ADOPTION APPLICATION

While this adoption application is not a requirement by all the placing homes listed on this site, it is helpful.  Most rescue organizations are going to ask for one to be filled out if you are interested in a foster dog they have.  It is provided as a courtesy, to aid and help the private home/foster home and the prospective adopters.   To use, highlight and copy the following, then paste it onto the e-mail you are sending for the dog(s) you are interested in, typing in your answers at the appropriate places.  Please be clear and detailed in your answers....

NAME:

ADDRESS:

CITY:        STATE:            ZIP:

HOME PHONE:(        )              WORK PHONE:(        )

E-MAIL:

Personal Reference name & phone number:

OWN   or   RENT  home?
If you rent, do you have your landlords permission to keep a dog?
Landlords name & number:
Do you live in a:    House -   Apartment -   Trailer home -  Other?
If other please explain:
How long have you lived at the above address:

Do you have a fenced yard?
Does the fence completely enclose the yard?
Please describe the fence: (type & height)
If there is no fencing, how will you handle the dog's exercise and potty needs?

Have you ever owned an Aussie before?
Why are you interested in adopting this breed?
Are you looking for: ___family pet      ___herding/agility/obedience    ___other (please explain)

                             ___male     ___female      ___younger dog      ___older dog

                             ___any age     ___either sex     ___indoor dog     ___outdoor dog    ___both

What traits are you looking for in a dog?

How many adults are in this household?
How many children are in your household?
Ages and sex of children:

Do you own other animals?     YES    NO
If so, what kind?
Are they spayed / neutered?
Name and number of your regular Veterinarian
How many dogs have you owned in the past 5 years?
Please give breed, age & sex of any dogs that you still currently own:
If not, what happened to them? ( please be specific)

how much time will the dog spend alone? where will he/she be?
Where will the dog sleep?  Where will he/she be during the day?  while you are home?  while you are away?
What activities would you like to do with your dog?
Are you interested in obedience training your dog?
Do you intend to crate-train your dog?

Would you be willing to allow us to visit you and your new dog after the adoption?

Are you willing to give the dog at least six months to adjust to you, your family, and his new environment? ___yes  ___no

For what prime reasons would you give up, or get rid of a dog?

DO YOU AGREE TO ALLOW A HOME CHECK DONE PRIOR TO ANY FINAL ADOPTION AGREEMENT BEING MADE?

Do you have any questions or concerns that we might be able to answer?
 
 

***If you prefer, both of the national aussie rescue organizations have their own adoption applications:
 STAAR :  http://www.staar.org/adoptIntro
 ARPH :   http://aussierescue.org/AdoptFromARPH/AdoptionApplication.aspx