Adoption Application 1 Introduction2 Tell us who you're interested in3 Tell us about yourself4 Tell us about your family & home5 Tell us about your current & recent pets6 Submit application This application that will take about 10 minutes to complete. We take the business of finding our rescued animals good homes very seriously. These questions are not meant to be intrusive and there are no wrong answers. We will use the answers to start a conversation with you to make sure the animal you are interested in would be a good fit for your home. Please answer all questions to the best of your ability. Once you have submitted the application, the animal's foster parent will be in touch with you. If you have any questions or issues in the meantime, please contact us. Which animal are you interested in?Is the animal a cat or dog? (This will help narrow our questions)CatDogWhere did you see this animal?On sheltertohome.comOn social mediaOn an adoption site such as Petfinder or Adopt-A-PetAt the Pet Adoption Center in WyandotteAt a fundraiser or special eventOther Your name: First Last Your spouse's or partner's name (if applicable): First Last Your address: Street Address City State / Province / Region ZIP / Postal Code Your email address: Enter Email Confirm Email Your phone number:Your occupation:Your employer:Your date of birth: MM DD YYYY How many children are in your home?None1234More than 4How old is child 1?How old is child 2?How old is child 3?How old is child 4?What are the ages of the additional children?Do any family members have animal-related allergies?YesNoDon't know / MaybeWhat steps will you take for the allergies?Have you discussed this potential adoption with all family members and are they in favor?YesNoNo one to discuss it withPlease explain how you will handle this:Do you own or rent your home?OwnRentLive at someone else's homeOtherLandlord's name:Landlord's phone number:How many pets are you allowed?What kind of pets are you allowed? Cats Dogs Other Are there any restrictions? Size Breed Declawed Other Please explain the restriction(s):What is the pet deposit requirement?Have you already paid the pet deposit?YesNoIs there anything else we need to know about the pet policy?Please explain your living situation:If you move, where will this pet go?Where will this pet stay during the day?Where will this pet stay at night?How will this pet be cared for if you are away for more than a day?Please describe your yard:Do you plan to declaw this cat?YesNoNot surePlease explain your decision:How often will this pet see a veterinarian? Please explain:Are you aware that caring for a pet can cost hundreds of dollars a year, or more if unforeseen health issues arise? Are you willing and able to absorb these costs? How many pets do you currently have?None12345More than 5INCLUDING YOUR CURRENT PETS, how many total pets have you had in the last 5 years? (Not all at once, but total pets over the last 5 years)None12345More than 5Have you ever introduced your current pet(s) to a new pet?YesNoHow did it go?Where do you take your pet(s) for medical care?Veterinarian phone number:Have you ever given up a pet?YesNoPlease explain:Please tell us about pets you currently have and any that you've had in the last 5 years.Current or Recent Pet #1Name:Type:CatDogBreed:Age:Gender:MaleFemaleUnknownSpayed or neutered?YesNoWhy not?Current on vaccines?YesNoUnknownPlease explain:Tested negative for FIV & FeLV?YesNoUnknownPlease explain:Declawed?YesNoInside/Outside?Inside onlyOutside onlyBothStill with you?YesNoWhat happened to him/her?Current or Recent Pet #2Name:Type:CatDogBreed:Age:Gender:MaleFemaleUnknownSpayed or neutered?YesNoWhy not?Current on vaccines?YesNoUnknownPlease explain:Tested negative for FIV & FeLV?YesNoUnknownPlease explain:Declawed?YesNoInside/Outside?Inside onlyOutside onlyBothStill with you?YesNoWhat happened to him/her?Current or Recent Pet #3Name:Type:CatDogBreed:Age:Gender:MaleFemaleUnknownSpayed or neutered?YesNoWhy not?Current on vaccines?YesNoUnknownPlease explain:Tested negative for FIV & FeLV?YesNoUnknownPlease explain:Declawed?YesNoInside/Outside?Inside onlyOutside onlyBothStill with you?YesNoWhat happened to him/her?Current or Recent Pet #4Name:Type:CatDogBreed:Age:Gender:MaleFemaleUnknownSpayed or neutered?YesNoWhy not?Current on vaccines?YesNoUnknownPlease explain:Tested negative for FIV & FeLV?YesNoUnknownPlease explain:Declawed?YesNoInside/Outside?Inside onlyOutside onlyBothStill with you?YesNoWhat happened to him/her?Current or Recent Pet #5Name:Type:CatDogBreed:Age:Gender:MaleFemaleUnknownSpayed or neutered?YesNoWhy not?Current on vaccines?YesNoUnknownPlease explain:Tested negative for FIV & FeLV?YesNoUnknownPlease explain:Declawed?YesNoInside/Outside?Inside onlyOutside onlyBothStill with you?YesNoWhat happened to him/her?Additional Current or Recent PetsPlease tell us about your additional pets not mentioned above: To adopt: You must be 18 years of age or older. You must have identification showing your present address. You must be able to provide a stable environment for the animal. You must and be willing to spend the financial resources to ensure proper care. These are just guidelines. We reserve the right to deny any application for adoption on any animal at any time, for any reason. Please be sure you are ready to care for and love this pet before adoption. Pets need your attention, love, care, and time. Animals suffer from stress, like people, and need adjustment periods. By submitting this application, you are giving us permission to contact your landlord and veterinarian, if applicable, and are certifying that all the information provided is accurate. This application and any information you provide is the property of Shelter to Home. We look forward to connecting you with your new love! Δ
