Dog Adoption Form Step 1 of 6 16% Adoption Information The following information is requested so that we can assist you in the selection of your new pet. The animal’s welfare is our foremost concern. The consultation process is designed to help us assist you in finding the animal most compatible to your life style. This information will be kept strictly confidential. Please give careful consideration to adopting a pet. Animals are not toys or short-term commitments. make sure that your lifestyle allows the time, patience and expense this pet will need over the years. Animals for adoption are placed with the adopters with full consideration given to the specific needs of each animal. Thank you for understanding FOLAS is a legitimate, ethical animal rescue organization and the reason we have a screening process in place is that we take the animal rehoming process as seriously as we would if we were rehoming a personal pet. Agreement By completing all information below, you certify that you understand the following: The Friends of Linden animal Shelter, Inc. reserves the right to refuse adoption to anyone for any reason. The information contained within this application is accurate and not misleading to anyone. The Friends of Linden Animal Shelter, Inc. reserves the right to contact any individual on this form. Haven't Heard Back? Once you have submitted a form, if you don’t hear back in 24 hours, please contact us directly at folasinfo@gmail.com. Are you looking to adopt or foster?*AdoptFosterIs this a temporary foster situation as a result of the COVID-19 outbreak? or are you interested in fostering for FOLAS after the current health crisis passes, as well?*Short-TermLong-TermUnsureIs this a temporary foster situation as a result of the COVID-19 outbreak? or are you interested in fostering for FOLAS after the current health crisis passes, as well?Potential Adopted Pet's Name* Which of our furry friends are you interested in? If the name isn't here already, please use the animal's name as you found it on our Petfinder, dog, or cat listings.About YouName* First Last Email* Enter Email Confirm Email Primary Phone**Cell PhoneHome PhoneSecondary PhoneHome PhoneWork PhoneCell PhoneAddress* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Housing InformationHow long have you resided at your present address?*Less than 1 Year1-3 Years3-5 Years5-10 YearsMore than 10 YearsDo you currently live in a:* House Apartment Do you own or rent?* Own Rent Does your lease allow pets?* Yes No Landlord's Name* Landlord's Phone*Number of Adults in Home*Please enter a number greater than or equal to 1.Children in home?* Yes No Ages of Children*Age Please list the ages of all the children living in the homeIs everyone in the home in agreement on adopting a new animal?* Yes No Do you have animals now?* Yes No I have:* Cat(s) Dog(s) Bird(s) Reptile(s) Rodent(s) Fish Other Please list animals you have now.*TypeBreedAgeSex Include type (e.g., cat/dog), breed (e.g., German Shepherd or Collie), age and sex.Where are your animals kept?*Are your animals spayed or neutered?* Yes No As some pets cannot be spayed/neutered (e.g., birds) you may answer "yes" if you prevent accidental births and practice gender segregation where necessary.Please explain why your animals are not spayed/neutered.*Are your animals vaccinated?* Yes No Please explain why your animals are not vaccinated.*Have you had other animals in the past five years?* Yes No Please list animals you had within the past five years.*TypeBreedAgeSex Include type (e.g., cat/dog), breed (e.g., German Shepherd or Collie), age and sex.How long did you own these animals?*Reason for no longer owning?* Where will the pet be kept during the day?*Is anyone home all day?* Yes No How many hours will the pet be left alone in a 24- hour period?*Please enter a number greater than or equal to 1.Where will the pet be kept when alone?*Where will the pet be during vacations?*Where will the pet be kept during the night?*Are you financially prepared to give your new pet routine medical care such as rabies vaccinations, inoculations, exams for parasites, ear mites, etc?* Yes No Are you financially prepared to give your new pet emergency care if that should be necessary?* Yes No Can a FOLAS representative visit or call to see how you and your new pet are doing?* Yes No Is this your first experience with a dog?* Yes No Is anyone in your home allergic to dogs?* Yes No Is anyone in your home fearful of dogs?* Yes No Have your animals ever been around dogs?* Yes No Physical Activity and TrainingHow will your dog be exercised?*Is your yard fenced?* Yes No Type of Fence* Height of Fence* Will you crate train your new dog?* Yes No Have you ever Crate Trained a dog?* Yes No Do you understand that a dog may develop issues as it adjusts to your home?* Yes No Will you tolerate housebreaking accidents?* Yes No Will you tolerate chewing accidents?* Yes No Will you tolerate barking/whining?* Yes No If your dog develops issues that do not get resolved in a reasonable amount of time, what will you do?*What is a reasonable amount of time?* Is anyone in your home allergic to cats?* Yes No Is this your first experience with a cat?* Yes No Do you need an explanation of how to introduce a new cat to your current pet?* Yes No Have your cats been tested for Feline Aids and Leukemia?* Yes No This is not a standard procedure done automatically by a veterinarian; you usually need to request this test to be done.Results of test:* Positive Negative Do you want the cat for:* House Pet Mouser Breeder Companion Companion for pet Gift Check all that apply.Will the cat be allowed outdoors?* Yes No How many hours per day?*When will the cat be allowed outside?* Do you plan to declaw the cat?* Yes No What will you do if the cat/kitten claws furniture and shows other destructive behavior?*Are you familiar with types of litter to use, and feeding recommendations for a cat/kitten?* Yes No VeterinarianPlease contact your vet to alert them that we will be calling them.Do you have a veterinarian?* Yes No Veterinarian Name* First Last Phone*Veterinarian State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingCommentsComments or Additional NotesCommentsThis field is for validation purposes and should be left unchanged. 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