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Operation Pawsibility Project Application
Please fill this form out in its entirety keeping in mind references need to be unrelated to you. At this time, we are unable to adopt outside of the RI/MA/CT area. Thank you!
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* Indicates required question
What is the name of the dog you are applying for?
*
Your answer
Are you interested in foster or adopting?
*
Fostering
Adopting
If the dog you are applying for is not a match or is already adopted, are you interested in other dogs?
*
Yes
No
Maybe
PERSONAL INFORMATION
First name
*
Your answer
Last name
*
Your answer
Date of Birth
*
Your answer
Street address
*
Your answer
Town
*
Your answer
State
*
Your answer
Zip code
*
Your answer
Email address
*
Your answer
Best phone number to reach you at
*
Your answer
Best time to reach you
*
Your answer
Employment
Please note we do not call your empoyer, this is simply for our records
Your answer
Employment of others in the household
Again, this is only for our records
Your answer
REFERENCES
Please provide as much contact information for your references as possible. No relatives please.
Veterinarian reference
*
Current vet name. Please inform your vet office that we will be calling so they will release needed information to us. If you do not have a current vet, please give the most recent vet info you have used.
Your answer
Vet phone number
Your answer
Personal reference 1
*
Your answer
Personal Reference 1 phone number
*
Your answer
Personal reference
*
Your answer
Personal reference 2 phone number
*
Your answer
RESIDENCE INFORMATION
RESIDENCE
*
Please choose your type of residence.
Rent apartment
Own home
Own apartment
How long have you resided here?
*
Your answer
Do you plan to move in the near future? If so, when and where?
*
Your answer
If you rent, or reside in a co-op or park, please provide your landlord or property managers name and phone number
*
Your answer
People in the home, including yourself
*
Please include name, age, and relationship to you
Your answer
IS EVERYONE IN THE HOME ON BOARD WITH GETTING A NEW PET?
*
Yes
No
Have not discussed
Does anyone in the home have pet allergies or asthma?
*
Your answer
PETS WHO CURRENTLY LIVE IN THE HOME
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Please include Name, breed, age, gender, alter status, how long you have had them. This includes pets in in-law apartments.
Your answer
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