SACRED HEARTS ANIMAL RESCUE & SANCTUARY ADOPTION APPLICATION
Please answer all questions that pertain to you and present/past pets.
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Dog(s) you are interested in adopting
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NAME OF INDIVIDUAL FILLING OUT THE APPLICATION (FULL NAME REQUIRED)
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Address
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City, State and Zip code
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County of residence
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Telephone Number(s) and best time to call
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Email Address
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Number of people in the household
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Please list the names/ages of each one
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Which household member will be the primary caregiver of your new companion?
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Do you own or rent your home ~ If you rent we WILL REQUIRE written permission from your landlord before adoption!
own
rent
Live with parents
Live with friends
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What type of home do you live in?
Single Family Detached
Townhouse
Condominium
Apartment
Mobile Home
Farm
Other
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Do you have a fenced yard?
Yes
No
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If you have a fenced yard please describe in detail ~ If you DO NOT have a fenced yard please explain how you are going to keep your new rescue safe.
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Where will your new rescue live?
Inside
Outside
Both
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Please explain living arrangements for your new companion:
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Will your new pet be allowed on furniture, beds, etc.?
Yes all
Yes but limited to certain furniture and areas
Yes but only when given permission
No not at all ever
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Do you or your spouse work outside of the home?
I do
spouse does
we both are gone during the day
one or both of us work from home
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How many hours a day will your companion spend alone and where will he/she spend these hours?
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Where will your new pet sleep at night?
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In the event that you would have to move, what steps would be taken to secure a safe place for your pet?
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If your work/school schedule would happen to change and you were forced to be gone excessive hours, what steps would be taken to insure the happiness and well being of your pet?
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What method of housebreaking will you use? Please explain.
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How long do you foresee it taking you to housebreak your new rescue?
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Please explain the methods of training that you will be using to deter chewing, jumping, or other bad habits that your new pet may develop?
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Are you planning on or willing to take your new companion to formal training if needed?
Yes
No
Maybe
Planning to take already
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What best describes the activity level of your family?
highly active
moderately active
very light activity
varies from day to day
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How long do you believe it will take for your new companion to adjust to your home/family?
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Please explain how your new pet will be involved in the everyday activities of your family.
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Please list all pets within the household, including names, breeds, sex and ages.
Please explain how you are going to introduce your new companion to the pets already within your home.
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Are your current pets spayed/neutered?
N/A no current pets
Yes
No
Not sure
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Is your current pets tested yearly and on heartworm prevention?
N/A no current pets
Yes
No
Not Sure
If you answered NO or NOT SURE to either of the last two questions, PLEASE EXPLAIN.
Please provide name(s) and phone number(s) of all veterinarians that you currently use (must be completed if you have a current pet):
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Do you own livestock? If so please specify types: (some rescues may not be suitable with some livestock)
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How many dogs have you owned in the past?
If you have owned one or more pets in the past please list their names and ages and explain what happened to them. (old age, euthanasia (why), accident (explain), gave away (why), illness (what type):
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If you previously had a dog was it on heartworm prevention and spayed/neutered?
N/A-no past dogs
Yes to both
No to both
it was spayed/neutered only
it was on heartworm prevention only
Not Sure
If
no
or
not sure
please explain:
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Please explain to us why you chose this pet and what you know of this specific breed or breed mix:
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What is your size expectations for the pet you are applying for?
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What is the
Maximum
and
Minimum
size you will accept?
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Have you ever turned a pet into a shelter or rescue? If so please explain:
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Have you recently or do you plan on applying to another rescue organization for a pet?
Only applied for this pet
Have applied for another pet
Plan to apply for other pets
If
the rescue you have applied for is noted as special needs on our site, please explain how your home and lifestyle will benefit these needs:
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Please list two personal references (NON RELATIVE) with contact phone numbers and best times to call them:
Thank you for your interest in our rescues! We will contact by email or phone as soon as we possibly can to further
discuss
the pet that you are interested in.
INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED OR ANSWERED
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Indicates Response Required
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