Open Arms Rescue Adoption and Foster Application

To ensure that your application is processed with ease please: If you are a renter please have consent of your landlord since we will be calling to confirm you may have a dog in your home If you currently own dogs or cats please call your Veterinary clinic and give permission for us to check your pets vaccination history

I am interested in	*
date	*
Name of dog you are interested in	*
First Name	*
Last Name	*
Age	*
Phone Number	*
Email Address	*
Address	*
City	*
State	*
Zipcode	*
Please LIST name, age and relationship of each person living in your home, including yourself	*
Is everyone in your household in agreement to adopt a pet?	*
Employer(s) of you and your significant other	*
Do you	*
If you rent please list the name and phone number of your landlord	*
How long have you lived at this address	*
Are you planning to move? If yes please explain:	*
Do you have a fenced in yard?	*
If you have a fenced yard what type of fence do you have?	*
How tall is your fence?	*
Your new dog will spend most of his/her time:	*
Do you smoke?	*
If YES, do you smoke inside your home?	*
When was the last time you owned a dog?	*
Have you owned a dog before?	*
If YES, Waht kind of dogs have you had in the past?	*
What happened to the pets you no longer have?	*
Do you currently have any pets in your home?	*
If YES, please include ALL of the following: Name, Breed, Age, Gender	*
Are you current pets spayed or neutered?	*
Are your pets current on vaccinations?	*
Do you plan on keeping your new pet current on vaccines, and heatworm flea and tick prevention?	*
What Veterinary facility are/will you be using?	*
Vet's Phone Number	*
Have you ever surrendered a pet to a shelter or rescue?	*
If Yes, Please expain	*
Why are you looking for a dog at this time?	*
Is anyone in your home allergic to dogs?	*
What characteristics are most attractive to you as an adopter?	*
What behaviors would you deem unacceptable?	*
How do you plan on exercising your dog?	*
How many hours will your new dog be alone on an average day?	*
Where will the dog sleep at night?	*
When you are not home, where will your dog be?	*
If you go away for a few days, or go on vacation, who will take care of the dog(s)?	*
How much are you willing to spend on medical bills for your dog?	*
Are you interested in adopting a dog with "special needs" (medical or behavioral)?	*
Are you looking for a dog to hunt or herd with you?	*
Are you looking for a guard dog?	*
Would you be comfortable doing some training with your dog to improve manners such as jumping,pulling on the leash, counter surfing, puppy nipping or socialization?	*
If YES, is there something specific you have in mind?	*
If a behavioral problem arises what would be your solution?	*
Are you planning on taking your puppy/dog to training classes?	*
Have you applied to adopt an animal from any other shelters or rescues?	*
If YES, when and what was the result?	*
Are you willing and able to care for this pet for the rest of it's natural life?	*
What provisions will you make for the dog should you become unable to care for it?	*
Are you willing to let an Open Arms Rescue representative visit your home to see where the pet will be living?	*
Reference #1	*
Reference 1 phone number	*
Reference #2	*
Reference 2 phone number	*
Reference #3	*
Reference 3 phone number	*
Is there anything else you would like us to know?	*