P4P Adoption Application

Passion 4 Paws Adoption Application

Due to overwhelming response we cannot guarantee response time, pup availability, or placement; nor will we be able to field inquiries, general questions, etc. so we can focus on Rescuing & Adoptions. It is important to understand we have a waiting list of approved Adopters and your patience will be required as it could be a longer process. Incomplete Applications will not be processed; partner/spouse information must be filled in (name, email, contact info). Please be serious about your commitment.If you are approved we will be in touch via email as soon as we are able; there are countless tasks in Rescue outside of Adoptions. You must be 21 years or older to Adopt. **We do not Adopt further than 2.5 hours from Burlington Vermont (exceptions on a case by case based upon referrals & specific dogs up to 4 hours)**. Only 1 Application needed per household (not per dog).
Do Not To Hit Enter Until The Application Is Completely Filled Out & Signed! Incomplete Applications will not be processed. EMAILS preferred for personal references and landlord information.
Name*

First NameMiddle NameLast Name
Date of Birth*
Address / Street address required as well as mailing if different*

Physical Address

Mailing Address

CityState / Province

Postal / Zip CodeCountry
E-mail (please only use 1 primary email & do not change it after; we reference this Application for your email addresses for everything! Email is our preferred method of communication for all considerations of Adoption. Providing us with an email address that you check frequently can greatly expedite your adoption process) . Due to our system we cannot handle email changes easily *
Home Number*
Cellular Number*
Work Number
Primary telephone number*
Best way to contact you?
How did you hear about Passion 4 Paws?*
Which animal are you specifically interested in adopting?
What date will you be ready to bring a dog into your home permanently?*
Are any animals currently living in the home?*
If yes, we need to know for each animal: Name, species, breed, WEIGHT, age, gender, and how long they have been living in the home*
Does your residence have a yard?*
If Yes, is the yard fenced in?
If so is it full fence or partial? Also how high is the fence & what material? Please explain
How many hours will the animal be left alone during the day/night? PLEASE INCLUDE TRAVEL TIME TO/FROM WORK*
Please describe what type of exercise and how often you plan on providing a new dog?*
Do you plan on using a crate for the dog?*
Where will the animal be left when alone?*
Where will the animal sleep at night?*
Do you have a personal Facebook or Messenger app? We use this app for private chats*
If so, please copy/paste FULL link here.
Does your partner have a Facebook or Messenger app?*
If so, please copy/paste FULL link here.
Employer*
Hours Worked Per Week*
Do you or anyone within the home smoke cigarettes? (some of our dogs are treated for Heartworm & cannot be around smoke) *
Does anyone in the home suffer from anxiety, depression, or other mental disabilities we should be aware of? (dogs are very intuitive & we would want to be sure to match you with the proper dog if this is a consideration)*
If yes please provide more detail*
Has anyone in the home ever been charged/arrested/convicted of a crime in the US? If so please reference name, conviction, location/State, date, charge, penalty*
Spouse/Partner's Full Name (or N/A)*

First NameLast Name
Middle name
Spouse/Partner's DOB (or N/A)*
Spouse/Partner's Email Address mandatory (or N/A) E-mail (please only use 1 primary email & do not change it after; we reference this Application for your email addresses for everything! Email is our preferred method of communication for all considerations of Adoption. Providing us with an email address that you check frequently can greatly expedite your adoption process) . Due to our system we cannot handle email changes easily *
First Middle Last
Phone Number (or N/A)*
Employer (or N/A)*
Hours Worked Per Week (or N/A)*
If there are any other adults (18+) in the home, please list their: name, age, gender, and relationship to you. (enter N/A if none)*
If there are children living in the house please list their age, gender, and relation to you. (enter N/A if none)*
Does anyone living in the house have known allergies to dogs?*
Do you Own or Rent?*
If Renting, Name of Landlord (or N/A)*
Landlord's Email Address-PREFERRED (or N/A)*
Landlord's Telephone Number-EMAIL Preferred (or N/A)*
Type of home (please more specific - house, condo, duplex, apartment, trailer)*
How long have you lived there?*
Dog you have experience with dogs?*
Would you consider a dog that is not comfortable socially with other dogs? These poor pups are harder to place and if you have a rural home that isn't around other dogs you could be matched with a pup that has a higher need)*
What would you say your level of experience is?*
What breed/type of animal do you have the most experience/most comfort with?*
Are you willing to travel to pick up the animal?*
If yes, how far are you willing to travel?
Are you willing to have a representative from Passion 4 Paws come to you home for an inspection?*
Have you ever had to rehome an animal to another person, family, rescue organization, humane society, or shelter? If yes, please explain why.*
If something were to happen to you what would be your plan to have in place for your dog ? (i.e. have other family in place to take care of him/her)*
Please describe a typical day, weekday & weekend. This helps us with matching and is reviewed by the foster family !*
Which statement best describes your lifestyle?*
At Passion 4 Paws, we stress the importance of placing the right animal in your home so you and your family can handle them properly with care. Please give us specific information on what type, breed, age, gender animal you and your family are willing to adopt. Also include if you're capable of handling animals with behavioral issues such as: food aggression, separation anxiety, shyness, house breaking issues.*
How much money do you anticipate this animal will cost you on a yearly basis? Please explain.*
Why are you considering adopting a pet? Check all that apply.*

Companion for other petCompanion for selfGift for somoneFamily PetGuard/Watch DogReplacement f recently deceased petChild's PetBreedingExercise Companion
What would be a reason that you may return this pet? (ie sickness, biting, barking, not house trained)*
Have you applied to adopt an animal from another rescue organization within the past 3 months?*
References

Due to difficulty connecting with references via phone ( ie phone tag) our volunteers request to please provide email addresses for your personal references.
Personal Reference #1 Name *
Reference #1 Email Address*
Personal Reference #2 Name *
Reference #2 Email Address*
**To make the adoption process faster please be sure to contact your references to let them know we will be contacting them/keep an eye on SPAM**
**PLEASE CALL THE CONTACT NAME YOU LIST BELOW ASAP AT YOUR VET TO PROVIDE PERMISSION TO RELEASE INFORMATION TO PASSION 4 PAWS** By law they have to have permission; we will be calling and/or emailing them**
Vet Clinic Reference Name & Telephone Number (or N/A)*
By checking this box I certify that the information provided on this form is true and correct. I understand that proper food and veterinarian care can be costly and I am financially and physically able to care for this animal.*

I Agree
By checking this box I understand that home visits are made on a random basis prior to or following adoption. If Passion 4 Paws finds information contained in this application to be false, Passion 4 Paws retains the right to turn down my adoption application or remove the animal from my premises without a refund of moneys paid.*

I Agree
By checking this box I agree to allow a Passion 4 Paws representative to contact my: landlord, town clerk's office, veterinarian, and personal references in order to verify that the information I have provided is entirely correct.*

I Agree
By checking this box, I am indicating that this is a valid submission of my signature.*

I Agree
Signature date
Signature
Should be Empty:

Passion 4 Paws Adoption Application

Do Not To Hit Enter Until The Application Is Completely Filled Out & Signed! Incomplete Applications will not be processed. EMAILS preferred for personal references and landlord information.

References