Your answers
will permit us to more effectively match your needs with a dog in our program.
Please fill out your
application completely. We need to know as much about you as possible before we
consider allowing you to adopt one of our adoptable pets. The information you provide on your
application will help us determine the best possible match for both dog and adoptive family.
If
you do not fill out the application in FULL, or are not 100% truthful, your application
will be discarded without further notice. If a question does not apply to
you, fill in the blank with "Not Applicable" or "N/A".
Applicants must be at
least 21 years old or older.
Mimi and most of our
volunteers/foster moms and dads work full time, have families, have pets, and a lives of
their own, so please be patient. We will get back to you as soon as possible.
We require that all
animals in the prospective adoptive family be spayed or neutered, up-to-date on
vaccines, and on heartworm prevention. We feel that "responsible" pet owners
fit in this category.
We prefer homes with
fenced yards. While this is not necessarily a strict requirement, it is a serious
consideration when we are processing applications. If you meet all of our other
criteria, but don't have a fenced yard, we will process your application to see if we
may still have a match for your family. You must have a plan in place for exercise/potty
needs of the adopted dog.
Keep in mind: Rescue dogs
need and deserve your patience. Whether it be house training, getting along with the
other pets or just settling in...be prepared. They will need time to adjust to
your home and family.
The fastest way to apply
is this online application (scroll down). However, if you would prefer to apply
via email, you may download the application in MS
Word format or PDF
format. Save the file to your computer and email the completed file back to us
at mcrgsd@yahoo.com
All
questions are REQUIRED to be completely answered. If it does not apply, type N/A or Not
Applicable. If you should have any questions or concerns, please do not hesitate
to contact
us.
Every field
throughout the entire application
must be completed.
Which animal are you interested in adopting?
Regardless of whether you have named a specific animal above,
Please describe your IDEAL PET...
your preferences with regard to breed, sex, age, color, small dog, large dog,
house dog, yard dog etc:
Your Full Name
Address
No
Post Office Boxes Please.
City
State
Zip
E-mail
Home Phone
Please
include area code.
Cell Phone
Include
area code.
Co-Applicant's Full Name
Relationship to Applicant
If Married, How Long?
Employment
Place of Employment
Time Employed?
Employer City, State
Your Work Phone
Include
area code.
Co-Applicant's Place of Employment
Time Employed?
Employer City, State
Co-Applicant's Work Phone
Include
area code.
Information About Your Household Members
Please list the people that currently live in your household or
visit often.
(Please list relationship to you & their age. We don't
need the children's names.)
Who will be the primary care giver for the newly adopted animal?
Does anyone in the household have any known allergies to animals?Yes
No
If yes, please explain.
Information About Your Home
Which of the following best describes your current residence?
(Check one)
Single
Family Home Mobile
Home Condo
Apartment
Nearest highway to your home:
How close is this highway to your home?
Length of time at this address?
Do you own or rent? Own
Rent/Lease
If you are renting, please plan on providing us with a copy of the pet policy from your
lease and providing the following information now:
Landlord's name and phone number
Does your residence have a: (check all that apply)
Yard
Fence
Dog Run
Dog Door
If fenced please specify type and height of fence: Type of Fencing
(Materials)
Fence Height
Size of fenced area:
If you do not have a fence, please explain how you will address the dog's exercise and bathroom needs, etc.
Does your residence have a pool or hot tub? Yes
No
If yes, is it fenced/covered so that pet CANNOT get to it? Yes
No
Please provide details:
The Animal You Want To Adopt
We receive many applications for each dog, and may already be in the process of approving
another home for the dog in which you are interested. If this dog is unavailable do
you want Muttley Crew to match you with a suitable companion? (Subject to your approval of
course)
YES
NO
Type of companion animal you are seeking:
Puppy
Adult
Dog Other
- Please specify below
Preferred Gender: Male
Female
No
Preference
Color Preferences: (check all that apply)
Black&
Tan Black/Red
Black/Silver Sable
Tan
Black
White
Any
Color
Why are you interested in adopting? Please check all that apply. Companion for Self
Companion for Family
For Breeding
Gift
For
Protection For Child
Replace Previous Pet
Companion for Other Pet
Other - Please specify
below
This dog will be a : House
Dog Yard
Dog House
Dog with Access To Yard Guard
Dog Companion
How long will your new dog be left alone (without humans) each
day?
Is this your first pet as an adult? Yes
No
If no, please list pets you have had previously and the duration they were with you.
What happened to these animals?
Your Current Animals
What animals currently live in your household? (Please include the
following info for each pet:
Name of pet, type of pet (dog, cat etc), sex/age, How long
owned? Kept where?)
How do you plan to introduce the new pet to the household?
Are you prepared for the expenses that are incurred annually for veterinary medical costs?
Yes
No
Are your current pets up to date on shots, heartworm preventative, veterinary care, etc?
Yes
No
If not, please specify which ones and why not.
What brand of heartworm preventative do your use and how often?
Are all your current pets spayed or neutered? Yes
No
If No, why not?
How will you handle the following potential situations?
Family allergy to pet:
Pet medical expenses: (emergencies or diagnosed medical condition)
If you should move what will become of the pet?
Are you prepared to spend several weeks or, perhaps months, helping your new pet adjust to a new environment?
Yes
No
Your Experience With Animals
Have you ever had any complaints about your pets? Yes
No
If yes, please explain.
Are your current pets friendly with other animals? Yes
No
Have you ever had to give up a pet before? What were the
circumstances? Where did the animal end up?
Do you plan on having your new pet enrolled in obedience training? Yes
No
If yes, where:
Please describe any special training or experience you have had
with your previous or current animals.
Taking Care Of Your Newly Adopted Pet
What is the longest duration you will leave your pet unattended outside?
Where will your pet be kept:
At night:
Day time:
How many hours a day will there be someone at home with this pet?
What brand of food do you plan on feeding your new pet?
Your Veterinarian
Please provide the following information so we can contact your
current veterinarian.
Vet Name
Vet Address
FULL
address please, including city and zip code.
Vet Phone
REQUIRED!
Please include area code.
Date, pet name and reason for most recent vet visit.
We reserve the right to check your status with your vet and to
inspect all homes and yards prior to approving any adoption. Is this okay?
Yes
No
Your Groomer's Contact information
(if applicable)
Groomer's Name
Groomer's Address
FULL
address please, including city and zip code.
Groomer's Phone
Include area code.
What are your pet's names that this groomer has seen?
Please List 2 Personal References (unrelated to you & not living in
your household)
Name
Phone
Name
Phone
Almost Done!
Have you applied to adopt from another rescue within the last
year? Which organization?
Any other comments you'd like to add for consideration of your
application to adopt?
Would you consider volunteering for our organization Yes
Not
At This Time
If yes, which of the following areas interest you?
Temporary
Foster Care Personal
interviewing of adoption candidates Fundraising
Home
Visits
Transporting
Computer
Assistance Telephone
calling Representing
us at an Adoption Event
Other
PLEASE SPECIFY
Clicking the Submit Button will return you to Muttley Crew Rescue's website.
Please do not click
Submit more than once. The application process may take a number of days, but we
will do our best to get back to you as soon as possible.
Submission
of an application to adopt does not guarantee placement of a dog.
501(c)3 non-profit status pending
MUTTLEY
CREW RESCUE
P.O. Box 520, Fouke, AR 71837
Serving Texarkana and surrounding areas.