Adoption Application 2015
 PLEASE READ BEFORE FILLING OUT FORM:
 
Thank you for considering adoption through Animals, People and Environment Action. We are a non-profit organization run solely on the donations of caring citizens and volunteers and without them we cannot do the work we do to save and rehabilitate animals.  We are looking for adoptive families that are committed in making a difference and a lifetime commitment financially and morally to a pet.  All of our rescued pets are seen by our vets, vaccinated, spayed/neutered, de-flead, micro-chipped, and groomed upon adoption.

OUR RESCUE PROCESS:

After we receive your application, we will contact you to schedule a meet and greet.

Your application will be reviewed by our adoption board and upon approval, a private appointment will be made for you to meet the pet of interest and go over all and any questions or an appointment will be set up at one of our adoption events.

Upon agreement to adopt, we will meet you at your home for a home check with pet.

The final step (after meet and greet, house check, application) is a donation and contract.

We suggest a minimum donation of $300. Please understand donations are not a purchase price but an adoption fee  contribution freely given. (Donations are not refundable)

Are you willing to help us save the next dog?
       
The ability to make a $300- donation is not the only consideration when evaluating an application; it is clearly a very important part of our decision. The inability to make a substantial donation raises a warning flag: can the new adoptee truly afford to care for a pet?

We strongly feel that if you can’t afford a $300 donation, then perhaps you should re-examine your decision to adopt, and consider being a "FOSTER PARENT"  to an animal in need instead.  Vets bills can be costly and we need the assurance that our pets will be in a home where emergency medical care can be given at any time.

PLEASE NOTE:  This application is long and potentially tedious for many people.

Please understand that most of us in rescue volunteer and donate not only time, energy, home & finances, but are also emotionally vested in the animals.

This application invites you to be 100% sure you are ready for this amazing relationship.:)

PLEASE DO NOT LEAVE ANY QUESTIONS BLANK. LEAVING A QUESTION BLANK WILL RESULT IN YOUR APPLICATION NOT BEING APPROVED!!!
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Name/Description of animal you’re interested in: *
Your full name: Address, City, State, Zip: *
Cell Phone Number: *
E-mail address: *
Occupation *
How many hours to you work? *
Your age bracket (circle one or write it in): 18-21, 22-35, 36-45, 46-66, 67+
Do you live in a house, apartment, duplex, condo, other?
Do you own or rent? *
Landlord’s name and phone number:
Do you have a fenced yard?
If you rent, do you have permission from your landlord to have a dog/puppy/cat? *
What type of fencing do you have?hmwm
Where did you hear about us or find this pet? *
Do you share your yard with anyone else?
How high is your fence (at the lowest point)?
How many members are in your household (including yourself)? *
If children, what are their sex/ages/special needs? *
What percentage of time will the animal be inside? *
Is anyone in your household allergic to pets (if yes, explain)? *
Will your dog/puppy/cat be: *
Required
Will all household members be able to come and meet the dog at the scheduled appointment ? *
What percentage of time will the animal be outside? If outside, what space is available to the dog? *
Required
Do you have a dog/cat door? If not, will you install one?
Which rooms are off limits to your dog/cat? *
Is the dog/cat allowed on the furniture? *
Required
When you are not at home, where will animal be? *
How many hours will the dog be alone on average? *
Is anyone home during the day? *
Does anyone come on your property (gardener, pool cleaner, housekeeper, etc.) while you’re not there? *
Where will your dog/cat be during those times?
When you go on vacation, who will care for your dog/puppy/cat? (Check all that apply) *
Required
Do you have a dog(s)/cat(s) now?
What kind(s)? and Ages? *
Are your pets spayed or neutered (if no, explain)? *
Have you ever had a dog/puppy/cat before? Explain
If no longer with you, what happened to them?
Have you ever lost a dog/puppy/cat? How? *
If your animal gets out, which of the following will you do?
What will you do if you had to move or you can no longer keep your pet?Gave to friend? Take to animal shelter? Gave to adoption group? Find the animal a new home through Internet/paper? Other: *
What Brand of food will you feed your pet? *
What will you do if your dog/puppy/cat gets sick? *
Are you prepared to spend the money, if needed? Do you know how much vet care costs? Do you have a limit? (if yes, explain)? *
Who is your vet now (if you have one?) Vets Address and Phone #: *
A pet requires a lot of people attention. Are you prepared to spend a lot of time with your new pet (for the rest of his/her life?) *
What will you do if your dog/puppy/cat chews your favorite shoes/furniture or carpet??
How will you get your dog/puppy/cat to do what you want him/her to do? *
Have you ever trained a dog/puppy/cat in obedience class? *
Do you still use those same training methods? *
Do you think it is necessary for your pet to wear an ID tag? *
How do you plan on exercising your pet?
Have you read up on your breed of interest? What about this breed interests you?? *
Would you be willing to adopt a  dog that is NOT yet fully potty trained? *
What are you looking for in a pet as far as temperament and activity level? (Example) *
Lap dog , Active, Moderate, Lazy, Take pet everywhere, Stay at home dog, Guard Dog, Therapy Dog Other
Check all that apply: Under what circumstances would you give up/return your pet? *
Required
If pet were to do one of the above behavior issues (nipping, biting, barking, digging, etc.), will you be willing to consult a trainer (to try to rectify the situation) before giving the pet up (if no, explain)
Are you prepared to make a commitment of 10 to 18 years to this pet?
Please understand that very often, we are not aware of the animals past, so we can only share with you what we know from the time we got the pet until the time of the adoption. Initial ____
Initial Here:
If I adopt an APe Action Pet I can make a donation of at least $300.00 to help rescue, rehabilitate and care for other APe Action dogs. I understand that my donation is a gift freely given, not a purchase price for a dog; No goods or services have been or will be provided in exchange for the donation
Initial here:
I understand that any donation made is not refundable and that I am able to make a contribution of at least $300.00
Initial here:
I understand that a home visit is required and that a home visit does not guarantee placement. I understand and agree to a home check
Initial here:
I understand that submitting an application does not mean I am approved to adopt a dog. Ape Action has the right to refuse adoption to any applicant for any reason.
Initial here:
I understand and agree that all of the above information that I have provided in this application is true and correct. If any of the information changes, I will advise you promptly.
Initial here:
The box is required to be checked for submitting the application online. This check box will act as your signature authorizing APE ACTION RESCUE to process the application to adopt. By checking this digital signature box, I/WE acknolwledge that all the information is true and correct.
Date:
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Electronic Signature:                             *
Is there anything else you would like to share with us about you and your family that would help us place the appropriate pet in your home? *
THANK YOU for CONSIDERING ADOPTION and SAVING A LIFE!
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