Applicant's Full Name
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First Name
Last Name
Email
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Full Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
How long have you lived at your current address?
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Your Age
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Home Phone
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(###)
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Cell Phone
(###)
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Employer
Character Reference and Phone Number
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Are all the household members in agreement to adopting a dog
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Who will be the dogs Primary caregiver
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Do you live in a
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Do you own or rent?
If you rent, please provide landlord's name and number
Does your landlord allow dogs?
Are there any restrictions from your landlord or subdivision?
Do you have a fully fenced yard?
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Height and type of fence
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How many adults in your home
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Please name the adults in your household
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How many children are in your household?
If children, what are their ages?
Have your children been around animals before?
Do you have children visit your home?
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Does anyone in your home have allergies to dogs or asthma?
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Please list the pets in your home ,their age and if they are spayed/neutered /
Have you adopted from an animal welfare group before?
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If yes, what group?
Have you ever given up a pet?
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If yes, what were the circumstances?
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Please provide name and phone number of your current and/or previous veterinarian or clinic:
Why do you want to adopt a dog?
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What type of personality do you want your pet to have?
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Are you aware of crate training?
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Have you ever house broken a dog or puppy before?
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If the dog has an "accident" in your home, what type of correction do you plan to use?
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How many hours a day will your new pet be home alone?
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Where will your pet sleep at night?
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How will you supervise the pet's outdoor activity?
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Where will your dog stay when nobody is home?
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Are you willing to work through your new pet's issues, if any?
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What length of time will you allow your new pet to adjust to his new home?
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Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behaviour?
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Do you understand that a dog can be an 18 year commitment, and can be unexpected expenses that arise ?
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Do you plan to take an obedience class with your dog?
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If yes, where?
What circumstances would lead to give up your dog ?
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Anything else you would like to add about yourself and why you would be a great adopter ?
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Please check the following to continue
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