Camp Basenji Adoption and/or Volunteer Application
Please complete your application fully and in as much detail as possible.

This application is the first step in our adoption process and volunteer sign-up.  We will then screen your application through a vet reference check and a home visit for adopters and potential foster homes. If you are volunteering, the application will help us to understand how you can contribute to our organization. An adoption donation is required for adoptions, which  partially covers the cost of spay/neuter, microchipping, vaccines and preventatives per the dog's age, health check, fecal / deworming as needed, heartworm testing and treatment as needed, and DNA testing for Fanconi syndrome.  Any donation beyond the required adoption is greatly appreciated and will be applied toward the vetting and care of rescue basenjis.    

It is our goal to place all rescued basenjis into loving, conscientious forever homes, keeping in mind the dogs’ individual needs and matching each dog’s personality to that of the home in which they are placed.

PROVIDING FALSE INFORMATION WILL RESULT IN THE FORFEITURE OF ADOPTION FEES AND ANY ANIMALS ADOPTED AS WELL AS REMOVAL FROM OUR VOLUNTEER LIST.  

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You are interested in (please check all that are applicable)? *
Required
Dogs that are of interest
Your Name *
Street Address *
City, State, Zip Code *
Primary Phone *
Secondary Phone
Email Address *
Do you,
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Do you live in a,
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If you rent, does your lease allow Pets?
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If yes, list the property management name & phone number below:
Your profession
Are you 18 years of age or older?
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List all household members
Additional household members: Name, age, and relationship
Do you have regular visitors (animal / people)?
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If yes, what type of animal and what ages of people?
Does any member of the household have allergies or asthma?  Basenjis are often referred to as 'hypoallergenic', though no breed of dog is truly hypoallergenic.
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If yes, please explain.
How many hours on average will your new pet be left alone on weekdays?  
How many hours on average will your new pet be left alone on weekends?  
Please list all current and previous pets
Current pets:  Breed, age, spayed/neutered, and amount of time owned
Previous pets:  Breed, age, spayed/neutered, and amount of time owned
If you had to move, what would you do with your pet(s)?  
Have you ever had to give up one of your pets?  
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If yes, please explain
Name / phone number of the veterinary clinic(s) for current / past pets:  
Name / phone number of the veterinary clinic(s) you plan to use for your new pet:
Are/were your pets on Heartworm preventative and do you plan on using heartworm preventative?
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If yes, what type?
Are your current pets up to date on vaccinations?
Please provide a brief medical history of any current or previous pets
I am interested in
Select all that apply
What type of personality are you looking for in a pet?  Anything in particular that you are looking for, please list here.  
Please explain why you want to adopt this particular pet
Who will be responsible for caring for, feeding, exercising, and paying for the expenses for your pet?
Where will your pet stay when you are out of the house?
Where will your pet stay when you are home?
Where will your pet stay overnight?
Do you plan to crate train or contain your new pet?
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How will you handle chewing, destruction or any other behavioral issues?
Do you have a securely fenced in yard?
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If yes, what height is the fence and what is the fencing material?
Are the gates kept locked?
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Can a stranger gain access to your yard?
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Do you own a pool?
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If yes, how do you plan to secure your pool?
Is your pool fenced in?
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A home visit is required for all adoptions.  Do you authorize a representative of Camp Basenji to contact you and visit your home?
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Submit
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