Adoption Application Applicant Information Name * First Name Last Name Address * City * State * Zip Code * Age of Applicant * Phone * (###) ### #### Email * Pet Preferences What type of pet are you interested in? * Select Dog Cat Other Sex Preference for Adoption * No Preference Male Female Age Preference for Adoption * No Preference Young Adult Senior Size Preference for Adoption * No Preference Small (below 25 lbs) Medium (25 – 60 lbs) Large (over 60 lbs) Breed Preference for Adoption (if applicable) Name of pet you're interested in adopting (if applicable) * How did you hear about us? * Select PetFinder Adopt-A-Pet BarK Facebook Instagram Google or other search engine A Rescue Project Foster/Volunteer Friend or Family Member Other Home Information I (we) live in a: * Select House Townhome Apartment Mobile Home RV Do you own or rent? * Select Own Rent Landlord Name (if applicable) Landlord Phone (if applicable) (###) ### #### Rental Complex Name (if applicable) Do you have a securely fenced yard? * Select Yes No Type of fence (if applicable) Select N/A Wooden Chain Link Invisible Fence Iron Plastic Other Fence Height (if applicable) Select N/A 4 foot 5 foot 6 foot 8 foot Other How long have you lived at this address? * Do you plan to move in the near future? * How many household residents? * How many children? (under 18) * Ages of children that live in the home: * Family Status * Select Married Single Roommates Other Do you or any of your family members have any medical conditions (including allergies) that may interfere with properly caring for your pet? * Select Yes No If yes, please explain: Employment I am: * Select Employed outside the home Work from home Stay-at-home or retired Student Employer * City * Phone * (###) ### #### Position * Hours Per Day * Partner is: Select Employed outside the home Work from home Stay-at-home or retired Student Name First Name Last Name Employer Phone (###) ### #### City Position Hours Per Day Pet History - Please list all pets residing in your household for the last 5 years Pet History Details If you have not owned any pets, please skip to the "Adoption & Animal Care" section Pet 1: Name Pet 1: Type of Pet Select Dog Cat Rabbit Ferret Hamster Guinea Pig Bird Reptile Other Pet 1: Breed Pet 1: Temperament Pet 1: Age Is this animal still living in your home? Select Yes No If not, please describe what happened to them. Please be specific. If the animal is still in the home, are they (please select if yes): Spayed/Neutered Current on FVRCP (for cats) & DHPP (for dogs) Current on rabies vaccination On heartworm prevention (for dogs) Pet 2: Name Pet 2: Type of Pet Select Dog Cat Rabbit Ferret Hamster Guinea Pig Bird Reptile Other Pet 2: Breed Pet 2: Temperament Pet 2: Age Is this animal still living in your home? Select Yes No If not, please describe what happened to them. Please be specific. If the animal is still in the home, are they (please select if yes): Spayed/Neutered Current on FVRCP (for cats) & DHPP (for dogs) Current on rabies vaccination On heartworm prevention (for dogs) Pet 3: Name Pet 3: Type of Pet Select Dog Cat Rabbit Ferret Hamster Guinea Pig Bird Reptile Other Pet 3: Breed Pet 3: Temperament Pet 3: Age Is this animal still living in your home? Select Yes No If not, please describe what happened to them. Please be specific. If the animal is still in the home, are they (please select if yes): Spayed/Neutered Current on FVRCP (for cats) & DHPP (for dogs) Current on rabies vaccination On heartworm prevention (for dogs) Pet 4: Name Pet 4: Type of Pet Select Dog Cat Rabbit Ferret Hamster Guinea Pig Bird Reptile Other Pet 4: Breed Pet 4: Temperament Pet 4: Age Is this animal still living in your home? Select Yes No If not, please describe what happened to them. Please be specific. If the animal is still in the home, are they (please select if yes): Spayed/Neutered Current on FVRCP (for cats) & DHPP (for dogs) Current on rabies vaccination On heartworm prevention (for dogs) Have any of your previous pets run away/become lost, hit by a car or been rehomed? If yes, please describe the situation: Adoption & Animal Care Who will be responsible for caring for this pet? * Why have you decided to adopt a pet? * What concerns do you have about adopting a new pet? * Where will your pet be kept when left alone? * Please select all that apply House (free to roam) Enclosed Room Garage Basement Kennel Outdoors How long will the pet be left alone during the day? * Select More than 8 hours 7-8 hours 5-6 hours 3-4 hours 2 hours or less How will your pet get exercise? * Describe a typical day in the life of your adopted pet with you in your home: * Will you crate train your pet? * Undecided Yes No Will you consider training or behavioral classes? * Undecided Yes No What is unacceptable behavior to you? * How would you reprimand your pet for chewing, digging, scratching, house training/mistakes, not using a litter box, etc? * What behavior would cause you to return a pet? * Have you adopted from The Rescue Project before? Select Yes No If you have adopted from a rescue before, where do you adopt from and what type of pet/breed did you adopt? Veterinarian Information We request that you complete this section if you have had a pet in your home in the last 5 years (even if that pet is no longer living). We contact all vet references to verify routine vaccinations. If your vet requires your approval to release vetting information to us, please provide authorization to your vet in conjunction with submitting an adoption application. Do you have a regular veterinarian? * Select Yes No Not Applicable Vet Clinic Name Doctors Name First Name Last Name Phone (###) ### #### City/State Name on account at vet clinic Date of last vet visit (approx) Vet Clinic Name (if used more than 1) Doctors Name First Name Last Name Phone (###) ### #### City/State Name on account at vet clinic Date of last vet visit (approx) References Please list two character references unrelated to you. Please do not list a family member on your references. Reference 1 - Please include name, relationship and phone number * Reference 2 - Please include name, relationship and phone number * Conditions * I certify the information submitted is complete and accurate to the best of my knowledge and provide my permission for this information to be verified. I understand The Rescue Project has the right to deny any application. I acknowledge that, upon completion of the adoption process and delivery of the animal, I assume sole responsibility for the well-being of the animal including all veterinary care and related expenses. I agree that if I am unable to keep the adopted animal for any reason during the term of its life, I will contact The Rescue Project to assist with placement in another home. Under no circumstances will I ever place the animal in an animal shelter, pound, pet store, or advertise to sell or give away via the internet. The Rescue Project will not accept or consider any application with false or misleading information. I accept and understand the conditions stated above Thank you for applying. A volunteer will reach out to you in the next 48 hours.
