Adopt Today. Apply Today for the Doggie Scholarship?Complete the questionnaire below and we’ll be in touch! Your Personal InformationName First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Country PhoneEmail How long have you been at your current address?OccupationEmployerBest Time To Reach YouList 3 Dogs You are Interested in AdoptingHousehold InformationHow many members are in your household?Do you have children living in the household? Yes No What Are the children's ages?Please list agesDo you own or rent your home? Own Rent Landlord's Name First Last Landlord's Phone NumberAre pets allowed? Yes No Any restrictions on size or type? Yes No What are the pet restrictions?What is the type of home?Is your home active or calm?Do you have a fenced yard? Yes No What kind of fence?How tall is the fence?Do you have any of the following? Invisible Fence Anti-Dig Barrier Outdoor Dog Run Indoor Kennel Pool Is anyone in your home allergic to dogs? Yes No Have you owned a dog before? Yes No Current PetsDo you currently have any pets? Yes No How many pets do you have?What kinds of pets do you have?If dogs, what breed & sex?Are your pets on heartworm prevention medication? Yes No N/A Have you ever adopted a dog before? Yes No Have you ever surrendered a pet? Yes No Why did you surrender a pet?Do you currently have a veterinarian? Yes No Who is your veterinarian?Who will you use to be your veterinarian?Do you have livestock? Yes No What kind of livestock do you have?Dog you want to adoptWhat dog personality is most important? Easy Going Energetic Protective Talkative Cuddly Check all that applyWhat is the ideal age for the dog you want to adtop using this program? 7-9 Years 10-12 Years 13+ Years Check all that applyWhat size dog are you interested in when full grown? Small (up to 30lbs) Medium (30-60lbs) Larrge (60-100lbs Check all that applyDoes the dog have to be housebroken? Yes No Do you know how to housetrain? Yes No Are you aware that all dogs have accidents? Yes No How many hours per day will the dog be alone?Where will the dog be when no one is home?Will the dog be inside more or outside more?Where will the dog sleep?How do you plan on exercising your dog?Do you understand that a new adopted dog, that has changed homes, takes 3 months to feel at home, begin to trust, feel secure and follow a routine? Yes No Are you willing to commit to the 90 days needed before giving up on the dog? Yes No Are you financially able to properly care for the dog after the first year? Yes No Are you willing to seek help if you begin to have a behavioral issue with the dog and do everything possible to fix the problem before surrendering the dog? Yes No Are you willing to place your dog food orders online via a gift card or code? Yes No What would cause you to give up?If you move, will you commit to taking the dog to your new place of residence and only find homes that allow dogs? Yes No Will the dog travel with you out of town? Yes No Where will the dog stay while you are traveling?If you are unable to take care of your dog due to sickness or death, do you have a plan for who will take your dog should something happen? Yes No What is the plan?Name of personal reference First Last Personal Reference Phone NumberIs there anything else you would like to add?How did you hear about 4 Paws 4 Ever?ConsentBy signing below, I agree that all information provided is true, correct, and complete. I agree, I am giving permission to 4 Paws 4 Ever to contact any necessary person to verify information. By submitting this application electronically, I agree to release and covenant to hold harmless 4 Paws 4 Ever and it’s members/employees from any claims, damages, costs, or actions incurred because of the care or actions of the adopted dog. I accept full responsibility of the dog’s actions at all times, and release 4 Paws 4 Ever from any liabilities or damages that may be incurred from adopted dog. I understand that I assume all responsibility for the care and welfare of the dog I am adopting. I agree that if I am unable to continue caring for adopted dog, I will return the dog to 4 Paws 4 Ever and give 4 Paws 4 Ever, 3 weeks notice to try to find a suitable foster for the dog. All applications are processed in the order they are received. Our adoption process follows several steps; which may include, application, phone interview, meet and greet with dog requested, home visit, adoption contract and adoption fee, if applicable. Please remember that we review every application carefully. Your application does not guarantee the adoption of the dog you are wanting. 4 Paws 4 Ever reserves the right to refuse any application for adoption. Thank you for your interest. You will hear from us soon. I agree to the terms provided by 4 Paws 4 EverThis field is hidden when viewing the formDate MM slash DD slash YYYY Signature Thank You to Our Supporters!
