Adoption Application Form (Old)

Thank you for your interest in adopting a PAWS dog! Your application has been successfully submitted. Below is a copy for your records. We're staffed entirely by volunteers and receive a high volume of applications, so it may take us a few days to contact you. An adoption coordinator will be in touch with you soon. Thanks for your patience.

First Name * Enter your first name.
Last Name * Enter your last name.
Primary Dog You're Interested In * Enter the dog you are interested in (if applicable).
Why are you interested in this dog? Enter the reason you are interested in this particular dog.
Alternate Dog(s): We understand you may have interest in more than one dog. Please list any alternates you're interested in here. No need to send in multiple applications! List Alternate Dog choices
Unsure or need guidance? Our Doggie Matchmaker will work with you to narrow down your search and find a forever friend that is the best match for you. Would you like to be contacted by our Doggie Matchmaker?
Your Street * Enter your street address.
Your City * Enter your city.
Your State * Enter your state.
Your Zip * Enter your zip code.
Home Telephone # Enter your home telephone number (ex. 555-555-5555).
Mobile Phone # Enter your mobile telephone number (ex. 555-555-5555).
Email * Enter your email address (ex. example@email.com).
Date of Birth * Enter your date of birth (ex. 8/1/1985).
How did you hear about PAWS New England? Enter how you heard about PAWS New England.
Have you ever applied for a dog from PAWS before? *
What is your occupation? *
Who is your employer? *
How many years have you been with them? *
Employer phone # *
Who do you live with? *
How many adults are in the home? *
What are their ages?
How many children are in the home? *
What are their ages? *
Has this been discussed with all members of the home? *
Do you own or rent? *
If you rent, what's your landlords name and phone #?
How long have you lived there? *
Type of Home *
Is the yard fenced? *
If yes, what's the height and type of fence?
What type of street do you live on? *
May we visit your home? *
Any additional information that describes your home environment? *
What is the primary caregiver's work schedule? *
How will the dog be maintained while you're away or at work? *
Have you had any animals in the last 10 years? *
If yes, please share their names, whether or not they're still alive, and if deceased, how they died.
Vet References Enter the name, address and phone # of your vet references.
Personal References If no vet reference is available, please include at least two. Family members cannot be personal references.
I agree to the following: All statements made on this application are truthful; I have made no false statement with regard to family members in household, references provided not being family members, status of my home ownership and any other statements made on this application. *