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ALMOST HOME ONLINE ADOPTION APPLICATION
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Date:
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Animal's Name:
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Adopter's Name:
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Street Address:
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City:
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State:
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Zip:
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Nearest cross roads:
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Email address:
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Home phone number:
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Work phone number:
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Cell phone Number:
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Date of birth:
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Drivers License No:
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1. How long have you been looking for a pet?
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2. Have you applied anywhere else for a pet?
If yes, Where?
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3. Do you own any other animals at the present time?
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If so, please list your pet's name, breed, and whether your pet
is spayed/neutered, up to date with shots, (if dog) on
heartworm preventative:
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4. How many pets have you owned in the last 5-10 years?
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5. What happened to them? Please be specific.
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6. Name, Address, Phone of Vet:
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7. How do you feel about having the animal spayed/neutered?
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8. Are you familiar with heartworm and heartworm
preventative?
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9. Please select the reason(s) you plan to adopt a pet:
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10. Do you own your own home?
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11. Please select current residence type:
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12. How long have you lived at this address?
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13. If you rent, does your landlord or lease allow pets?
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14. How many people live in your household?
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15. How many children live in the home?
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Please list ages of children:
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16. Is everyone aware you are planning to adopt a pet?
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17. Who will mainly be responsible for the pet?
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18. Does anyone in your household have allergies to dogs/cats?
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19. Are you presently employed?
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If so, Please list Occupation:
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What city do you work in?
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20. Are you aware that the cost of veterinary care can be at
least $200-$300 per year?
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21. Will this pet be living inside/outside or both?
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Please explain:
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22. Do you have a COMPLETELY fenced in yard?
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If you have a fence please select the type and height:
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23. If you do not have a fence, do you plan on getting one?
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24. If you do not have a fence, how will you let the animal
out?
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25. Where will the animal sleep?
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26. How many hours a day will the animal be left alone?
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27. What will you do with the pet when you are not at home?
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28. How will you handle housebreaking?
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29. How will you handle destructive behavior?
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30. What will you do with the pet when you go on vacation?
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31. For what reason would you consider returning/giving up the
Animal :
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32. What would you do with the animal if you had to move?
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33. Would you be willing to take the dog to obedience
training?
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34. Would you object to someone from Almost Home coming to
your home to check on the animal?
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If you answered yes, please explain:
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35. Please explain why you want to adopt a rescue animal?
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By clicking the button below, I certify that I have read the
foregoing and certify that the answers I have given are
complete, true and not misleading in any way.
Additionally, by clicking the button below, I am authorizing
Almost Home to contact landlords, associations and
veterinarians.
It is mandatory that you filled in answers to all of the
questions for your application to be reviewed.
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To avoid duplicate submissions, please only hit the 'Apply for
Adoption' button only once.
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