Pet Application Form
If you are interested in bringing your Pet to campus to reside in Pet-Friendly housing, please complete and submit this form.
Your Student Information
First Name *
Your answer
Last Name *
Your answer
University ID Number
Your answer
Residential Room Number *
If unknown please write unknown
Your answer
Cell Phone Number *
Your answer
Your Pet's Information
Pet's Name *
Your answer
Pet's Age *
(year + months)
Your answer
Breed *
Your answer
Sex *
Microchip Number
If applicable
Your answer
Is your Pet spayed or neutered? *
If you answered "no" please explain.
Your answer
Ownership Questions
How would you describe your Pet's interaction with dogs? *
Required
Is there a difference in the above behaviors if the Pet is familiar vs. unfamiliar? *
Your answer
How would you describe your Pet's interaction with cats? *
Required
Is there a difference in the above behaviors if the Pet is familiar vs. unfamiliar? *
Your answer
How would you describe your Pet's interaction with humans? *
Required
Is there a difference in the above behaviors if the Pet is familiar vs. unfamiliar? *
Your answer
From where and when did you obtain your Pet? *
Your answer
Is there any additional information you would like the Pet Life Committee to know?
Your answer
Supporting Documentation
Please submit the following items, including the Vet Clearance Form to the Pet Life Committee, by email to jessica.gulley@lmunet.edu or in person to Student Center 319.

Current Photo of Pet- Required
Full Medical History and Vaccination Records (including Spay or neuter verification)- Required for Dog or Cat
Vet Clearance Form- Required for Dog or Cat
Training Certifications- Optional
Additional Medical History- Optional

Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service