Adoption Application – SAVED BY GRACE ANIMAL RESCUE

Screening Application

This application is used for the purpose of screening for Saved By Grace Animal Rescue adoptables. We are not a rescue that offers animals to the first application submitted. All applications submitted are considered before determining which application will be chosen. We WILL NOT contact applications that are not chosen. We will post on our facebook page and petfinder when the animal is adopted. We sometimes get many great applications and our choice is always in the best interest of the animal. We use information obtained on the application to determine the best fit and ask that you fill it out thoroughly. We may ask you for additional information or pictures of you and your home, yard etc. * Applications not filled out completely will not be considered or contacted.

Applicant Signature *

I am submitting an application for: (name of animal) *

Name *

First

Last

Address *

City/St *

Date Of Birth: *

Daytime Phone # *

Evening Phone # *

Email *

How long at current address: *

If you have a Facebook page, what is the name used:

Employer Name:

Employer Street Address:

City/St

Phone:

How long at your current employer:

How many hours a day will the pet be left alone? *

Are you opposed to crate training? *

Do you or have you ever owned a pet? *

List current pets and what they are:

Are current pets current on vetting? *

Have you ever had to rehome a pet and if so, what were the circumstances and what was the solution? *

Are the animals currently in your home spayed or neutered?

List exercise methods:

Behavior Correction Methods:

Your vet name: *

Vet address:

Vet phone number: (we call for a reference)

Date of last vet visit:

Do you use heartworm preventative on your pets?

Do you own or rent your home:

If you rent, who is your landlord:

What is your landlord's telephone number:

Describe the general area where the animal(s) to be will be kept when you are not home? *

Do you have a fenced in yard?

Where will the pet sleep? *

If you have children, what are ages?

Are there any pet allergies in your family? *

Are all members of the family agreeable to the adopting? *

Have you ever adopted animals before?

If so, where?

Are you willing to abide by all humane animal laws in your state? *

Comments: (Use this for additional information you would like us to know about you and your family.)

Please provide 3 references, listing their name, address, city/st and telephone numbers. *

By typing your name in this box you are certifying the above information is accurate and true: *