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Almost Home Adoption Application
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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. Please note an incomplete application cannot be processed.
Your answer
Name of dog/puppy that you are interested in
Your answer
Name of applicant
Your answer
Date of birth
Your answer
Name of co-applicant
Your answer
Date of birth of co-applicant
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Street Address
Your answer
City, State and zipcode
Your answer
Phone number
Your answer
Alternate phone number
Your answer
Occupation (s) (both applicants if applicable)
Your answer
List all members of the household with name, age (including yourself) and occupation (or child)
Your answer
Do you own your home or rent?
Own
Rent
Please note landlord name and phone number if rental.
Your answer
How long have you been at this residence? Are there any plans to move?
Your answer
If you have been at residence less than 1 year, please list prior residence address
Your answer
PLEASE LIST YOUR COMBINED HOUSEHOLD INCOME RANGE
LESS THAN $15000
$15000-$30000
$30000-$50000
$50000-$80000
GREATER THAN $80000
Other:
Please check off a description of your residence
Single family house
Townhome or duplex
Apartment
Condominium
Mobile Home
Option 6
Please check off all that applies to describe your home.
Yard with traditional fence, completely enclosing a portion of the yard
Yard with traditional fence, that only partially encloses an area on some sides
Yard with wireless fence
Yard with no fence
No yard
If you have a fence, please describe materials and height
Your answer
Anything else you would like us to know about your home?
Your answer
Part of our adoption process may include a home visit. Is this acceptable to you?
Yes
No
Maybe
Clear selection
What are you looking for in a dog? Check all that applies
puppy
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)
Female only
Male only
either sex, doesn't matter as much as the dog
lots of energy to play and run
medium energy
very quiet
Under 20 pounds (fully grown)
20 to 40 pounds
40 to 60 pounds
larger than 60 pounds (fully grown)
If adopting a puppy, what will you do if puppy grows larger than anticipated?
Your answer
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?
Your answer
How do you plan to exercise your dog?
Your answer
Does anyone in the home have allergies to dogs?
Your answer
All dogs must be spayed or neutered. How do you feel about that?
Your answer
Describe your typical day...how long will your dog be without humans.
Your answer
Why are you interested in getting a pet?
Your answer
Have you owned a dog and have experience in training?
Your answer
Do you plan to enroll in training or classes?
Your answer
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.
Your answer
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.
Your answer
Please note your current veterinarian (and/or if applicable past vets within the last 8 years with most current first) with phone number. IMPORTANT-please CONTACT VET to tell them we will be calling, this will expedite your application or may even result in denial of application.
Your answer
Where will your dog spend most of it's time when you are home.
Your answer
Where will your dog spend most of it's time while you are away?
Your answer
Who will be the primary caretaker of the adopted dog?
Your answer
Will this be your first dog?
Your answer
Under what circumstances would you not keep your dog. Check all that apply.
DIVORCE
ILLNESS IN FAMILY
NEW BABY
MOVE TO ANOTHER HOME OR ANOTHER STATE
SHEDDING
KIDS AREN'T FULFILLING RELATED CHORES WITH DOG
DOG GREW TOO BIG
BARKING
NEW JOB
DIGGING
PET BECAME ILL
DOESN'T OBEY
WOULDN'T GIVE UP DOG
Other:
Name what steps you will take to remedy the situation if the dog you adopted is not working out?
Your answer
What if any provisions have you made for a pet if something happens that you are no longer able to care for them?
Your answer
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?
Your answer
Estimate the annual expense to own a dog. What will you need to spend money on? Please describe.
Your answer
Have you ever given up a pet or lost a pet? Please describe.
Your answer
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.
REGULAR COLLAR
MARTINGALE COLLAR
CHAIN CHOKE COLLAR
PRONG COLLAR
SHOCK COLLAR
PINCH COLLAR
BARK COLLAR
HARNESS
FRONT CLIP HARNESS
GENTLE LEADER/HEAD HALTER
RETRACTABLE LEASH
4-6 FOOT LEASH
SLIP LEAD
CLICKER
TREATS
SPRAY BOTTLE
SOUND CAN
VINEGAR
NEWSPAPER
ELECTRONIC COLLAR
STEM COLLAR
Does everyone in your home approve of getting a dog?
Your answer
When will you be ready to adopt a dog?
Your answer
Please list two personal references with phone numbers and their relationship to you.
Your answer
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.
Your answer
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Option 1
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PM
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