Adoption Application

Mobile-friendly step form for adoption screening. Fields marked with * are required.

No account is required. Submission is converted to PDF and delivered to shelter staff.

1. Applicant 2. Housing 3. Household 4. Lifestyle 5. Containment 6. Behavior 7. History 8. Current Pets 9. Last 5 Years 10. Personality 11. Certification

Step 1 - Applicant Information

Applicant #1 Full Name Date of Birth Applicant #2 Name (optional) Date of Birth (if provided) Phone #1 Phone #2 (optional) Email Street City State Zip

Step 2 - Housing and Employment

Length of Residence Employer Occupation Employment Type (PT/FT) Employer City/State Length of Employment

Other household income?

Yes No

Residence Type Rent or Own

Moving in next 6 months?

Yes No

Plan for pet if moving

Step 3 - Household Composition

Adults (18+) Children Ages of children

Does everyone agree to adoption?

Yes No

Allergies in home?

Yes No

Step 4 - Dog Interest and Lifestyle

Dog(s) interested in Why? Desired activity level (1-10) Primary caretaker Exercise plan

Step 6 - Experience and Behavior

Familiar with crate training?

Yes No

Crate training explanation Behavior management plan Behaviors unable to tolerate Travel care plan

Step 8 - Current Pets

Do you currently own pets?

Yes No

Vet clinic name Vet phone

Step 9 - Pets Owned in Last 5 Years

Have you owned pets in the last 5 years?

Yes No

Step 10 - Personality Fit

Desired personality description

Step 11 - Legal Certification

[Legal certification paragraph placeholder]

I certify the above information is accurate and complete.

Signature (typed name) Date

Adoption Application

Step 1 - Applicant Information

Step 2 - Housing and Employment

Step 3 - Household Composition

Step 4 - Dog Interest and Lifestyle

Step 5 - Supervision and Containment

Step 6 - Experience and Behavior

Step 7 - Adoption History

Step 8 - Current Pets

Current Pets

Step 9 - Pets Owned in Last 5 Years

Pets Owned in Last 5 Years

Step 10 - Personality Fit

Step 11 - Legal Certification

Application Submitted