Name
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First Name
Last Name
Email
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Date of Birth
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Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Mobile Phone
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Home Phone
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Employer Name
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Employer Address
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Include the Street, City, State:
Desired Age
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Desired Gender
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Willing to adopt?
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Why do you want to adopt a dog?
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Current Household Memebers
Please include their name, age, and relationship to you.
Are all members in your household in agreement about this adoption?
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Rent or Own?
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Do you rent or own your home?
Rental Permission?
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If you rent, do you have permission from your landlord?
Home Environment
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Check all of the following that apply for your home.
Where will the dog be kept when you ARE at home?
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Where will the dog be kept when you ARE NOT home?
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Home Visit
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Will you agree to a home visit as part of the pre-adoption process?
Dogs
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Include breed, sex, age, temperament, and length of ownership.
Cats
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Include breed, sex, age, temperament, and length of ownership.
Pets' Medical Status
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Check the following that apply for your pets.
*We require all pets have minimum vaccines of rabies and distemper (DAPPv)
Pet Death
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Have you ever had to put a pet down?
Pet Surrender
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Have you ever had to give up a pet?
Pet Experience
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Please share any previous dog ownership and/or training experience you have:
Dog Day
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Please describe a typical day for the dog. What type of walks and exercise would you be able to provide to the dog and who will be responsible for walking the dog (you, family member, dog walker, etc)? Please describe your lifestyle so we are able to provide you with options that are best suited for you.
Dog Experience
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Describe any experience you have had with obedience training, or past personal experience with medical or behavioral issues with pets.
Home Alone
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How many hours the dog will be left alone at a time (during work hours) and where the dog will be kept when alone?
Sleeping
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Where will the dog sleep at night?
Vacations
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Where the dog will stay during business trips/family vacations?
Life Changes
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What will happen if a major life change occurs like work schedule switches, divorce, moving, etc? What will happen to your dog
Training
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All dogs require training. Describe how you will train/discipline your pet.
Training Costs
Are you willing and financially able to take obedience classes/hire a trainer?
Dog Issues
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Are you willing to work through unexpected hardships with your dog, like house training, separation anxiety, socialization, fear based aggression, adjustments to other pets, and other pets’ adjustment to the new pet?
Dog Food
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Are you aware that the higher grade dog foods such as Fromm's, Open Farm, etc are slightly more money to purchase but be a much healthier choice for your new family member and reduce vet costs in the long run?
Dog Costs
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Do you understand the costs involved with a dog beyond our adoption fee? Vet visits, medication, preventatives, high quality food, treats, training, etc? Are you prepared and willing to take on that cost?
Dog Outside
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Do you agree that the dog will not be allowed outside without proper supervision or fence?
Dog Environment
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Do you agree that the dog will live inside your home, and not outdoors or at a business location?
Dog Companionship
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Do you agree that the dog you are adopting is to be a companion animal and not a guard dog?
Dog Care
Do you agree to care for the animal in a humanely manner and to be responsible for the animal’s needs including supplying adequate food, water, shelter, regular walks, exercise, and attention?
Dog Medical
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Do you agree to be responsible for the animal's medical needs including vaccinations, monthly heartworm preventative, monthly flea/tick preventative, unexpected medical expenses, etc?
Dog Training
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Do you agree that all dogs need some sort of training?
Dog Lifetime
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Do you agree that adopting a dog is a lifelong commitment?
FAVOR Dog
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Do you agree that if at any point you cannot keep the dog, you will return him/her to F.A.V.O.R. at your own expense?
Reference Name
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Reference Phone Number
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(###)
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Reference Name
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Reference Phone Number
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(###)
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FAVOR Family Phone Number
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Vet Phone Number
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Landlord Phone Number
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Criminal Record
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Have you ever been arrested or had any restraining orders placed against you? If so, please explain.
Disturbance Record
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Have you ever been involved in domestic disturbances in which the police were called? If so, please explain.
Requirements
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Signature
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By typing your name below, you are electronically signing this application.
First Name
Last Name
Today's Date
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