**APPLICATIONS MUST BE COMPLETED USING A COMPUTER NOT PHONE OR IPAD**
We are a small group of volunteers who take in small shelter dogs that are in danger of being euthanized as well as dogs from owners who can no longer keep them. We do NOT have a shelter. All of our dogs are in foster homes. Our goal is to place our homeless rescues in permanent loving homes as they have already been abandoned once before by their former owners. We strive to place the appropriate dog in the appropriate home. This application helps us to learn more about you, your home and your level of experience (if any) owning a dog. Make sure you give your phone number and what hours you are available. Please give us 3-5 days to return your email or phone call. Please be aware of the fact that our dogs are being fostered by regular people with big hearts, regular jobs, and hectic lives like everyone else. We ask that you be considerate and patient when you are waiting for your return call or email.
PLEASE READ VERY CAREFULLY
Before completing this non-binding application, please note that we require a NON-REFUNDABLE adoption fee AT THE TIME OF ADOPTION. Our adoption fee covers the cost of rescuing dogs from high kill shelters, including transportation, veterinary costs, feeding, supplies, etc. which are required to take care of our rescued animals. If the dog is under 6 months of age, or medically unsound to be spayed/neutered before adoption, the adopter would sign a contract agreeing to have the animal altered and receive a rabies vaccination by a specified date (30 days from when the animal is estimated to be six months old). The cost of the procedure and the vaccinations are completely up to the adopter .We are a 501c3 non-profit organization. Please realize that dogs need vet care throughout their lives, including yearly boosters, heartworm and flea/tick prevention meds, etc. Please consider all associated costs prior to completing an application for adoption. Please note, we cannot accept applications from individuals under 21 years of age. Also please note, completion of this application does not guarantee an adoption.
Incomplete applications will not be considered.
Adoption Process
1 - Fill out the below non-binding application
2 - Phone Interview
3 - Personal references and vet check phone calls
4 - Upon completion and approval of application, come meet the dog(s)
5 - Home Visit
6 - Finalization of adoption
First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone*
Cell Phone*
Do you have a spouse or significant other? *
Is your spouse/significant other OK with the adoption?
Age of Applicant*
Which dog are you interested in?*
What is your occupation?*
Please list your employer and the employer of your spouse. (We do not call your employers, it is simply for our records.)*
Do you have children?
If you do not have children, do children visit you frequently?
Does anyone in your house have pet allergies?*
If yes, please explain*
How many people reside in your household*
Please list the NAMES, AGES and RELATIONSHIPS of all other household members. *
Do you own or rent your home* Choose one: Rent Own
In what type of home do you live* Choose one: Single Family Home Apartment Condo Townhouse Other
How long have you lived at this address?*
If you are renting do you have written permission from your landlord to have a dog?*
What is your landlord's name and phone number*
Do you plan on moving soon? *
Is your yard fenced? * Choose one: No Yard Unfenced Yard Yard Partially Fenced Yard Completely Fenced
What is the height of the fence*
If partial fence, please explain*
Do you have a pool? *
If so, is it above or inground?*
is the pool fenced in? *
Who will be the primary caregiver?
How long will the dog be left alone during the day?*
What is your household activity level?*
What will you do if you must move in the future and dogs are not permitted in your new residence?*
If you go away on vacation who will take care of the dog?*
Have you ever owned a pet?*
What kind of pet?*
Where is that pet now?*
Why do you wish to adopt a dog?*
If the particular dog you applying for is not available, would you consider another dog from our rescue?*
Are you willing to spay or neuter this pet?
If no, please explain
Are you willing to adopt a handicapped dog?*
A home check is a requirement before any adoption is finalized. Do you have any objection if a representative of Pet ResQ, Inc. comes to your home?*
Are you familiar with crate training?*
What will you do if your dog displays destructive or undesirable behaviors?*
How long do you think it will take your new dog to adjust to his/her new environment?*
Are you willing to take your dog to training classes?*
What behavior issues CAN you deal with?*
What behavior issues can you NOT deal with?*
Please list the other pets in your home - Breed (Dog) - Age - gender - spayed or neutered*
Please describe your current pet's personality, likes, dislikes, dominant, submissive, etc. *
Where will the dog be kept during the day*
Where will the animal be kept when you are not home*
Where will the animal sleep at night?*
Will the dog be allowed on the furniture?*
Have you ever had to find another home for or surrender a pet to a shelter? Please explain*
Have you ever given up a pet? If yes, please explain*
Have you ever had to have a pet euthanized? Please explain*
Are you aware that you may have to house train your new dog to your schedule?*
Are you willing to make the commitment and take responsibility for this dog, to provide medical care, proper nutrition and a loving home for the next 12 - 17 years? *
Are you aware of the financial responsibility of owning a pet?*
Can you financially afford the medical care, training and other expenses associated with having a dog? Keep in mind emergency costs can escalate quickly. *
What provisions will you make for the dog should you become unable to care for it?*
Have you applied to another rescue/shelter? If so, which one(s)*
Please list your vet's name, address and phone number. (Please call your vet and give them permission to speak with us.)*
How long have you been a client there?*
Name and phone number of reference #1 (A Non-Family Member)*
Name and phone number of reference #2 (Non-Family Member)*
Please provide any other information that may be helpful for us to know when reviewing your application.*
Please note that an adoption fee is required at the time of adoption and it is NON-REFUNDABLE - NO EXCEPTIONS. The monies help us to continue to rescue, house, feed and get the necessary vet care that these furbabies require. Since our goal is to place our dogs in their perfect forever homes, this application enables us to find a perfect match! Please sign below, by doing so you certify that all information is complete and accurate. For dogs that are not yet spayed or neutered a separate $100 check will be required. Once we receive proof of spay/neuter you will be issued a $100 refund. Thank you for your interest in helping our rescue dogs. By signing or submitting application online for pet adoption, I certify that the information I have provided on this form is true and accurate. I understand and agree that falsification of any of the above information is grounds to disqualify my adoption application and nullify all adoption(s) and/or adoption agreements between the applicant and Pet ResQ, Inc. I certify that I am over 21 years of age. By signing or submitting this application online, I understand and acknowledge that I am adopting a shelter dog and NOT buying from a breeder, pet store or pet dealer. Due to this, I understand that Pet ResQ, Inc. has very limited health history and background of the dog(s).
Signature of Applicant*
Date *