Dog Adoption Application

Thank you for your interest in adopting from I Heart Dogs Rescue. Please complete the following adoption application in it's entirety. Please note that any falsification of information will cause your application to be rejected. This application is for adoption ONLY. If you are looking to FOSTER a dog, please fill out our foster application here. Before beginning, please note the following requirements:

Prior to adoption, we must see a driver’s license or a state-issued ID showing you are at least 21 years old.
The owner of your home must consent to the adoption of the animal. If you rent, we will need to see a copy of the pet policy in your lease. This can be attached to your application or you can show a copy prior to adoption.
Please note that we only adopt to people living within a 50 mile radius of our shelter located in Warren, MI.
All members of the household, including children, must meet and approve of your new family member.
If you presently have a dog(s), we invite you to bring them with you as all dogs must participate in a meet and greet at the Haven.
We will require contact information for your veterinarian if you have or have had other pets in the last 5 years. We may contact your vet to ensure that your pets are/were kept up-to-date on their vaccinations. If your vet requires your approval to release that information to us, please call them ahead of time to expedite the process.
Your signature on the application is required. You can use your mouse to sign on the line at the very end of the application. If you are filling the application out on your smartphone or tablet, you should be able to sign using your finger or a stylus.

Once we receive your application, you can expect to...

• Receive a confirmation email
You should receive a confirmation message to the email address listed on your application. So long as you have received this email, you can be confident that we have received your application!

• Speak with an Adoption Counselor
If we think you may be a good match for the dog you applied for, one of our adoption counselors will be in touch to ask additional questions and discuss animals of interest. All approved applications will move to the next step. If you are not selected for the specific dog you applied for, you will recieve an email within a week or two. Feel free to let us know if you are interested in a different dog; there is no need to submit another application!

• Meet the Dogs
Meet one or more of our fabulous furry dogs to identify a match for you to adopt! If a connection is made and you decide that you want to adopt, your application will proceed to the next step.

• Vet Check
We will contact your veterinarian to ensure that your present, and even past, pets have been provided with proper care.

• Home Visit
Some of our dogs may require a home visit to ensure they are being set up for success! When one of our trained volunteers conducts a home check in your home, our goal is to ensure that the environment is safe and secure to successfully welcome your new dog. We will identify areas that pose a risk with the dog escaping, hazardous materials within the dogs reach, and provide tips to the entire household on the role/s everyone can play in setting the dog up for success. Please note that the dog will not come to your house during the home visit! Once the home check has been successfully completed, your adoption counselor will schedule a date and time for you to come adopt your new pet!

• Timeframe for the adoption process
Our commitment is to do our very best to complete the entire adoption process within one week; however, we ask for your patience in accommodating unforeseen circumstances that may surface during the process which may prevent us from achieving this goal. You should hear from us regarding your application within 48 hours of submitting it, but it may take up to a week.
There is no need to check on the status of your application prior to that.

Dog you are interested in adopting *
Second dog you are interested in
Applicant's First Name *
Applicant's Last Name *
Street Address *
City *
State *
Apartment Number (if applicable)
Zip Code *
Preferred Phone Number * Please use the following format 248-555-1212
Is this a landline or a cell phone? *
Can you receive text messages? *
Alternate Phone Number
What is your preferred method of contact? *
Email Address * Please enter correctly as this is the main way we will contact you
Date of Birth *
Are you currently serving in the military or reserves? *
Are you a veteran? *
Have you ever been convicted of a felony? *
Please explain *
Current Employment Information (check all that apply) *	Employed full-time Employed part-time Unemployed Student Retired Other
Please explain *
Occupation
How long have you been with your present employer?
Is your spouse/partner employed? *
Please select your current residence type. *
If you answered "other" above, please explain here: *
How long have you lived at this address? *
Do you own or rent your home? *
Explain: *
Does your landlord and lease allow dogs? (be prepared to present copy of lease) *
What is your landlords name and phone number? *
Does your home/yard have... (select all that apply) *	a privacy fence a stationary tie-out a chain link fence an invisible fence an outdoor run a dog house indoor area with pee pads/newspaper a swimming pool
Is your yard fully enclosed? *
Do you have any additional information to share about your yard?
Please list names and ages of any ADULTS (18 and over) who live in your home with you *
Please list names and ages of any CHILDREN (under 18) who live in your home with you. *
Does anyone in your household have allergies to dogs/cats? *
Is everyone in your household aware that you are planning to adopt a dog? *
Please provide the names and ages of people who visit your home frequently.
How do you relate to dogs? *
The noise/activity level in my home is usually: *
Is anyone in your home unsure of dogs? *
What is your estimate of the cost for annual routine vet care? *
Please provide a description of what you would consider to be routine vet care *
What will you do in case of a veterinary emergency (requiring surgery, meds, IV, etc) *
Are you familiar with heartworm disease? *
Are you familiar with heartworm prevention? *
Veterinarian's Name
Veterinarian's Phone Number
Do you currently have any pets? *
Please list current pets' names, species, breed, and age. *
Are your current pets spayed/neutered? *
Why not? *
Are your current pets up-to-date on their annual vaccinations? *
Why not? *
Are your current dogs on heartworm preventative medication? *
Have you owned any other pets in the last 5 years? *
Please list name, species, breed, and age. *
What happened to them? *
Were your previous pets spayed/neutered? *
Why not? *
Were your previous pets kept up-to-date on vaccinations? *
Why not? *
If you have previously owned a dog, were they kept on heartworm prevention? *
Who will be primarily responsible for the care of this dog? *
If your dog were to survive you, what would happen to them? *
Have you ever surrendered a pet to a shelter, pound, or rescue? *
Why? *
If you move in the future, what will you do with the dog you are planning to adopt? *
What would cause you to return your dog to us in the future? (select all that apply) *
My ideal dog would be (i.e. age, size, energy level, breed, etc.): *
Characteristics that you would like in a dog (check all that apply): *
What is your preferred level of exercise with the dog? (check all that apply) *
How many hours per day will your dog be left home alone? *
Where will the dog be left when home alone? *	Loose in the house In the yard Crated in the house In the garage In a room in the house Other
What are your feelings about crating? *
Where will the dog sleep at night? *
Do you plan to take your new dog to training? *
What tools do you use with your dog? (Select all that apply) *	Choke/Chain collar Prong/Pinch collar Head collar Martingale Collar Shock collar Electronic Collar Citronella collar Harness Front-clip harness Retractable leash Spray bottle Invisible fence collar Muzzle Clicker Treats/Food
How will you potty train your new dog? *
If you are no longer able to keep the dog you adopt, do you agree that you must return the dog to I Heart Dogs Rescue and Animal Haven? *
If applicable, please attach a copy of the pet clause in your lease. This must be in .jpeg or Png. format. If you cannot attach here, please be prepared to show a copy.
Do you consent to signing electronically? *
I have read the foregoing and certify that the answers I have given are complete, true, and not misleading in any way. By signing this application, I am authorizing I Heart Dogs to contact landlords, associates, and veterinarians. I also understand that I Heart Dogs cannot guarantee the health and temperament of the dog. (Please sign by clicking and holding your mouse if on a desktop, or use your finger/stylus if on a tablet/smart phone) *
How did you find out about I Heart Dogs? *
Where? *