ADOPTION APPLICATION

 All questions are REQUIRED to be completely answered.  If it does not apply, type N/A or Not Applicable.
If you should have any questions or concerns, please do not hesitate to  contact us.

Information About You & Your Household

Which animal are you interested in adopting? 

Regardless of whether you have named a specific animal above, please describe your IDEAL PET... your preferences with regard to gender, age, color, personality traits you are looking for or wish to avoid, any specific activities you would like to share with your new adopted dog etc:

Your Full Name

Address

No Post Office Boxes Please.

City

State

Zip

E-mail

Home Phone 

Please include area code.

Cell Phone

Include area code.

Co-Applicant's Full Name

Relationship to Applicant

If Married, How Long?

Employment

Place of Employment

Time Employed?

Work Phone

Include area code.

Information About Your Household Members

Please list the people that currently live in your household or visit often. (Please list relationship to you & their age.  We don't need the children's names. We ask about resident and visiting children because not all dogs are accustomed to children.)

Who will be the primary care giver for the newly adopted animal? 

Is everyone in the household in agreement about adopting a dog?  YES  NO
Does anyone in the household have any known allergies to animals?YES NO     If yes, please explain.

Information About Your Home

Which of the following best describes your current residence? (Check one)
House   Apartment   Duplex   Mobile Home   Condo   Townhome

Length of time at this address?  

Do you own or rent?  Own  Rent/Lease   Live With Parents

Does your homeowner insurance if you own (or landlord if you rent) ban certain breeds or mixes?   YES  NO

If so, please list the banned breeds or mixes:

Does your residence have a safely fenced area of the yard that is enclosed on all sides?    YES  NO

If fenced please specify type and height of fence:
Type of Fencing (Materials)   Fence Height

Size of fenced area:

If you do not have a fence, please explain how you will address the dog's exercise and bathroom needs, etc.

Does your residence have a pool or hot tub?   YES  NO
If yes, is it fenced/covered so that your new pet CANNOT get to it?  YES  NO
Please provide details: 

 The Animal You Want To Adopt

We receive many applications for each dog, and may already be in the process of approving another home for the dog in which you are interested.  If this dog is unavailable do you want Imminent Danger German Shepherd Rescue to match you with a suitable companion? (Subject to your approval of course)
YES  NO

Type of companion animal you are seeking: Puppy  Adult Dog Other - Please specify below

Preferred Gender:    Male  Female   No Preference

Color Preferences: (check all that apply) Black& Tan  Black/Red  Black/Silver  Sable  Tan  Black  White  Any Color

Why are you interested in adopting?  Please check all that apply.
Companion for Self  Companion for Family  For Breeding  Gift
For Protection For Child  Replace Previous Pet  Companion for Other Pet  Other - Please specify below

This dog will be a :  House Dog Yard Dog  House Dog with Access To Yard  Guard Dog  Companion

How long will your new dog be left alone (without humans) each day?

Is this your first pet as an adult?  YES  NO

If no, please list pets you have had previously and the duration they were with you. What happened to these animals?

 Your Current Animals

What animals currently live in your household? (Please include the following info for each pet: 

How long have you owned each of these pets? Where are they kept? (inside/outside?)

How do you plan to introduce the newly adopted dog to the household?

Are all your current pets friendly and willing to accept a newcomer?

Are you prepared for the expenses that are incurred annually for veterinary medical costs?   YES  NO

Are ALL your current pets up to date on shots, heartworm preventative, veterinary care, etc?   YES  NO
If not, please specify which ones and why not. 

What brand of heartworm preventative do you use and how often?

 Your Experience With Animals

Please describe your previous experience with dogs.  What breeds?  Any special training or activities, etc..

Have you ever had any complaints about your pets?  YES  NO
If yes, please explain.

Have you ever had to give up a pet before? What were the circumstances? Where did the animal end up?

Do you breed or sell? If so, average number of litters bred per year:  YES NO

Have you ever obedience trained a dog before?   YES NO
If so, what method of training do you or have you used? 

If needed, would you be willing to take obedience lessons with your newly adopted dog?   YES NO

How would you handle the following potential situations?
Family allergy to pet: 
Pet medical expenses: (emergencies or diagnosed medical condition) 

If you should move what will become of the pet?

Are you prepared to spend several weeks or, perhaps months, helping your new pet adjust to a new environment?  YES  NO

 Taking Care Of Your Newly Adopted Dog

What is the longest duration you will leave your pet unattended outside?

Where will your pet be kept:
At night:

Day time:

How many hours a day will there be someone at home with this pet? Describe your typical weekday and weekend day.

What brand of food do you plan on feeding your new pet? 

 Your Veterinarian

Please provide the following information so we can contact your current veterinarian.

Vet's Name & Clinic Name

Vet Address

FULL address please, including city and zip code.

Vet Phone

REQUIRED!  Please include area code.

Date, pet(s) name(s) and reason for most recent vet visit.

We reserve the right to check your status with your vet and to inspect all homes and yards prior to approving any adoption.  You may want to let them know that we will be calling. Is this okay? YES    NO

 Please List 2 Personal References

If possible, please list one relative and one non-relative.

Reference #1 Name

Phone

REQUIRED!  Please include area code.

Reference #2 Name

Phone

REQUIRED!  Please include area code.

 Final Comments & Agreements

Have you applied to adopt from another rescue within the last year? Which organization?

How did you find out about Imminent Danger German Shepherd Rescue?  (Please be as specific as possible)

Any other comments you'd like to add for consideration of your application to adopt?

Would you consider volunteering for our organization  Yes  Not At This Time
If yes, which of the following areas interest you?
Temporary Foster Care   Personal interviewing of adoption candidates   Fundraising   Home Visits
Transporting   Computer Assistance  Telephone calling  Representing us at an Adoption Event
Other   PLEASE SPECIFY