IF YOU DO NOT HEAR FROM ATP WITHIN 1 WEEK, THE ANIMAL YOU ARE INTERESTED HAS BEEN ADOPTED. PLEASE CONTINUE YOUR SEARCH. THANK YOU. 1. The name of the animal you are interested in? 2. When do you want to adopt? 3. Applicant's Name , Age , and Phone number 4. Co-applicant's Name , Age , and Phone number 5. Applicant's Email 6. Co-applicant's Email 7. Relationship: Spouse/Partner, Parent/Guardian , Child , Roommate , Other? 8. Address: 9. Employer address & phone: 10. Position? 11. Are you currently expecting a child? 12. Within the next 10 years? 13. Explain how you would resolve issues relating to new children and your dog? 14. Applicant: How many days a month are you out of town (business or pleasure)? 15. Co-applicant : How many days a month are you out of town (business or pleasure)? 16. Household information : Type of dwelling? (Single family house ,Townhouse , Apartment , Condo) 17. Do you own or rent? (If you rent, please provide a copy of your lease or a signed and dated letter from your landlord indicating you can have a dog.) 18. Is your yard fenced? (If so, what kind and how high? ) 19. How long will the dog be home alone during the day? 20. What is your plan if you cannot get home at the usual time? 21. List all human residents of your household other than applicant and co-applicant: (Names and Ages) 22. What is the children’s experience with dogs? Be specific. 23. How will you prepare your children for a dog? Be specific. 24. Has applicant or co-applicant ever applied to ATP or another rescue? 25. If so, what was the outcome of that application? 26. Who will be responsible for the dog? 27. All dogs adopted from ATP will be spayed or neutered. Do you have any reservations or questions about that? (If so, explain) 28. Where will the dog be during the day? Be specific. 29. Where will the dog sleep at night? Be specific. 30. Plan for crate use - (No crate Crate reluctantly Crate if necessary Temporarily crate Permanently crate) 31. How will your dog be cared for when responsible persons are out of town? 32. How much do you think it will cost to care for your dog each year (food, vet care, license, toys, supplies, training, etc.)? 33. If you move, what will happen to your dog? 34. Have you considered the full ramifications of caring for a dog for its entire life- including illness and old age? 35. Have you considered that having a senior dog may require changes in your life including more frequent bathroom times, softer bedding, medication, ramps, etc? 36. Will you make necessary changes willingly? 37. Please list all pets of all species that you have owned in the last five years:( Species , Sex , Age (now or at death) Spayed or neutered? Present location? 38. If you ever had a pet die at an early age please explain: 39. Where do your current pet(s) sleep? 40. Are your current pet(s) allowed on the furniture? 41. If you have no pets, will your new pet be allowed on furniture? 42. How will you exercise your dog? 43. What kind of dog do you want and why? Be as specific as possible. 44. When do you want to adopt? Provide the actual date you will be ready: 45. Applicant:Have you ever housetrained a dog? 46. Co-applicant:Have you ever housetrained a dog? 47. Applicant: Have you ever crate trained a dog? 48. Co-applicant: Have you ever crate trained a dog? 49. If you answered yes, was your experience as an adult or a child? 50. List all traits your looking for in a dog: (Watchdog, friendly, energetic, house trained, crate trained calm, loving, swims, retrieves gentle, aggressive, long-haired, companion, short-haired requires professional grooming) 51. Please list any other qualities you are seeking: 52. Please provide your vets name and number. 53. Please provide the names and contact information of two references who do not reside with you. (No family please.) 54. why do you feel you would be the best home for this pet? 55. Do you agree that if you ever have to relinquish this animal, the animal MUST be returned to ATP? 56. I acknowledge that all of the information on this form is true and correct. I understand that any misrepresentation of fact may result in the removal of the dog from my home by All Things Pawssible. Applicant’s signature 57. Date 58. Co-applicant’s signature 59. date