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Application

This document appears to be an adoption application for a dog. It requests information such as the applicant's name, occupation, address, family details, housing details, current pets, veterinary information, and personal references. The applicant is asked if anyone in the family has dog allergies, about their yard/enclosure situation, where their current dog stays when they are gone, if they have ever surrendered or euthanized a pet before, and if they have ever adopted and needed to return a dog before.

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catherine goddard
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We take content rights seriously. If you suspect this is your content, claim it here.
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20 views1 page

Application

This document appears to be an adoption application for a dog. It requests information such as the applicant's name, occupation, address, family details, housing details, current pets, veterinary information, and personal references. The applicant is asked if anyone in the family has dog allergies, about their yard/enclosure situation, where their current dog stays when they are gone, if they have ever surrendered or euthanized a pet before, and if they have ever adopted and needed to return a dog before.

Uploaded by

catherine goddard
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Full name: _________________________________Spouse_____________________________

Occupation (s): ______________________SPOUSE Occupation:_________________________________


ADOPTION APPLICATION
How many hours do you work average?____________ Spouse_________________

Address: ______________________________________________________________ CONTACT NUMBER__________________________


How long have you lived at this address: ___________________________ CITY________________________ ZIP_________________

Email address: __________________________________________________________

REVISED 1/2019
Family & Housing
How many adults are there in your family (their relationship to you)?_________ Children and Ages_________________________

Describe home: single family, apartment etc.?_________________Is your household: __ Active __ Noisy __ Quiet __ Average_____
Do you live on a busy street?  YES______     NO____

Does anyone in the family have a known allergy to dogs? YES______           NO______

Do you have a fenced in yard? YES____    NO_____ 

TYPE: CHAIN____ height . ____ Wood___ Heigh ____TIE OUT________ Invisable_________


Where does your current dog stay while you are gone?______________________________________________

Other Pets
What other pets do you have (specify breed and number)?
___________________________________________________________________________________________________________________
UTD on vaccines _________ Neuter/Spay______ Energy level: Low______ Moderate_______ High________
Have you every surrendered a pet? If so, why?
_________________________________________________________________________________
Have you ever had a pet euthanized? If so, why?
_________________________________________________________________________________

Have you ever adopted and needed to return the dog for any reason?
__________________________________________________________________________________

Veterinarian   

How many years?______

Veterinarian’s name: ________________________________________Clinic Name___________________________________________


Clinic Address: ________________________________________________________Phone:_____________________________________

Personal References
Please list someone who is familiar with both you and your pets.
Name:
Address:
Phone:
Name:
Address:
Phone:

______________________________________________________________________ _________
(Signature) (Date) 
All above is true and I understand that any false information will result my application being removed from MDRC files.

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