Thank you for your interest in our animals. The first step in our adoption process is completing an application, which we have pasted below. Once it's reviewed, we can set up an appointment for you to meet them. Part of our application is for screening and another part for educational purposes. Please take your time answering our questions fully as we think it will be to our mutual benefit in selecting the best pet for you If you need help and use someone to assist you, please let us know what help they provided at the bottom of this form. In your "subject" column, be sure to put the pet'(s) name(s) you are interested in "parenting." To expedite the process, answer every question as completely as possible. You should hear back from us within 7 days. We seek only the very best homes and suggest others adopt one of the many wonderful animals available at their local, public shelters. Thank you. First and Last Name: Street Address: City, State & Zip Code: Home Phone: Work Phone: Cell Phone Pager: E-Mail: Name(s) of pet or pets you are applying to adopt: Are you interested in being considered for any other pet we might believe is better suited to your household? 1. Do you own your own home or do you rent? 2. If you rent, may we contact your landlord? Your landlord's name and phone #: 3. Is your yard securely fenced? Please describe: (e.g., 6', chain link, 1/2 square acre) 4. Will your animal be an indoor, outdoor (including outbuildings, i.e., garage, barn, etc.), or indoor and outdoor pet? If the pet is a cat, please explain what factors have been used in this decision. 5. What pets do you have currently? Describe how you will introduce the new pet and create a comfortable transition. 6. List the pets you and your partner have had as adults and explain in detail what happened to them. 7. How old are the members of your household (including yourself?) Do you have children living with you? If yes, please list their ages. Are there young children who stay or visit you often (i.e., neighbors, grandchildren, etc.) If so, how often and what are their ages? &n bsp; 8. Does anyone in your household have allergies to cats or dogs? 9. How much do you think it costs to care for a pet monthly? 10. Does everyone in your household want this pet? 11. Are all your animals spayed/neutered and current on shots? 12. May we contact your veterinarian? What is her/his name and phone number? &n bsp; 13. What would you do to prevent your pet from being lost? In the event your pet did become lost, what would you do to find it? 14. Is the pet for you or for someone else? 15. Would you consider declawing a cat? Surgically de-barking a dog? Cropping a dogs' ears or tail? 16. Why have you selected this particular AnimalSavers' pet(s) or what are you looking for in the pet(s) you select? 17. Are there screens on all your windows? Do you have any unenclosed balconies? If you live in a condo or apartment, on which floor do you reside? Do you have a pool? If so, is it fenced? 18. (For dog adopters only) What methods would you use for training your dog? Dogs often dig, jump fences, chew on inappropriate things. What methods would you use to correct these behaviors? If you are new as an adult to dog parenting, are you willing to commit to either private or class format dog training to train YOU how to be a better caregiver? What behaviors in your dog would you find unacceptable, if any? What would you do if these activities or characters manifested? (For cat adopters only) Cats often avoid using the litterbox at some point in their life. What steps would you take to correct this behavior. What methods would you use for training your cat, if any? What behaviors in your cat would you find unacceptable? What would you do if these activities or characters manifested? What was the last date of your cat's Aids/Leukemia test? Has your cat been in contact with other untested cats since that date? 19. If you moved, what would you do with your animal? 20. Are you planning to add children to your family during the life of the pet? If so, what will you do with your animal? Are there ways that you know of to acclimate a dog to infants? Toddlers? 21. If your pet broke her leg, and it would cost $4,000.00 in veterinary bills to heal it, what would you do? PLEASE GOOGLE (www.google.com) YOUR ANSWERS TO THE FOLLOWING SENIOR PET QUESTIONS. a. If your senior pet was going deaf as a result of her age, what would you do? b. If your senior pet was going blind as a result of old age, what would you do? c. If your senior pet had arthritis or hip dysplasia and was moving with difficulty, what would you do? 22. Under what circumstances would you "put down" or euthanize an animal? 23. Would you allow a home visit to see how the animal is doing? 24. Where will your animal be kept during the day? the night? 25. If and when the pet will be outdoors, describe the available shelter. 26. How many hours will the pet be alone during the day? 27. Please describe and explain IN DETAIL by GOOGLING your answers. Let us know the websites you found most helpful, so we can share this with others and list these on our websites. These are extremely common ailments and the more you know, the better off your future and current pets will be. a. Do you know how to recognize, treat and prevent fleas? What products are safest and most effective? b. What are earmites and how do you know if your cat or dog has them? c. What is heartworm? d. How do you prevent it and how is it spread? e. Why is prevention critically important? f. How do you know when your animal has an ear infection that requires a vet's intervention? (List at least 5 potential signs.) g. How can you help PREVENT ear infections, especially in floppy eared dogs? h. Bloat comes on very suddenly in deep chested dogs and will kill equally fast. What is it and what are the symptoms? i.. What are foxtails and how are they dangerous? (List at least 6 areas of the body they can invade AND the symptoms.) Note: If your dog goes outside in Northern CA, they're unavoidable whether you have them in your yard or not. 28. Have you ever turned an animal over to an animal shelter? If yes, what were the circumstances? 29. (For dog adopters only) How will you exercise your dog? (For cat adopters only) How will you provide entertainment for your cat? 30. Who will take care of your pet when you are on vacation? 31. Animals are often dumped in shelters upon the untimely or unexpected death of their owners. Would you be willing to make written arrangements for the animal to return to us or go to a loving and willing friend or relative? 32. If this is your first dog/cat as an adult, what reading or other things have you done to inform and prepare you for this long-term commitment? 33. Does anyone in your home smoke cigarettes indoors? 34. Please provide two personal references with phone numbers and email addresses. If possible, We prefer references who are familiar with your animal caregiving experiences and commitments. Name and Phone Number: Name and Phone Number: 35. Please provide your employer's name, address, phone number and email. NOTE: We rely exclusively on your answers to our adoption questionnaire in our adoption decisions. Failure to completely disclose the requested information or misrepresentation of facts may result in the nullification of an adoption contract and an immediate confiscation of the adopted animal. If this occurs, there will be no refund and all expenses incurred (attorneys, court costs, professional transportation, etc.) will be the responsibility of the applicant. I represent that the above is complete and true to the best of my knowledge and that I, personally, answered all the questions without assistance. Name:_________________________________ Date:____________________________ ALTERNATIVELY: I represent that the above is complete and true to the best of my knowledge. I received the following assistance in preparing this form: (Please explain.)