APAWS - Animal Protection And Welfare Society

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APAWS Dog Adoption Application

Animal Protection and Welfare Society (APAWS) is a rescue organization for homeless cats/kittens and dogs/puppies. Each of our animals are like a member of our family and we want to make sure they will be placed in permanent, loving homes that are committed to their lifelong care. If you are willing to take on such a responsibility and you meet the requirements listed below, please answer the questions that follow. Once you have completed the application, an adoption counselor will review the application with you to help make sure you are ready for a lifetime commitment to a deserving animal.

Adoption Requirements

If you are under 21, your legal guardian must complete the Adoption Application and Contract. You must still be in residence with your legal guardian.
You must have a valid driver’s license showing your current address.
You must be able and willing to spend the time and money to feed, house, train and provide medical care for the adopted animal(s).
You must be willing to allow an APAWS representative to make a follow-up visit in person.
You must carefully read our Adoption Contract and agree to its terms.
You must pay a non-refundable adoption fee*. (See Adoption Contract)
You must complete this application in its entirety.

Please note submission of the application does not guarantee the application will be approved.

About You
Name
Address
City State Zip Code
Home Phone
Work Phone
Cell Phone
Email
DL Number & State
Age
Place of Employment How long at Employment?
Housing
If you rent, are pets allowed?
Is a pet deposit required? Is the pet deposit paid?
Name of Landlord/Complex Phone
How long have you lived at your present address?

About the dog you wish to adopt
Name of Dog Breed
Color/Markings Age Sex

Where will the dog live?
Is your yard fenced?
If yes, what material is the fence made of?
If yes, what is the height of the fence?
What role would you like your new dog to play in your life?
How long will the dog be left at home alone each day?
Is the dog for you and your household? If not, for whom?
Who lives in your household? Adults Children (Ages)
The activity level in your home is:
What traits would you like MOST in your new dog?

Some dogs are rescued from situations where their history is unknown, and may need to be house trained. Would you be able to tolerate a few accidents?
Does everyone in your household want a dog?
Who will be responsible for the dog's care?
Does anyone in your household have allergies?
If you move in the future to a place where pets are not allowed, what would happen to the dog?
Have you ever taken a pet to a shelter or Animal Control?
If yes, why?
Would you object to an APAWS representative visiting your home?
What is the estimated amount you expect to spend on the care of the dog in a year?

Your pet history
What experience do you have with pets?
Who is your veterinarian? Phone
When was your last visit and why?

Have you owned pets in the past five years that are no longer with you? Please list

Name	Dog/Cat/Other	How long kept?	Age?	What Happened?

Do you have pets at home now?

Name	Breed	Age	Spayed/Neutered	Current on Vaccinations	Inside or Outside?

If you currently have pets, how do you plan to introduce your new dog to existing pets?

How will you resolve behavior problems such as jumping on people, inappropriate barking, potty accidents?

What do you consider unacceptable behavior which you would be unable to live with?

Dogs often live longer than 10 years, and some even over 15 years. Are you willing to care for a dog for this length of time?
What things or activities will you provide to amuse the animal?
Have you ever applied to a rescue group or shelter before?
If yes, which group/shelter?
Was your application accepted?
If no, why?

References (One must be a relative not living with you.)
Name Phone
Relationship How Long Known

Name Phone
Relationship How Long Known

Is there anything else you would like APAWS to know?

By clicking the Submit button you are signing the application.

I certify that the information provided is complete and correct to the best of my knowledge, and I understand that false information may void this application and result in forfeiting the adopted animal. I give my permission and authorization for APAWS to contact my veterinarian and/or other references listed for further information as desired. I also understand that APAWS adoption policy required that I be called and/or visited for follow-up at any time after the date of adoption. I understand that APAWS reserves the right to deny any application for any reason.