Adoption Application

Please complete the application in its entirety. Incomplete applications will not be processed.

Animal(s) you are interested in adopting
Your First Name
Your Last Name
Street Address
City
State
Apartment Number (if applicable)
Zip Code
Home Phone Number Please use the following format 248-555-1212
Cell Phone Number
Email Address Please enter correctly as this is the main way we will contact you
Employment Status	Full-Time Part-Time Retired Work from Home Stay at Home Parent Student Unemployed
If you are employed, what is your current occupation?
What type of residence do you live in?	House Apartment Condo Townhouse Mobile Home
Do you own or rent your home?	Own Rent Someone else owns the Home Someone else rents the Home
How long have you lived at this address?	Less than one month 1-2 months 3-6 months 6-9 months 9-12 months 1-2 years 3-5 years 6-10 years 10 + years
If you are renting or live in a condo/townhouse, are pets allowed in your building?	Yes No Unsure N/A
Are there any restrictions to the number or size of pets you are allowed to have?	Yes No Unsure N/A
If yes, please list what the restrictions are
Do other pets currently live in the home?	Yes No
If yes, please list their names, breeds, and ages.
Are all of them spayed/neutered/fixed?	Yes No N/A
Are your pets current on their vaccinations?	Yes no n/a
If you have cats, are they declawed?	Yes No
Did any pets live in the home in the past five years who are no longer there?	Yes No
What happened to them?
Have you ever turned a dog or cat into a shelter?	Yes No
If yes, please explain?
Have you ever had a pet euthanized?	Yes No
If yes, please explain:
Veterinarian's Name If you have never owned a pet please tell us where you would go.
Veterinarian's Address, City, State, and Zip Code Again if you have never owned a pet please list where you would go
Veterinarian's Phone Number
Has this veterinarian seen your current or past pet(s)?	Yes No
Including yourself, how many people live in your household?
Please list the ages & relationship of those who live in your home.
Is everyone in your household in agreement about adopting a pet?	Yes No N/A
What will the pet's main role be in the family?
Who will be responsible for taking care of the pet?
Does anyone in your household have animal-related allergies?	Yes No Possibly N/A
How much do you think the annual medical bills will be for your pet?	About $100 $100 - $200 $200 - $300 $300 - $500 $500 +
What would you do if the bills went over this amount?
On average, how many hours per day will your pet be left alone?
Where will the pet be kept during the day?
Where will the pet be kept at night?
Will this pet be predominantly living inside, outside, or both?	Inside only Outside only Both
If the home has a yard, is it fenced in?	Yes No
If you answered "yes" above, please provide type and height of fence:
If adopting a dog, are there times when it will be tied/chained up outside?	Yes No N/A
If yes, when will it be tied/chained up?
If you answered "other" above, please explain:
How will you handle housebreaking?
How will you handle destructive behavior?
If adopting a dog, are you willing and able to exercise it on a regular basis?	Yes No N/A
If yes, what is the method of exercise?	Walking Running Dog Park / Dog Run Other
If you answered "other" above, please explain:
If you are adopting a cat, where will you keep the litter box?
If adopting a cat, do you plan to declaw it?	Yes No Unsure
What type of identification do you plan to place on the pet?
What would cause you to return the animal to One Goal Animal Foundation?
What will you do with your animal if you have to move?
What will you do with your animal if you can no longer take care of it?
Are you sure you are ready to provide a lifetime commitment of time, finances, and emotions for this pet?	Yes No
If no, please explain:
I certify that the information contained herein is true and correct to the best of my knowledge and that any misrepresentation of facts may result in me losing the privilege of adopting or keeping an adopted pet. I understand that One Goal Animal Foundation has the right to deny my request to adopt an animal, and I authorize an investigation of all the statements in this application. I understand that the application is the property of One Goal Animal Foundation.	Yes No