Bob's House for Dog's Adoption Application

*e-mail us for a paper application
 

You can make it happen....  Apply Now!

 

 
PERSONAL INFORMATION
Name *
Name
Date of Birth *
Date of Birth
Primary Phone # *
Primary Phone #
Other Phone #
Other Phone #
Address *
Address
Do you rent? *
Landlord Phone Number
Landlord Phone Number
Do you plan to move in the next 6 months? *
Does everyone in your household know your plans to adopt a dog? *
Is anyone in your household allergic to dogs? *
Please rate your household activity level *
1 - Low Key 5 - Moderate 10 - Highly Active
Current Employment
Full or Part Time?
Address of employer
Address of employer
Do you have other household income?
Full or Part Time?
ADOPTION INTEREST
GETTING TO KNOW YOU
Where will the dog be kept? *
check all that apply
Are you familiar with crate training? *
Have you ever adopted from this shelter? *
Have you not been chosen or declined? *
Have you adopted from another shelter? *
Have you not been chosen or declined? *
Have you ever surrendered a pet to a shelter? *
CURRENT PETS
Please tell us about any pets you have living in your home now
PET #1
Pet #1 is:
Pet #1 is Spayed or Neutered
Do you still own Pet #1?
Are all Vaccinations current for Pet #1?
PET #2
Pet #2 is:
Pet #2 is Spayed or Neutered
Do you still own Pet #2?
Are all Vaccinations current for Pet #2?
Pet #3
Pet #3 is:
Pet #3 is Spayed or Neutered
Do you still own Pet #3?
Are all Vaccinations current for Pet #3?
Please list the same information above for any additional pets you may have in your home at this time
Clinic Phone #
Clinic Phone #
PET HISTORY
Please list the same information for current pets above for any additional pets you may have had in your home in the past 5 years
Clinic Phone #
Clinic Phone #
FINDING THE BEST MATCH
Signature
BY TYPING MY NAME BELOW, I CERTIFY THAT THE ABOVE INFORMATION IS TRUE TO MY KNOWLEDGE, AND I RECOGNIZE THAT ANY MISREPRESNTATION OF FACT MAY RESULT IN LOSING ADOPTION PRIVILEGES. I UNDERSTAND THAT COMPLETING AN APPLICATION FOR ANY LISTED ANIMAL DOES NOT GUARANTEE THE ACCEPTANCE AND FINALIZATION OF THE ADOPTION FOR SAID ANIMAL. IN UNDERSTAND THAT IF MY APPLICATION IS NOT CHOSEN FOR SAID ANIMAL, I MAY STILL BE ELIGIBLE TO ADOPT ANOTHER ANIMAL AT ANOTHER TIME FROM BOB'S HOUSE FOR DOGS AND THAT MY APPLICATION WILL BE KEPT ON FILE AT BOB'S HOUSE FOR DOGS I AUTHORIZE INVESTIGATION OF ALL STATEMENTS IN THIS APPLICATION AND UNDERSTAND THAT VETERINARIANS, OTHER ANIMAL SHELTERS, LANDLORDS, ETC. MAY BE CONTACTED. I CERTIFY THAT I AM AT LEAST 18 YEARS OF AGE. I UNDERSTAND THAT THIS APPLICATION IS NOT AN ADOPTION CONTRACT, AND THAT THE ADOPTION WILL BE DELAYED UNTIL MY APPLICATIONS (AND OTHER APPLICATIONS THAT MAY BE RECEIVED FOR THE SAME ANIMAL) HAVE BEEN FULLY PROCESSED.
I agree to the terms stated above *
Date (MM/DD/YYYY) *
Date (MM/DD/YYYY)