ADOPTION APPLICATION

First Name

Last Name

Email

Street Address

Phone Number

City, State, Zip (PLEASE provide all 3)

Occupation?

What dog interests you? If you'd like us to make suggestions on animals that may be a good match, please indicate that here.

What brand(s) of monthly preventatives do you provide to your current pet(s)? If no current pet, what brand(s) would you consider providing to your pet?

Other than preventatives, what medications does your pet take?

What causes heartworm disease in dogs? An answer must be provided to this question.

Who is your current veternarian and vet practice? If you do not have a current vet, who was your previous vet? Please alert your vet that we will be calling for a reference.

What is your annual budget for this pet? (Bills, Food, Grooming, Toys, etc)

What brand of food does your current pet eat? If you don't currently have a pet, what brand(s) would you consider?

Have you ever adopted an animal from a rescue or shelter? If yes, when did you adopt and from what rescue or shelter? Finally, where is this animal now

Have you ever rehomed an animal for any reason? If so, please expand on that situation.

Have you ever surrendered an animal to a rescue or shelter? If so, please expand on that situation.

Have you ever lost a pet (i.e. pet ran away)? If so, please expand on that situation.

Have you ever had a pet pass away or euthanized? If you have had a pet euthanized, what was the reason?

Do you rent or own? If you rent, what are your landlords rules regarding pets?

Are you willing to undergo a home check by a Eunoia Rescue Rep?

Do you have a fenced in yard? If so, please describe the type of fence you have (material and height).

Do you plan on moving any time soon? If so, what will you do with your pet?

How long will the dog be alone on average?

Who will care for your pet while you are traveling?

How do you plan to travel with your pet in a car?

If you'd like to expand on any of the selections you made in the previous two questions, please do so here.

Do you have a doggy door? If yes, please explain when/how your dog does/will have access to the outside via the doggy door.

If you'd like to expand on any of the selections you made in the previous two questions, please do so here.

How do you plan to handle behavioral issues?

Do you plan on enrolling your adopted dog in a professional training program?

Reference #1: Name and Phone Number

Reference #2: Name and Phone Number

How did you hear about us?

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