We are glad you are interested in adopting a new pet from ARPO! This form does not obligate you, or ARPO, in any way; it is simply a tool we use to help make a good match. Once received, your application will be forwarded to begin the approval process, and someone will be in touch. By completing and submitting this form, you understand a home visit is required prior to placement. Completion of this form does not guarantee adoption of an ARPO pet. ARPO limits adoptions to applicants who live within 50 miles of Indianapolis.
In order to be considered an adopter, you must: • Be 18 years of age or older. • Have the knowledge and consent of your landlord, if renting. • Be able and willing to spend time and money necessary to provide appropriate training, medical treatment, and proper care for a pet.
First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
County
Email*
Home Phone
Cell Phone*
Alt Email
What is your full middle name?*
What is your occupation?*
Are you over the age of 18?* Choose one: Yes No
Please indicate the full name and occupation of all adults, age 18 and older, who live in the home. Include the full legal first, middle, and last name.*
Do all of the adults in the home know of your intention to adopt a new pet?* Choose one: Yes No
Have you adopted from ARPO in the past?* Choose one: Yes No
If you have adopted from ARPO in the past, what was the pets name?
If you are interested in a particular pet, please tell us who: (If not listed, please include in next box) Choose an animal: Abba Blitz @PetSuppliesPlusGreenwood Butterfly (bonded with Firefly) Cheese Louise Cinza Coral Corbin Dax Deacon Dory Firefly (bonded with Butterfly) Gordo Green Day Hannah Janey Lane Kevin Ladybug Lemonade @PetSuppliesPlusGreenwood Lilly Belle Louie Oliver Metallica Michi Moth Mowglie Neecie Nicholas aka Ray Charles Nina Simone Poptart 2 Samantha Sophie Spooky Wapiti ZZ Top
What type of animal are you looking for? Choose all that apply: Puppy Dog Kitten Cat
Describe in detail the type of pet you are looking for:*
Why are you looking to adopt a pet now?*
Do you currently have any pets?* Choose one: Yes No
If so, please provide the type, name, age, and sex of each pet:
How many dogs or cats have you owned in the last five years?*
What happened to those pets? Be specific. Please include name, species, breed, age, if they were indoor/outdoor, etc...*
Are all of your animals spayed/neutered AND up to date on core vaccines (rabies and distemper)?* Choose one: Yes No
If your pet is NOT altered or up to date on core vaccines, please explain why.*
Please list the veterinarian or vet clinic name and phone number who is/was treating your pets for wellness/routine care and vaccines.*
May we contact your veterinarian for a reference?* Choose one: Yes No
Have you ever given up a pet?* Choose one: Yes No
If yes, why and what did you do with the pet (e.g. surrendered it to a shelter or rescue, gave to someone)?
Describe any experience you have with pet training or obedience.*
What would be unacceptable pet behavior that might cause you to give up a pet?*
For cats only: Are there any circumstances that you would declaw your pet cat? Choose all that apply: Yes No N/A - Applying for a dog
If yes, what reason(s) would you declaw your pet cat?
Does anyone in your household have allergies to pets or has anyone had them in the past?* Choose one: Yes No
In what type of home do you live in?* Choose one: Apartment Condo Duplex House Mobile Home
How long have you lived at your current address? If less than one year, list your previous address.*
Is your yard fenced in?* Choose one: No Yard Unfenced Yard Yard Partially Fenced Yard Completely Fenced
If yes, what type and height is the fence?
Do you own or rent your home?* Choose one: Rent Own
If you rent, does your lease allow pets?*
If you rent, are there any restrictions (such as weight, breed, number of pets, cats must be declawed, etc)? Your landlord will be contacted for details. Choose one: Yes No
If you rent, please enter your landlord's name and phone number
Is this pet for yourself or a gift?*
Number of children living in the home and/or who frequently visit. Choose one: 1 2 3 4+
List the ages of children living in the home and/or frequently visiting.*
Who will have primary responsibility for the care of the new pet?*
Are you prepared to make a long-term (10-15 years) commitment to care for this pet? (This may include birth of children, moving, death in the family, divorce, etc.)* Choose one: Yes No
What will you do with your pet if you move?*
What provisions will you make for the pet should you be unable to continue to care for it?*
Are you prepared financially to deal with the cost of both routine (vaccinations, annual exams, dental cleanings, flea/tick/heartworm prevention, parasite control, etc.) and emergency vet care of a new pet?* Choose one: Yes No
Are you prepared for the damage that a dog/puppy/cat/kitten can do (e.g. soiling, nipping, muddy paws, scratching, chewing, shedding, etc.)?* Choose one: Yes No
How will you handle typical behaviors such as chewing, crying, digging, housebreaking, scratching furniture, etc.?*
Where do you intend to keep your new pet?* Choose one: Inside Only Outside Only Inside and Outside
Approximately how many hours in an average day will your new pet be alone?* Choose one: Less than 3 3-5 5-8 More than 8
Where will the pet spend the day while you are home?*
Where will the pet spend the day when you are away (at work, running errands)?*
Where will your new pet sleep?*
Describe how you intend to provide exercise for your new pet.*
How did you find out about ARPO?
If Other: