Rodent Pre-Adoption Application
This questionnaire has been designed to aid us in determining if the animal you're interested in will be a good fit for you and if your home is suitable for our rescue animal.  Please answer all questions honestly and feel free to add your own comments.   Thank you for completing this!
Sign in to Google to save your progress. Learn more
Which animal are you interested in? *
Today's Date *
MM
/
DD
/
YYYY
Your first and last name *
Email address *
Phone number *
Home street number & street name *
City *
Zip code *
Applicant's age *
Marital status *
Please list all the other people in your home, their relationship to you, and their ages *
Occupation (if retired please tell us and also list your previous occupation) *
Occupation of spouse (if retired please tell us and also list spouse's previous occupation) *
Who will be primarily responsible for the care of the animal? *
Do you have children under the age of 18? *
If yes, what are their ages?
What are your reasons for wanting to adopt? *
What qualities are you looking for in the animal you're applying for?
Would you object to a rescue representative visiting your home? *
What type of dwelling unit do you live in now? *
How long have you lived at this address? *
Do you rent or own? *
Are pets allowed? *
Have you ever owned the type of animal you're applying for before? *
What is your experience taking care of this type of animal and its behaviors & needs? *
Please describe the type of housing that will be provided for this animal. *
Please let us know what you plan on feeding this animal. *
Are there any dogs at your house? *
Are there any cats at your house? *
If there are other animals in your house, which ones are they? *
Do you have someone who could take care of this animal if you can't anymore? *
How did you find out about this animal? *
Is there anything else you'd like us to know?
Adopters over the age of 70 years are required to have a co-adopter in case of accident or death. If this applies to you, who will be your co-adopter and what is their relationship to you?  (Example:  Mary Smith, daughter)
Phone number of co-adopter
Email address of co-adopter
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Animal Alliance of San Diego. Report Abuse