Applicant Name *

Spouse/Partner Name (if applicable)

Full Address (include City and how long you've lived there) *

Phone Number *

Email Address *

Household Information

Number of Children in the Household *

Ages of Children (if applicable)

Other Pets in the Household

Please Provide 2 References (Name & Phone Number) *

Place of Employment *

Dog Preference

Work Schedule *

Are you financially able to afford normal and unexpected veterinary costs? *
Yes, and I will sign up for pet insuranceYesNo

Veterinarian Name (if applicable)

Which Dog are you applying for? What appeals to you about this dog? (Write "Any" if no preference) *
[textarea* dog_preference placeholder "e.g. Interested in [Dog Name]. Their temperament speaks to me."]

Do you have size restrictions? (weight, height) *

Living Situation

Type of Residence *
HouseApartmentCondoOther

Will the dog be kept indoors/outdoors/both? Where will the dog sleep? *

Please describe a typical day in the dog's life (weekday & weekend). How long will the dog be left alone? What are your exercise and socialization plans? *

If you rent, you must provide a landlord approval letter. If you must move and your new home doesn't allow pets, what will you do with the dog? *

Do you have a fenced yard? If not, do you have a balcony? *

Height of fence or balcony (if applicable)

Lifestyle

Family Activity Level *
Couch PotatoesDaily WalksDaily Runs or HikesWeekend AthletesVery Active

Travel Frequency *
1-3 times a yearMonthlyRarelyNever

Experience & Training

Do you have experience with rescue animals? *

Why do you want to rescue a dog? And why now? *

Do you have any dog training knowledge? Please explain. *

Have you ever had an issue with an animal in the past? If so, how did you handle it? *

Will you do whatever it takes to help a dog adjust? Please explain. *

Commitment & Responsibilities

For what reason would you return a dog? *

What traits do you not like in a dog? *

Many rescue dogs have fear aggression (leash lunging, growling). It can take 3 months to a year to adjust. Are you willing to put in the time and effort? *
Yes, I am fully committedNo

Adopting a dog is up to a 15-year commitment. If anything happened to the primary caregiver, what are your contingency plans to ensure the dog continues to live in a loving home? *

Agreement & Signature

Once your application is submitted, a team member will arrange an interview and either a video call or home inspection. If approved, a $350 deposit is required to hold the dog. The remaining $350 is due upon adoption, totaling $600. These fees do not include pet travel costs. If you decline the adoption, your deposit will be refunded via e-transfer. Adoption fees may vary depending on the dog.

I understand and agree to the above terms. Please type your Full Name and Date. *

Signature and Date *

I acknowledge that once my application is received, a short interview/home inspection will be set up. *
Yes, I acknowledge and agree