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ANIMAL ADVOCATES OF THE US
PET ADOPTION APPLICATION |
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This application is for a: |
Dog Puppy Cat Kitten
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Name of dog or cat you are interested in: |
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Applicant Information |
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Your full name: |
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Your age: |
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Your email: |
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Full name of your spouse or partner: |
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Full name(s) of roommate(s): |
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Your street address: |
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City: |
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State: |
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Zip: |
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Home phone: |
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Work phone: |
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Cell phone: |
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Your occupation: |
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Occupation of your spouse or partner: |
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Your work schedule: |
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Name of all persons living in your household and their relationship to you. Include their ages: |
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Does everyone in your family want to adopt: |
Yes No
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Personal reference: |
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Their relationship to you: |
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Phone: |
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Home |
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Type of Dwelling: |
House Apartment Own Rent Military
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If you live in a condo or apartment what are the association rules about pets: |
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Do you have a pool: |
Yes No
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If you have a pool is it fenced: |
Yes No
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How do you introduce a dog to a pool, if you have a pool? |
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Would you object to an inspection of your home by a pet rescue volunteer? |
Yes No
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If you are not a home owner do you have the permission of the landlord to have a pet? |
Yes No
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Name of landlord: |
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Phone number: |
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Do you have the financial means to spend hundreds or even a few thousand dollars on veterinary care for your pet should the need arise? |
Yes No
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Current Pet (s): |
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Do you presently have a dog? |
Yes No
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Name and breed of current pet: |
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Age of pet: |
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How long have you had the pet? |
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Spayed or neutered? |
Yes No
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Additional information you wish to share: |
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Previous Pet(s) |
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Have you previously had a pet? |
Yes
No
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How and why did you get your pet? |
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Breed of previous pet: |
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Age? |
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Was your pet spayed or neutered? |
Yes No
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History of pet: |
Gave away Sold Lost Took to the pound Died Other
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Please explain history of pet: |
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Breed of other pet: |
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Age of other pet: |
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Was other pet spayed or neutered? |
Yes No
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History of other pet: |
Gave away Sold Lost Took to the pound Died Other
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Please explain history of other pet: |
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Have any of your dogs or cats ever had puppies or kittens? |
Yes No
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If you bred the pet it was for: |
Fun Profit Show Accident
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Has any member of your family ever experienced animal related allergies? |
Yes No
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Have you ever trained a dog in obedience class? |
Yes No
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How many pets do you currently have: |
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Species: |
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Where kept? |
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How long have you had these pets? |
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Veterinarian |
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Name of veterinarian: |
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Phone number of veterinarian: |
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Care of Your New Pet |
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Who would be responsible for care of the pet? |
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Your primary reason for adoption: |
Companion for me Companion for child Companion for household member Companion for other pet Gift Watch dog
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Where will your pet sleep? |
Indoors Outdoors
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Other describe? |
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Hours per day your pet will be left alone: |
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Where would the pet be left when he or she is alone or when you are away from your home? |
Indoors Outdoors
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If indoors, where> |
Yard Patio Kennel Garage Other
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Do you have a doggy door? |
Yes No
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If yard is fenced, how many feet high is your fence? |
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What kind of fence: |
Wood or chain link Cement blocks
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Other kind of fence, please describe: |
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Have or would you use a pet sitter or pet daycare center? |
Yes No
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When home pet will be: |
Always indoors Mostly indoors Always indoors Mostly outdoors
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If pet will be outside, what outside space is available for the pet? |
Garage Dog run Fenced yard Unfenced yard Patio Balcony
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Other space, please describe? |
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How do you plan on handling the exercise needs of your pet: |
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Do you travel a great deal? |
Yes No
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How often: |
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How long at a time: |
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When you travelm how do you intend to provide for the pet while you are gone? |
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If a pet became destructive to your home or belongings what would you do? Please explain: |
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Do you have any must rules for a pet? If so, please explain? |
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What provisions would be made for your pet if you had to move locally? |
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Out of state? |
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To a place where no pet allowed? |
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If adopting a dog: |
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Do you feel obedience training makes a dog a better companion? |
Yes No
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If necessary are you willing to attend obedience classes at your expense? |
Yes No
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From the following list, please include the reason(s) you would not keep the dog in the box to the right:
Divorce
Family Illness
Moving
New baby
Dog grew too big
New Job
Chewing
Kids ignore
Digging
Biting
Pets do not get along
Barking
Shedding
Medical bills
Allergy
Not obedient
House training problem
Other, explain |
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Explain further if necessary: |
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What would you do if the dog grew to be bigger than you expected? |
Return pet to the rescue group Take the pet to a shelter Keep outside Nothing
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Explain your reason for above? |
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If you're applying for a cat, is she or he declawed? |
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A dog may live 15 or more years so what would you do with your dog if you could no longer care for it? |
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Additional Information & Signature: |
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I understand this is an application only and Animal Advocates of the US has the sole discretion, with or without cause, to accept or decline this application: |
Yes No
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Is there anything else you would like to tell us about yourself or your home environment? |
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All of the information I have provided in this application is true and correct? |
Yes No
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I understand there is an adoption fee associated with an adoption to cover AAOFUS expenses for caring for the dog or cat prior to adoption? |
Yes No
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If any of the information changes I will advise you promptly? |
Yes No
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Sign the application via digital signature by entering your birth month (ex:, 1/1/90 or January 1, 1990. Thank you. |
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