Request edit access
BIG AND SMALL RESCUE ADOPTION APPLICATION FORM
Thanks so much for your interest in adopting one of our animals! We're thrilled at the prospect of matching you with one of the loving dogs currently in our care.

This application takes most people 10-20 minutes to complete.

Once we've received your adoption application, we'll give it a review and then be in touch for a phone interview. If you have any questions about the animal or the adoption process, you can get detailed answers from us then. If we think you are a suitable match for the dog, we'll put you in touch with the foster for a meet-and-greet. Adoptions are completed by a home check, an adoption contract, and an adoption fee.

If you have photos of your home or your current pets that you'd like to send in with your application, please email them to adoptbigandsmallrescue@gmail.com from the same email address that you're listing on this application.

If you'd prefer to download a PDF version of this form, you find one at https://www.bigandsmallrescue.com/uploads/1/5/4/6/15462604/bigsmalladoptionrequest__july2014.docx. Completed PDFs can be submitted via email to adoptbigandsmallrescue@gmail.com.
Please tell us which dog you're applying to adopt: *
What was it about this dog that captured your interest? *
What do you know about this breed’s mental and physical requirements? *
CONTACT INFORMATION
Your name (first and last): *
Email address: *
Cell phone: *
Home phone, if applicable:
Street address: *
City: *
Province: *
Postal code: *
HOUSEHOLD INFORMATION
Please list all the people who live in your home, including their ages. Include babies and children. (If nobody else lives in the home, please write N/A.) *
Who will have primary responsibility for the animal? *
If there are children in your home, are they used to dogs? *
Are all members of your household aware of your plans to adopt or foster an animal? *
Are you planning to move within the next two years? *
If you are required to move in the future and cannot find a home permitting animals, what would you do with them? *
How would you describe the pace of your home? *
How would you describe your lifestyle? *
How would you describe yourself? *
How would you describe the other members in your house? *
Are you planning any of the following in the next month: *
Required
Where would the dog stay during a holiday, or during an emergency (like a hospital stay)? *
Is there anything else you'd like us to know about your household?
PROPERTY INFORMATION
What type of home is it? *
Please indicate the type of yard the home has, if any: *
How long have you lived at your current address? *
Do you own or rent? *
If renting, do you have landlord approval?
Clear selection
If you're a renter, please provide your landlord's name and phone number:
Is there anything else you'd like us to know about the property?
ANIMAL CARE INFORMATION
How many hours will your dog spend alone during the day? *
Where will the dog stay while you are away? *
Where will the dog sleep? *
Please list any dogs currently in the household. Include breed, age, gender, whether they are spayed/neutered. (If there are no dogs in the household, write N/A.) *
Please list all other pets currently in the household. Include breed, age, gender, whether they are spayed/neutered. (If there are no pets in the household, write N/A.) *
If there are no pets in the household at this time, have you had any in the past six years? If yes, what happened to them? *
Is there anything else you'd like us to know about the other animals in the home?
ACTIVITY AND CARE INFORMATION
What outdoor activities do YOU engage in? *
What kind of activities would you enjoy doing with your dog? *
Do you live close to a dog park, beach, or other area where the dog can socialize with other dogs, play, and have fun? *
If not, where do you plan on taking them?
What form of exercise will you provide the dog and how often (hours per day)? *
Are you prepared for the fact that even with great vigilance puppies and dogs sometimes chew furniture, clothing, shoes, etc? *
Are you aware that small objects are a very real choking hazard for dogs? *
Are you aware of foods that are dangerous for dogs to ingest?  (xylitol- a sweetener in candies, toothpaste, chewing gum etc; chocolate; grapes; etc) *
What brand of food will you feed your dog? *
Do you have a family veterinarian (If yes, please provide contact info)? *
How much do have you budgeted for vet visits each year? *
How much do have you budgeted for dog food costs each year? *
How much do have you budgeted for boarding costs each year? *
BEHAVIOURAL/TRAINING INFORMATION
Are you planning to attend obedience training with your dog? *
Will all household members take part in training? If not, explain why. *
Are you willing to work on any behaviour issues (ie fearfulness, separation anxiety)? *
Have you ever done special training with a dog? What type? *
What is your philosophy or method of training a dog? *
Have you ever owned a “rescued” animal before? If yes, describe. *
Have you ever owned a special needs animal before? If yes, describe. *
Have you dealt with behavioural issues before? If yes, describe. *
Have you house-trained an animal? Was it difficult? *
Have you crate-trained an animal? Was it difficult? *
If necessary, how will you discipline your animal? *
What are you expecting from your dog? *
For what reason would you return a companion animal? *
If something happens to you, your home, or relationship, who will care for your animals?   *
Have you ever volunteered for the SPCA or other rescue group? *
Have you applied to any other rescue shelters/groups? Which ones? *
How did you hear about this animal? *
CAREGIVER'S EMPLOYMENT INFORMATION
Primary caregiver's occupation: *
Employer: *
Length of time with employer:
Working hours each week: *
Secondary caregiver's occupation, if applicable:
Employer:
Length of time with employer:
Working hours each week:
REFERENCES
Reference #1 name (first and last): *
Reference #1 phone number: *
Relationship to Reference #1: *
Reference #2 name (first and last): *
Reference #2 phone number: *
Relationship to Reference #2: *
If you have photos of your home or your current pets that you'd like to send in with your application, please email them to adoptbigandsmallrescue@gmail.com from the same email address that you've listed on this application.

If there's anything you want to tell us about that we didn't ask about on the application, please go ahead and tell us about it here. If not, go ahead and submit your form.
Additional comments:
You're done!
That's it! Thanks so much. We're excited about your application and will get back to you as soon as we're able.
Submit
Never submit passwords through Google Forms.
This form was created inside of needle-and-nail.com. Report Abuse