Personal Information

First and Last Name

Address

Country/Region

Address

City

Zip / Postal code

Email

Cell Phone and Landline (if applicable)

Best time and method to contact

Why does this particular dog appeal to you?

If you do not get this dog, do you have a second choice you’re interested in?

Please list the name of your second choice and why you choose this dog

How did you first hear about this dog and/or PAW Alliance?

Are you employed? (Full/Part time/Retired/Student)?

Who is your employer?

Household Information

Who lives in the household?

(Please list names and ages)

Does everyone in the household want a new dog? If no, why?

What, if any animal allergies does anyone in the household have?

Who will be responsible for taking care of the dog? (list all)

Who will care for the dog if/when you are away?

If something were to happen to you and you can no longer take care of this dog, please inform us first. If you have someone in mind who could adopt this dog, or care for him/her for a specified time, let us know

Do you own or rent?

Own

Rent

How long have you been at this address?

If renting, are there pet restrictions? If so, what are they?

If renting, what is the landlord/rental agency's name and phone number?

(If rental agency, please list the name and contact information for the person you communicate with in addition to rental agency’s name)

Please describe your yard

No Yard

Unfenced Yard

Partially Fenced Yard

Completely Fenced Yard

Fence Height

Please list all your current pets (Name, Age, Gender, Altered?, How long have you had this pet, are vaccines current)

Your Veterinarian’s Name, Animal Hospital, Address, Phone Number, Email

Adoption Information

How many hours during the AVERAGE day will this animal spend without a human?

Where will the dog be when someone is home?

Where will the dog be when they are alone?

Where will the dog sleep at night? (Our dogs MUST be inside at night)

If they will be crated, how long will it be for at a time?

How much time will the dog spend alone in 24 hours?

How much exercise do you believe the dog will need, and how will you provide that exercise?

How would you describe your level of experience with animals?

Never had a pet

Had pets as a child (what kind)

Have had one or more pets as an adult

Please add any additional details regarding your experiences with pets.

How much time and in what way will you give this dog to adjust to its new surroundings?

Socialization is most important for dogs. They need to be in social situations consistently around other people and other dogs: dog parks, doggy day care, play dates with different dogs and public places where they’re exposed to traffic, traffic noises and numbers of people

How are you planning to socialize this dog?

Have you ever had to give up a pet after adoption? If so, what were the circumstances?

Have you ever taken an animal to Animal Control/Animal Shelter or had a pet picked up by Animal Control? If so, please describe the circumstances

List two personal references (non-relative), including Name, Address, Phone number and Email.

Adoption Process

If the application process continues, do you agree to have a home visit before you meet your dog?

Yes

No

If the process continues, do you agree to meeting your dog at the prison, and if you want them, giving PAW Alliance your commitment to adopt?

Yes

No

At graduation, do you agree to pay our $350 adoption fee? (We gladly accept an additional, optional donation if you feel so inclined)

Yes

No

After you adopt your NLOL dog, do you agree that PAW Alliance will do at least one after adoption home visit?

Yes

No

Are there any extra comments you have?

Dog Adoption Application

Personal Information

Household Information

Adoption Information

Adoption Process