program? *

Yes No
Do you understand that dogs may behave differently in new environments? *

Yes No
Are you familiar with the 3 day, 3 week, 3 month rule for rescue dogs? *

Yes No
If a behavioral problem arises, what steps will you take to work on it? *
Is there any reason that might cause you to return an adopted dog? *
Describe the kinds of personal situations where you might consider returning an adopted dog. *
Ex: job loss, children, move, marital change, etc.
Does any member of the family have allergies to animals? *

Yes No
For whom are you adopting the dog? *
Who will primarily be responsible for feeding and taking the dog outside? *
Certain breeds require regular grooming. Are you willing to care for these needs? *

Yes No
Do you understand some breeds have double coats and should not be shaved? *

Yes No
Do you travel regularly? *

Yes No
Who will take care of your dog in your absence? *
What reading, training and other steps have you taken to prepare for a new dog in your home? *
Will you take obedience training or utilize a trainer as needed? *
What kind of animals have you previously owned? *
Have you considered the extra expenses that will come with having a dog? *
Vet care, food, supplies, equipment, toys, training and boarding.
Do you have a dog door? *

Yes No
How will the dog let you know it needs to go outside? *
If you move, what will you do with the dog? *
Are you or your spouse with the military? *

Yes No
What are your plans if deployed?
Are you aware we require all dogs/cats in the home be spayed/neutered? *

Yes No
Are you aware that adoption fees vary and are non-refundable? *

Yes No
Are you familiar with your local animal control laws? *

Yes No
Will adding another dog into your home be within local laws? *

Yes No
What plan do you have in place for bringing a new dog into your home and how do you expect to manage integration with other dogs? *
Attach home/yard photos

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I have read the above information carefully and have filled out this application honestly. I understand that omission of information and/or failure to answer all questions and sign the application can result in this application being declined. Also, if an omission or untruth is discovered after an adoption takes place, I understand that the Miller’s Cause reserves the right to annul the adoption and reclaim the animal. I give the rescue permission to fully investigate the information provided as well as contact veterinarians, personal references and complete a background check. If the application passes this review, I agree to provide home and yard pictures and an inspection before an adoption decision is made.

In addition, I understand the adoption decision is dependent on many factors, including but not limited to the compatibility of the family and home to the individual animal, and other applications received on this animal. I understand it is the prerogative of Miller’s Cause to decide which home is most appropriate and that their decision is final. Unless otherwise indicated, I am free to ask that my application remain open for a future dog if my adoption on selected dog is not completed.

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.
Please sign in acknowledgement

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