|
Canine Adoption Application
|
Thank you for your interest in saving a dog's life by adopting from the Little Guild of Saint Francis. The following information is required so that we can assist you in the selection of your new family member. The information is completely confidential and will only be used for adoption purposes. All questions must be answered. Incomplete applications will not be considered. If a question does not apply to your situation, you may enter a hyphen in the field to indicate that you have read the question.
In order to be considered for an adoption, you must meet the following criteria:
- Be at least 21 years of age.
- Have identification showing your present address.
- Have the consent of all adults living in your household.
- Own your own home, or have the landlord's consent to bring an animal into your apartment/house.
Completion of this application does not guarantee the adoption of an animal in our care
|
The Little Guild Canine Adoption Application General Information
|
| Applicant's Name: |
|
| Address: |
|
| Address 2 |
|
| City: |
|
| State: |
|
| Zip: |
|
| |
| Phone number with area code: |
Day: |
| |
Evening: |
| |
| Email Address: |
|
| Driver's License number: |
|
| How did you hear about our dogs? |
|
| Date(s) of birth for potential adopter(s): |
|
Residence Information
|
| Number of Adults (18 and over) in the home: |
|
| Number of Children (under 18) in the home: |
|
| Ages of Children: |
|
| Residence type: |
House
Apartment
-
Own
Rent
|
| Length of residency: |
|
| If renting please list your Landlord's name, address, and phone number: |
|
| Please describe your neighborhood: Is your home in a city, town, country, or suburbs? |
|
Employment Information
|
| Are you employed? |
Yes
No
|
| Length of employment: |
|
| Occupation: |
|
| What are your work hours? |
|
Household Information
|
| What are your household members work hours? |
|
| How many hours a day will your dog spend alone? |
|
| Do you travel? |
Yes
No
|
| If yes, how often? Who will provide for your animals while you are away? |
|
Community Information
|
| Does your community have a leash law? |
Yes
No
Do Not Know
|
| Does your community have breed specific laws? |
Yes
No
Do Not Know
|
| If yes, please describe: |
|
| Have you considered the daily expenses for maintaining an animal (food, vaccinations, monthly heartworm preventative, monthly flea/tick preventative, unexpected medical expenses grooming, obedience classes, etc.)? |
Yes
No
|
Selecting Your New Pet
|
| Are you applying for a specific dog? |
Yes
No
|
| If yes, please name: |
|
| Preferred gender: |
Male
Female
|
| Preferred age: |
|
| Preferred color: |
|
| Can you bring all family members and pets to meet the dog you are considering? |
Yes
No
|
| If no, please explain: |
|
| What qualities would you like to have in your new dog? |
|
| What behaviors would prompt you to relinquish your new dog? |
|
| What do you know about this dog's breed or mix of breed? |
|
| Have you ever been charged with or convicted of animal abuse, neglect or cruelty? |
Yes
No
|
| If yes, please explain: |
|
Caring for your new dog
|
| Have you considered training classes for yourself and your new dog? |
Yes
No
|
| Under what circumstances would you be unable to keep this dog? |
|
| What happened to your previously owned pets? |
|
Information about your current pets:
|
| Do you currently have any dogs in your home? Tell us more about them |
|
| How long have you had your dog(s)? |
|
| Where did you get your dog(s)? |
|
| Does your dog play with other dogs on a regular basis? |
Yes
No
|
| Is your dog crated? |
Yes
No |
| Do you have other pets? Cats? |
|
| Is your cat accustomed to dogs? |
Yes
No
|
| Is/Are your current pet(s) spayed/neutered? |
Yes
No
|
References
|
| Name of Veterinarian |
|
| Phone number of Veterinarian |
|
| * Please list the names, addresses, and phone numbers of three (3) references we may call who can attest to your suitability as an adopter. For example, an animal professional (behaviorist, trainer, vet, groomer, educator), a friend who has a dog, your employer, or a co-worker. |
| Reference #1 |
|
| Reference #2 |
|
| Reference #3 |
|
| Do you give permission for The Little Guild to call upon your veterinarian and other references? |
Yes
No
|
Exercise, Care, and Attention
|
| What type of exercise will you provide for your new dog? |
|
| How often? |
|
| Where will your dog spend his/her day? |
|
| Where will your dog spend his/her night? |
|
| Do you have a fenced yard? |
Yes
No
|
| Type of Fence |
|
| Height of Fence |
|
| Approx. size of fenced in area: |
|
| If your yard is not fenced, are you considering installing one? |
Yes
No
Already fenced
|
| Do you tie out your dog? |
Yes
No
|
| If yes, with what (cable runner, cable attached to tree, cable attached to a stake, chain, etc.)? |
|
| Do you intend to crate your dog? |
Yes
No
|
| If so, when, why, and for how long? |
|
| Would you consider working with a professional behaviorist/trainer on correcting problems, should they arise? |
Yes
No
|
Additional Comments
|
| What would you do if your new dog chewed up a pair of expensive shoes or damaged your furniture? |
|
| Do you understand that if you should be approved for an adoption and it does not work out, that this pet must be returned to The Little Guild? |
Yes
No
|
| Have you ever given a pet to a shelter or given it away (yes/no)? If yes, please explain |
|
| Signature (please type name) |
|
Typing your name in this field constitutes a written signature on this application. By signing you are acknowledging the information provided is true and accurate to the best of your knowledge.
|
