Request edit access
Almost Home Adoption Application
Thanks for your interest in our dog. Your completed application will help Almost Home Dog Rescue match our pups with loving homes. While we try our best to communicate what we know about our rescues, including any known medical or behavioral issues, often times we are working with minimal information and prior history. Breed identification cannot be guaranteed and is often our best guess. We want our adoptions to be forever homes, please take the time to research, plan and choose a dog who fits your lifestyle.
Name of applicant
Date of birth
Name of dog/puppy
City, State and zipcode
Alternate phone number
List all members of the household with name, age (including yourself) and occupation (or child)
Do you own your home or rent?
Please note landlord name and phone number if rental.
How long have you been at this residence? Are there any plans to move?
PLEASE LIST YOUR COMBINED HOUSEHOLD INCOME RANGE
LESS THAN $15000
GREATER THAN $80000
Please check off all that applies to describe your home.
Single family house
Townhome or duplex
Please check off what applies to describe your home.
Yard with traditional fence
Yard with wireless fence
Yard with no fence
If you have a fence, please describe materials and height
Anything else you would like us to know about your home?
Part of our adoption process may include a home visit. Is this acceptable to you?
What are you looking for in a dog, check all that apply.
young adult (6 months to 1.5 years old)
adult dog (1.5 years old thru 7 years old)
senior dog (older than 7 years old)
either sex, doesn't matter as much as the dog
lots of energy to play and run
Under 20 pounds (fully grown)
20 to 60 pounds (fully grown)
larger than 60 pounds (fully grown)
If adopting a puppy, what will you do if puppy grows larger than anticipated?
If adopting a puppy, it has been shown that socialization plays a strong role in developing a confident, well adjusted puppy. What will you do for socialization?
How do you plan to exercise your dog?
Does anyone in the home have allergies to dogs?
All dogs must be spayed or neutered. How do you feel about that?
Describe your typical day...how long will your dog be without humans.
Why are you interested in getting a pet?
Have you owned a dog and have experience in training?
Do you plan to enroll in training or classes?
Do you currently have pets? If so, for each pet, please describe them. Include species, age, how long you have had them, if they are altered and if they are up to date with vaccines. If none, please enter none.
Have you had pets in the past ten years? If so, please describe each one by name, species, if altered, and why you no longer have them. If none, please enter none.
Please note your current veterinarian with phone number. Important-please contact vet to tell them we will be calling, this will expedite your application.
Where will your dog spend most of it's time when you are home.
Where will your dog spend most of it's time when you are not home.
Who will be the primary caretaker of the adopted dog?
Will this be your first dog?
Under what circumstances would you not keep your dog. Check all that apply.
ILLNESS IN FAMILY
MOVE TO ANOTHER HOME OR ANOTHER STATE
KIDS AREN'T FULFILLING RELATED CHORES WITH DOG
DOG GREW TOO BIG
PET BECAME ILL
WOULDN'T GIVE UP DOG
Name the steps you will take to remedy the situation if the dog you adopted is not working out?
If you were unable, medically, to care for your dog, would you know what your plan for your dog would be?
Dogs often require a period of 10 to 14 days to acclimate to their new environment. Are you prepared to give your new pet that amount of time to adjust?
Estimate the annual expense to own a dog. What will you need to spend money on? Please describe.
Have you ever given up a pet or lost a pet? Please describe.
There are many training tools to choose from, please explain which tools you might typically use to train and walk your dog? Please check all that apply.
CHAIN CHOKE COLLAR
FRONT CLIP HARNESS
GENTLE LEADER/HEAD HALTER
4-6 FOOT LEASH
Does everyone in your home approve of getting a dog?
When will you be ready to adopt a dog?
Please list two personal references with phone numbers and their relationship to you.
I have read this application in its entirety and I agree that all statements contained herein are made by me and are truthful. I hereby enter my full name as confirmation via electronic signature.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service