First step in the process

Identification

First name

Last name

Address

City

State

Zip

Home phone

Cell phone

Work email

Dob

Best day/time to call for a phone interview

Do you live in a

What are your landlord's/homeowner's policies/restrictions on pet ownership?

Family & Pet Information

Other Adults Living At Home:

Name	Relationship	Age

Children Living At Home:

Name	Age

Please list all current pets: Type of pet, age, personality, how long you've had the pet and where he/she was acquired:

Adopter Questionnaire

Are you looking for a Cat or Dog?

In your opinion, what makes you a good pet owner?

What interests you in adopting through RESCUE?

If adopting a cat, please describe your feelings/beliefs on declawing:

Please select the names of any RESCUE cat(s) you are currently interested in and what makes you interested in the particular cat(s)

Please select the names of any RESCUE dog(s) you are currently interested in and what makes you interested in the particular dog(s)

Bailey

Albert

Bindi

Avery

Aaron

Aldo

Austin

Other RESCUE animal that you are interested in that are not listed above?

Have you applied to any other rescue organizations before?

If yes, please list them:

Name of Shelter	Date Applied	Outcome

What characteristics are the most important for you to have in a pet?

Please describe the activity level of your house:

Please describe your typical weekday and weekend day:

Please detail your past pet experience for the last ten years: Type of pet, how long you had the pet, where acquired, biggest challenges, what happened to him or her

What do you think is a reasonable amount of time for a pet to adjust to your environment?

How much money are you planning on spending on your pet annually? (Please factor in food, toys, vet visits, grooming and other care)

How would you deal with allergies that a current household member may develop to your new companion animal?

What areas will the dog/cat be restricted to? Please include both short and long-term restrictions and if these are restrictions when you're home, away or both.

Do you have a pet door? If yes, where is it located and where does it lead to?

How will you exercise your pet? (Include activities, length of time and frequency)

What training methods have you found to be effective?

How much money and time would you be willing to spend on behavior modification/training?

What would you do if your new pet needed emergency medical care in excess of $700?

The average life expectancy of a dog or a cat is 10-15 years. How do you see your pet fitting in over the years as your family dynamics and personal circumstances change? (Please consider the addition and subtraction of family members, career changes and relocation.)

How will you deal with challenging and expensive but treatable health problems in old age?

If other, please describe

If you could no longer provide care for the animal what is your plan for the animal?

Please list your current veterinarian and phone number:

What's New

Event Calendar

Resource Center

Watch RESCUE

One Life at a Time

MMIF Application

Identification

Family & Pet Information

Adopter Questionnaire