adoption_dog

Adoption Application: DOG

Thank you for your interest in adopting a homeless pet! Together we can save lives and make a difference!

Your responses to these questions are confidential. The purpose of this questionnaire is to help find the perfect match between pet adopter and pet, ensuring a lifelong happy relationship. It may seem daunting but it is to ensure you are getting the pet that will suit your lifestyle, and that your home will suit the pet’s needs.

All questions require an answer except those in ITALICS.
Please provide as much detail as possible in all answers.

Applicant Details

Name

Phone Number

Address

Email

Are you a permanent Australian Resident?

Yes No

Please state your age:

All applicants MUST be eighteen years of age or over. If you are not, please have a parent or guardian complete the form.

Are you adopting this pet for yourself or someone else?

Myself Someone else

Their age:

Dog Information

Would you like to adopt?

Puppy Dog (1yr-7yrs) Dog (7yrs+)

Do you have a preference for size?

Are you interested in any particular breeds?

Are you interested in a particular dog?

Yes No

Name of Dog?

Do you have any specific questions about this dog?

Why are you interested in adopting this dog?

Why does this dog appeal to you? Why do you feel this dog may be the right fit for your home? Please use this space to tell us anything you feel is relevant.

Your Lifestyle

Are you currently working?

Yes No

Occupation

Employment Status

What characteristics are most desired in a dog for you?

e.g. cat friendly, low-shedding, etc

What characteristics are least desired in a dog for you?

e.g. professional grooming required, high prey drive, etc

How much exercise would you and your dog enjoy together?

Your experience & home environment

Will this be your first dog?

Yes No

If yes, please tell us what research you have done/steps you have taken to decide you are ready for your first dog:

If no, please provide details of previous dogs owned:

Please include as much detail as possible, including breed, size, activity level, age, etc.
Please also include your approximate age during ownership (teen, young adult, etc)

Are there any other animals living at your home?

Yes No

If yes, what kind and how many?

Please include all animals including type (include pocket pets/farm animals, etc), breed, size, age, energy level and if they are desexed, etc.
(e.g. 'Ace' dog, 4yrs, small Terrier cross, very active, desexed)

How do they get along with dogs?

e.g. Ace the dog is friendly with most dogs, though can be frightened of giant breeds
e.g. Our chooks have no fear of dogs

Who do you live with?

If living with children, what are their ages?

Will there be any children under 5 years, or elderly people, as regular visitors to the home?

Yes No

Are all residents in complete agreement regarding adopting a dog or puppy?

Yes No

Who will be responsible for the daily care of the dog?

Myself Someone else Shared

If someone else or shared, please specify who:

e.g. partner, 12yo child, etc

Is anyone in your household allergic to animals?

Yes No

If yes, please give details:

What is your residential status?

Own Rent Other

If RENTING, do you have permission to own pets?

Yes No

If yes, please provide agent/landlord contact details:

Residential Type:

House Apartment/Unit Acreage Other

If 'other', please elaborate.

Where will your dog be while you are out/at work?

Please include details about any shelter that will be provided.

Where will the dog sleep at night?

Will the dog be allowed inside?

Yes No

If yes, how often?

e.g. evenings, only when someone is home, always, occasional, etc

What sort of yard and fencing do you have?

Please include approximate size, fence type and height, etc.
Please include details if you have a pool - fenced off from the yard/height of fencing etc.

Health and Expenses

How much would you expect to spend on dog food per month?

0 - $30 $31 - $50 $51 - $100 No Limit

Please specify any plans or intentions in relation to diet for your new dog:

How much would you expect to spend on regular care per month?

0 - $30 $31 - $50 $51 - $100 No Limit

e.g. parasite prevention, grooming, etc

Are you planning to take out Pet Insurance?

Yes No Unsure - please provide information

If no, what is your plan for unexpected vet bills?

Serious Stuff

Have you ever been refused an adoption/ purchase with any breeder, rescue group or shelter?

Yes No

If YES, please explain:

Have you ever given away or re-homed a previous pet?

Yes No

If YES, please explain:

Under what circumstances would you consider giving away/surrendering this dog?

If 'other', please explain:

Do you have a 'worst case scenario' plan for the dog?

i.e. in the event of the death of all owners, will the dog have someone willing to take them in?

Do you give us permission to conduct a home and yard inspection at a mutually agreed upon time?

House Inspection?

Yes No

If you adopt from us, would you be willing to provide the occasional update on the dog’s progress (quick email & a photo here and there?)

Provide Updates?

Yes No

DECLARATION

By submitting this questionnaire, you agree that ALL information you have provided is correct. You understand that providing untruthful answers or failure to comply with the requirements of this application can result in the refusal of this adoption.

You understand that a property check will be required.

We reserve the right to refuse any applicant.

If pushing the 'Submit' button does not function as expected, please scroll back over the form and check that all compulsory questions have been answered. Any still requiring answers will be highlighted with red text.

Once the form has been submitted, please check your email account as you should receive a confirmation email shortly after.