Animal Angels Rescue

@ www.ANIMAL-ANGELS.ORG

Adoption questionnaire/ Application

Thank-you for your interest in adopting one of our foster dogs.

Animal interested in (list name)_______________________

Date:_______________________________________

Applicant’s name:___________________________________________

Applicant’s address:________________________________________

City________________________ State_______________ Zip_______

Phone (home)_________________(cell) _____________________

Home E-Mail address: ____________________________________

Are you employed? _______ retired _______ student ________

&= nbsp; Homemaker __________ unemployed ______________

Employer’s name ________________________________

&= nbsp; Location _____________________________

&= nbsp; Job title ____________________________

&= nbsp; Supervisor’s name ____________________

&= nbsp;

&nb= sp; Employer’s number ________________________

&= nbsp; May we call _________________

Type of residence:

house ___ apt ____ condo ____ mobile ____

Do you own ________ or rent? ________

If you rent, name, address, and phone number of landlord.

__________________________________________________

If you own, length of time____________________

Name of bank holding the mortgage _______________

Housing location: within/ outside city limits

Type of street: busy _______ slight traffic ______

&= nbsp; &nbs= p;

country_______

How many people are in your household? ____________

What are their ages? _____________________________________

What is their relationship to you? _______________________

Do you have visiting family members e.i grandchildren

___________________________________________________________=

Anyone in the home have allergies or asthma? _______________

Does anyone in the home smoke? ____________________

What personality /energy level would you like in a dog?

_____________________________________________________

What breeds interest you? _________________________________

What size of dog interests you ? __________________________

Does gender matter? _______________________________________

Does age matter in your decision ? _______________________

Where will the dog live? inside ___= ____ outside ___________

Facilities for pet:

Is your yard fenced? ________ What type of fence?___________=

Pen ____________ size of pen ___________

How many hrs a day will the dog be alone? __________________<= /p>

Where will he stay when unattended? _______________________

How often do you travel? ______________________

Where will the dog stay while you travel? __________________

If a kennel, name and address ______________________________=

____________________________________________________________

Are you will to obedience train? ___________________________<= /p>

Age group of applicant 18-30 _______ 31-59 ______ 60+ _____

If you are under 18, your parents must complete the application

Do you currently have pets? ________ If yes, what kind ____

_____________________ and what age _______________________

Are they spay/neutered? _________________

If you currently do not have a pet, have you ever had pets before?___________<= span style=3D'mso-spacerun:yes'> How long ago? ________________

Did they have health issues ? _____________________________

What happened to them? _____________________________________

Please provide a veterinarian reference:

Name _____________________________________________

Address _______________________________________

Are you aware that a pet is a large responsibility? ________<= /p>

Can you afford to pay vet bills should your pet become ill or injured? ________= ___

Name an emergency veterinarian clinic near you if the pet

becomes ill on Sunday ___________________________________

Have you applied with other rescue groups? ________________

Names of the organizations _________________________________

____________________________________________________________

Please provide 3 references. They cannot be family members

or roommates. They can be work associates, groomers, vets, <= /span>

or neighbors. We will call these references as part of the <= /p>

application process. Required information of the references:

Name ______________________________________________

Address _____________________________________________

City ____________________State ___________zip ______________

Telephone numbers: Home____________________

&= nbsp; Cell __________________

Name _____________________________________________________

Address __________________________________________________

City ___________________________state _____ zip ___________

Telephone numbers: Home ______________________________

&= nbsp; Cell _________________= ____________

Name ___________________________________________________

Address _________________________________________________

City __________________________state ______ zip __________

Telephone numbers: Home _________________________________

&= nbsp; Cell _____________________________

By submitting this application, you agree to co-operate with=

Animal Angels Rescue adoption process. Often there are

several qualifying families for one animal. It is our job

and responsibility to decide the best match for the dog. We <= /p>

may decide that you are not a good match for that specific

animal and that no reason will be given. = =