ADOPTION APPLICATION

The ZOEY Group

Dog Adoption Application
The ZOEY Group is an all-volunteer, non-profit, animal welfare organization dedicated to the rescue and placement of stray, neglected and abused animals. All of our pets are cared for by foster volunteers in their homes and receive complete medical care, which includes testing, deworming, (age appropriate) vaccinations, spaying/neutering and microchipping prior to their adoption.
This questionnaire is designed to help our interviewer and yourself determine if a specific dog is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. The ZOEY Group reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions!
Name of the dog you are interested in adopting:*
APPLICANT(S) INFORMATION
Applicant's Full Name:*
Applicant's Age:*
Applicant's Home Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant Phone Number*

Area CodePhone Number
Applicant's Email:*
example@example.com
What best describes the Applicant's schedule?*

Outside of Home (40+ Hrs per week)Work from HomeHybrid / Flex ScheduleTravel for WorkPart Time (25- Hrs per week)RetiredN/AOther
Applicant's Occupation and Employer:
(N/A if not applicable)
Co-Applicant's Name (If Applicable):
(N/A if not applicable). Is there anyone else in your household that will be applying with you?
Character Reference:
Please include name, relationship, and phone number.
HOUSEHOLD INFORMATION:

Home Environment
Are all members of your household in agreement with this adoption?*

YesNoDon't KnowN/A
Who will be the pet's primary caregiver?*
Yourself, a partner, a family member, etc?
Do you live in a*

HouseApartmentCondoMobile HomeOther
Do you own or rent?*

OwnRent
If renting, provide name and phone number of landlord:
Does your landlord allow dogs?

YesNoN/A
Are there any restrictions from your landlord or subdivision?

Number of PetsSize or Weight RestrictionsBreed RestrictionsNone
Do you have a fully fenced yard?*

YesNo
If Yes, what is the height and type of fence?
(N/A if not applicable)
Do you have any of the following?

Underground FenceKennelDog RunN/A
How many Adults are in your household?*
How many Children are in your Household?*
(N/A if not applicable)
If there are children in the household, or regular visitors such as friends or family members, (e.g. grandkids, nieces, or nephews), please provide their age range(s) - check all that apply. Some of our adoptable pets could be fearful of children and may not be a good fit.

0-4 Years Old5-9 Years Old10-15 Years Old16-20 Years Old21-29 Years Old30+ Years OldOther
Does anyone in your home or any frequent visitors have allergies to dogs or have asthma?*

YesNo
CURRENT & PREVIOUS PET INFORMATION
Do you or anyone in your household currently own pets?*

YesNoOther
If Yes, what type of pets?*

Dog(s)Cat(s)Dog(s) & Cat(s)N/AOther
Are your current household pet(s) up-to-date on all vaccinations?

YesNoN/AOther
Are your current household pet(s) spayed/neutered?

YesNoN/AOther
Please list any pet(s) you or anyone in your household have had in the past 3 years, including type, age, and if they are no longer with you, please explain:
N/A if not applicable
Have you adopted from an animal welfare group before (if Yes, please include the group name in the "Other Field"?

YesNoOther
LIFESTYLE & CARE

Care, Experience, Training, Expectations, & Behavior Management
What type of qualities & personality do you want your pet to have? (i.e. energy level, temperament, trainability)*
Select all that apply: I have researched and/or had experience with:*

Safe / proper pet introductions (pet to people/kids)Safe / proper pet introductions (pet to pet)Safe / proper interactions between kids and dogsUnderstanding a dog's body language3-3-3 decompression rule(s) for dogsBreed, age, size specific exercise (physical / mental) needsFearful or stressed dogs (exhibiting uncharacteristic behavior)Obedience Training with a professional trainerTraining a dog using the positive reinforcement methodPotty training a new dog or puppyLeash trainingCrate trainingWorked to resolve separation anxietyAdvanced training such as agility, scent, service, or SAR workBehavioral issues (reactivity, excessive barking, chewing, etc.)Large breeds (that may take up to two years to fully mature)Off leash dog parks / off leash hikesCommon household hazards & dogs (medications, foods, plants, etc.)Grooming needsFlea, Tick, Heartworm & Worm PreventionRoutine Veterinary Care (how often they should be seen for an exam)Diet and supplementsSupervised outdoor activity (protection from predators etc.)None of the AboveOther
How much time are you able to dedicate to a dog on a daily basis for walks, exercise, play/enrichment activities, grooming, and other basic care?*

20-30 minutes30-60 minutes60-90 minutes90 minutes +Other
Are you aware that new environments can be stressful for dogs that may result in uncharacteristic behaviors?*

YesNo
Are you aware that if a dog does not receive enough exercise (physical / mental) it may cause anxiety and behavioral issues?*

YesNo
What behaviors are you willing to work on, and what behaviors would be a dealbreaker?*
Describe your average daily routine & lifestyle with your dog by answering the example question(s) below: *
1. Where will they sleep? 2. How often will they be fed & where they will eat? 3. If home alone, where will they be and for how long? 5. Will they be crate trained and if so, how many hours a day will they spend in a crate? 6. How many daily potty breaks will they have? 6. What will be their daily exercise and enrichment activities? 7. Will they go to doggy day-care or have a pet sitter/walker (if yes, please provide their name and contact info). 8. Are there any hobbies they will participate in (boating, camping, hiking, etc.). 9. Add anything else you want to share about your daily routine...
Do you plan to take an obedience class with your dog?*

YesNoNot sure
If yes, where?
Dog Trainer Name/Organization & Location
What would you do if your dog developed a behavioral issue you weren't prepared for?*
If the dog has an "accident" in your home, what type of correction do you plan to use?*
COMMITMENT
Where will your dog receive veterinary care (Routine & Emergency Care)?Please provide the name, location, and phone number and indicate if you are a past, current, or new client.*
N/A if not applicable
Do you understand that a dog can be up to an 18 year commitment, and can cost $450 - $1,600 per year to provide basic care ((e.g. annual vet visits, vaccinations, parasite control such as fleas, ticks, worms, and proper food, in addition to grooming, and basic supplies, pet licenses, etc.) in addition to the potential costs associated with emergency and non-routine vet care?*

YesNo
Have you ever had to surrender or return a pet to a shelter, rescue, friend, or family member, etc.?*

YesNo
If Yes, describe the situation, how long ago, and where they were surrendered:*
N/A if not applicable
We understand that unexpected life changes can happen. In what situations do you think you might no longer be able to keep a dog?*
If there was a medical emergency, changes in financial situations, needing to move somewhere where they don't allow pets, etc..
Is there anything else you would like us to know when considering your adoption application?
How did you find out about us?*

Petfinder.comReferral (Friend/Family Member, etc.)theZOEYgroup.comSocial MediaOther
I understand that I assume full responsibility for the welfare of this pet from the date of adoption.
Should be Empty:

The ZOEY Group

APPLICANT(S) INFORMATION

HOUSEHOLD INFORMATION:

CURRENT & PREVIOUS PET INFORMATION

LIFESTYLE & CARE

COMMITMENT