First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone
Cell Phone
Spouse / Partner's name, if applicable:
Best way for us to contact you?
What type of home do you live in?
Do you own or rent your home?
If you rent, please provide your landlord's name and phone number. We call your landlord to verify that you are permitted to have a dog. Without permission from your landlord, we cannot let you adopt a dog.
Reference 1: Name, Phone Number, Relationship*
Reference 2: Name, Phone Number, Relationship*
Reference 3: Name, Phone Number, Relationship*
Veterinarian Name and Phone Number:
List all pets cared for by your vet:
We understand the cost of routine shots and treatments can be expensive. If you use a low cost clinic for vaccines, flea/tick/heart worm preventative, we require proof that your animals are up to date. Please email a copy of the records to itsallaboutthedogs2014@gmail.com.
Age of Applicant*
Ages of all other residents of your household.
Do all adults work outside of the home full time?
Please explain your household's typical work schedule.
How long will the dog be left alone on a daily basis?*
Describe any pets currently in your home: age, temperament...
Are all of your current pets spayed/neutered?
If your pets are not fixed, please explain why not.
Are all of your current pets up to date on vaccines, flea/tick, and heart worm medications?
If your pets are not up to date on preventative medications, please explain why not:
Where do your pet's spend most of their time?
What is your family's activity level?
Where will your dog sleep at night (specifically)?
Do you plan to crate train your dog?
How many hours would your dog spend in a crate?
Is your yard fenced?
What type of fence do you have?
If you are interested in a specific dog, select a name from the drop down box. If you are interested in more than one dog, enter their names in the following question. If you are interested in dogs of a specific size, you may select Open Large, Medium, Small or Toy Dog from the drop down menu. Choose an animal: Open - Large Dog Over 60 lbs Open - Medium Dog 26-60 lbs Open - Small Dog 11-25 lbs Open - Toy Dog Under 10 lbs
Are you interested in any other dogs?
Why are you looking to adopt a dog at this time?
Describe the perfect dog for you and your family. Walking companion, a dog that can socialize with friend's dogs, a loyal companion, lap dog. etc.?
What sex dog are you looking for?
What age dog are you looking for?
What size dog are you looking for?
Is there a specific breed of dog you're looking for?
Have you ever had to euthanize a dog for reasons other than their health?
If so, please explain the circumstances leading to this decision.
Have you ever re-homed, returned or surrendered an animal to a shelter or rescue? If so please explain the circumstances leading up to this decision.*
If you had to euthanize or re-home a pet due to behavioral issues, did you seek out a trainer? If so, please give us their name.
For which of the following reasons would you consider giving up your dog? Select all that apply.
Please explain:
How would you handle unwanted / naughty behavior?*
How do you plan on exercising your dog?*
Who will take care of your dog in an emergency, or if you go away on vacation?*
What do you think are the most important responsibilities in owning a dog?
Last chance...Is there anything else we should know?
By initialing this paragraph you agree that if the dog you adopt needs to be relinquished for any reason you will contact Homeward Bound CT and the Rescue.*
We want to find more great Adopters, please tell us how you heard about Homeward Bound Adoptable Dogs!