Dog adoption application
Dog adoption application
The information on application will be seen only by administrators and dog curator.
Personal info
1. Nickname at
petstalk.org
2. Name
3. Age (the age of the person taking responsibility of the dog)
4. Occupation, work or place of study
5. Address and hometown, phone number
6. E-mail address
Family and living
1. How many adults live in your home?
2. How many children?
Ages
3. Does anyone in your household have allergies?
Yes
No
4. Who will be primarily responsible for the care of the dog?
5. What have you done to prepare yourself and your family for the addition of a new pet?
6. What attracted you to the dog you are interested in?
7. Which of the following best describes your reasons for wanting this dog? (check all that apply)
Companion
Guard dog
Obedience training
Agility
Jogging/walking buddy
Couch warmer
Other
8. Do you consider a dog:
a pet
a member of the family
both
Living conditions
1. Do you live in apartment building, row house or own house?
2. What is your working schedule?
3. How long dog will stay alone every day?
4. Where will the dog be kept when no one is home?
5. Do you have a fenced yard?
No
Yes
6. Will your pet live indoors or outdoors or a combination of both?
Indoors
Outdoors
Both
7. If you go away on vacation/emergencies, who will care for your dog(s)?
Other pets and health care
1. Please list all of the pets you have had in the last 10 years including current pets, and those you no longer own
Breed
Age
Sex
Spayed / Neutered
Owned how long?
Does the pet still live with you? If not, what happened to him/her
2. Are all pets in your home current on vaccinations?
No
Yes
3. Do you have a regular veterinarian?
No
Yes
4. How much do you think it costs, per year, to own a dog?
5. Are you willing and able to provide quality medical care (i.e. yearly vaccinations, treatment for illness or injury)?
No
Yes
6. How will you introduce your new dog to your existing pet(s)?
Training
1. How long do you feel that it will take for a dog or puppy to acclimate to a new household?
2. What do you see as normal dog/puppy behavior problems?
3. Rescue dogs may end up having anxieties when left alone, they may be timid and they might urinate inside the house. They may urinate on a sofa or gnaw at your boots. How do you react in these situations?
4. How will you correct puppy/dog when there is an accident?
5. How will you discipline the dog for misbehaving?
Use newspaper
Spank
Swat nose
Stern voice
Squirt with water
Other
6. How will you encourage appropriate behavior and prevent inappropriate behavior?
7. Dogs sometimes need training (i.e.: house training, leash training, jumping, etc.) Will you be able to handle this?
8. How will you exercise the puppy/dog?
Emergencies
1. How long do you plan to keep the dog you wish to adopt?
2. Under what circumstances might you not keep the dog?
Need to move
Loss of job
New housemate
New baby
Dog is not house trained
Allergies
Separation anxiety
None of the above
Other
3. If your pet gets lost, in addition to contacting us, what steps would you take to find it?
4. Have you ever adopted from a rescue organization before?
No
Yes
5. Have you ever brought an animal to a rescue organization?
Yes
No
6. If yes, what were the circumstances?
7. What do you think the normal life span of a dog is?
8. What would you do if dog has serious health problem:
Put it to sleep, so it won’t suffer
Try to solve that health problem so dog can live more
9. What kind of health problems do you think serious enough to stop dog sufferings and put it to sleep?
10. Please give us your short view on moral aspect of dogs’ euthanasia.
11. Is everyone in your home willing to make a lifetime commitment to the dog? (dogs can live 12-18 years)
No
Yes
12. Is there any additional information you would like us to know or questions you need answered?
Our terms
1. We are kindly asking not to abandon dog without contacting us. We will help to find new owner or take dog back.
2. We are kindly asking not to put dog to sleep if it is not necessary, we are ready to help with serious medical treatment. Please contact us if you are uncertain.
3. After taking dog you promise to send us some information on how dog adapts in your family, about 1 message every month - first 3 months.
4. You also promise to send us pictures of the dog. You should understand that there is a lot of effort and love in every dog and curators worry about dogs' future life.
Do you agree with these terms?
No
Yes