Animal
Angels Rescue
@
www.ANIMAL-ANGELS.ORG
Adoption
questionnaire/ Application
Thank-you
for your interest in adopting one of our foster dogs.
Animal
interested in (list name)_______________________
Date:_______________________________________
Applicant’s
name:___________________________________________
Applicant’s
address:________________________________________
City________________________
State_______________ Zip_______
Phone
(home)_________________(cell) _____________________
Home
E-Mail address: ____________________________________
Are
you employed? _______ retired _______ student ________
Homemaker __________ unemployed
______________
Employer’s
name ________________________________
Location _____________________________
Job title ____________________________
Supervisor’s name ____________________
Employer’s
number ________________________
May we call _________________
Type
of residence:
house
___ apt ____ condo ____ mobile ____
Do
you own ________ or rent? ________
If
you rent, name, address, and phone number of landlord.
__________________________________________________
__________________________________________________
If
you own, length of time____________________
Name
of bank holding the mortgage _______________
Housing
location: within/ outside city limits
Type
of street: busy _______ slight traffic ______
country_______
How
many people are in your household? ____________
What
are their ages? _____________________________________
What
is their relationship to you? _______________________
Do
you have visiting family members e.i grandchildren
___________________________________________________________
Anyone
in the home have allergies or asthma? _______________
Does
anyone in the home smoke? ____________________
What
personality /energy level would you like in a dog?
_____________________________________________________
What
breeds interest you? _________________________________
What
size of dog interests you ? __________________________
Does
gender matter? _______________________________________
Does
age matter in your decision ? _______________________
Where
will the dog live? inside _______
outside ___________
Facilities
for pet:
Is
your yard fenced? ________ What type of fence?___________
Pen
____________ size of pen ___________
How
many hrs a day will the dog be alone? __________________
Where
will he stay when unattended?
_______________________
How
often do you travel? ______________________
Where
will the dog stay while you travel? __________________
If
a kennel, name and address ______________________________
____________________________________________________________
Are
you will to obedience train? ___________________________
Age
group of applicant 18-30 _______ 31-59 ______ 60+ _____
If
you are under 18, your parents must complete the application
Do
you currently have pets? ________ If
yes, what kind ____
_____________________
and what age _______________________
Are
they spay/neutered? _________________
If
you currently do not have a pet, have you ever had pets before?___________ How long ago? ________________
Did
they have health issues ? _____________________________
What
happened to them? _____________________________________
Please
provide a veterinarian reference:
Name
_____________________________________________
Address
_______________________________________
Are
you aware that a pet is a large responsibility? ________
Can
you afford to pay vet bills should your pet become ill or injured? ___________
Name
an emergency veterinarian clinic near you if the pet
becomes
ill on Sunday ___________________________________
Have
you applied with other rescue groups? ________________
Names
of the organizations _________________________________
____________________________________________________________
Please
provide 3 references. They cannot be family members
or
roommates. They can be work associates, groomers, vets,
or
neighbors. We will call these references as part of the
application
process. Required information of the references:
Name
______________________________________________
Address
_____________________________________________
City
____________________State ___________zip ______________
Telephone
numbers: Home____________________
Cell __________________
Name
_____________________________________________________
Address
__________________________________________________
City
___________________________state _____ zip ___________
Telephone
numbers: Home ______________________________
Cell _____________________________
Name
___________________________________________________
Address
_________________________________________________
City
__________________________state ______ zip __________
Telephone
numbers: Home _________________________________
Cell _____________________________
By
submitting this application, you agree to co-operate with
Animal
Angels Rescue adoption process. Often there are
several
qualifying families for one animal. It is our job
and
responsibility to decide the best match for the dog. We
may
decide that you are not a good match for that specific
animal
and that no reason will be given.