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Adoption Application
PLEASE READ BEFORE FILLING OUT APPLICATION:

This form is to serve as the adoption application for the dog you are interested in. By filling this out and providing an electronic signature at the bottom you are stating you are not making any false claims. We do perform background checks on all applicants along with the members of your household. The background check searches for criminal records. We are mainly focused on violent criminal charges, not petty crimes. If you would like a copy, please send an email to sheilasrescue@gmail.com.

If your application is approved we will reach out and schedule a home visit and intro. Depending on where you live we may ask that you meet in our local area for the intro first. If you both hit it off we will then schedule a home visit.

Try and be as specific as possible in the application. Failure to do so can result in your application processing being delayed. In some cases, we will reject the application if it is not filled out completely. Last, we may get quite a few applications on one dog. If you do not receive a reply from us, please e-mail and check the status as it is difficult to reply to all applications that come in.
Animal Information
Name of Dog: *
Contact Information
First Name *
Middle Name (If middle name is not provided, this will slow down the application process, if no middle name put "N/A".) *
Last Name *
Employer *
Occupation *
Address (No PO Box, this is used for home visit) *
City *
State *
County (This is county, not country) *
Zip *
Cell Phone (Put N/A if Not Applicable) *
Home Phone (Put N/A if Not Applicable) *
Email Address *
Date of Birth *
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Family & Housing
In the next section, please list all adults (over the age of 18) that reside in your household. They will be subject to a background search. By entering their name and DOB, you are confirming they have given you permission for SHARe to conduct a background check. If you do not require all lines, simply put N/A. If you have more entries than the lines provided, please add them to the comments section at the bottom of the application.
Adult #1, Full Name and Date of Birth. (If middle name is not provided, this will slow down the application process.) *
Adult #2, Full Name and Date of Birth. (If middle name is not provided, this will slow down the application process.). *
Adult #3, Full Name and Date of Birth. (If middle name is not provided, this will slow down the application process.) If more adults live in the home than 4, please add them to the comment section.
How many children (ages)? *
What type of home do you live in single family, town home, apartment, farm, etc.? *
Please describe your household: *
By providing this information you are allowing us to contact your landlord. Please notify him/her prior to us calling.
Do you own your own home? *
If you rent, please give the rules governing pets and the landlord’s name and number. If you own your own home, say N/A. *
If you rent, have you paid a pet deposit? *
Does anyone in the family have a known allergy to dogs? *
Do you have any other pets? If so, please list below. If not, put "N/A". This section needs to be specific as it will assist in determining if the pet your interested in will be a good fit. *
Are these pets up to date on vaccines? *
Are these pets spayed/neutered? If not, why? *
Have you ever surrendered a pet? If so, why? *
Have you ever had a pet euthanized? If so, why? *
Have you ever lost a pet to an accident? If so, how? *
How do you discipline your pets? *
Veterinarian Information
Do you have a regular veterinarian? *
Veterinarian’s name: (Put N/A if Not Applicable) *
Clinic Name: (Put N/A if Not Applicable) *
Clinic Address: (Put N/A if Not Applicable) *
Clinic Phone: (Put N/A if Not Applicable) *
Providing this information you are allowing SHARe to call your vet. Please provide your vet permission to release information prior to a board member calling.
About the Dog You Wish to Adopt
Where will the dog spend the day? (describe) *
Where will the dog spend the night? (describe) *
Number of hours (average) dog will spend alone? *
Who will have primary responsibility for this dog's daily care? *
Who will have financial responsibility for this dog? *
Do you agree to provide regular health care by a Licensed Veterinarian? *
What is your monthly budget for your dog, please only list the actual amount you plan to spend monthly (dog food, toys...). This does not include emergencies? *
Do you agree to keep the dog as an indoor dog? *
When the dog goes out, how do you plan to supervise it? *
Do you have a fenced yard? *
What type of fence do you have? If you do not have one put "N/A"? *
If you decide you do not want the dog, you must return it to SHARe. Do you agree? *
If your application is approved you must consent to a home visit? Do you agree? *
If the adoption process results in a trial, you must commit to a minimum of 48 hours. Bite incidents will be handled differently. Most dogs will take some time to adjust to their new home. They may not be themselves in the first 48 hours so we ask that you allow some time for them to adjust. Do you agree? *
Would you be interested in fostering in the future after your new pet is settled? *
Personal References
Please list two references.
Name *
Address *
Phone *
Relationship (relative, neighbor, friend, etc.): *
Name *
Address *
Phone *
Relationship (relative, neighbor, friend, etc.): *
Additional Comments
I agree that everything above is true and correct. I understand that by filling out an application I am not guaranteed an approved adoption. If I adopt a dog and decide to return him to SHARe after 7 days, I will forfeit my adoption fee. You are also encouraged to read over the adoption contract before submitting an application. It can be found on the same link as this application.
Signature *
Date *
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