PreQualification Adoption Form – Pound Animals Worth Saving

Adoption Application Form

Personal Information

First Name

Last Name

Email Address *

Primary Phone Number *

Alternate Phone Number

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Preferred method of contact *PhoneEmailText

Are you over the age of 21? *YesNo

Household Information

If you rent, do you have your landlord’s permission to adopt a dog? *YesNoN/A – I do not rentOther

How many people live in your household? (Include number of adults and minors, and ages of minors) *

Does anyone in the household have limitations or special considerations that may affect adopting? *Yes (explain in comments)NoOther

Home & Yard

Do you have a securely fenced yard? *I have a yard and it is fencedI have a yard and it is not fencedN/A – I do not have a yardOther

Do you have a securely fenced pool? *I have a pool and it is fully fencedI have a pool and it is not fully fencedN/A – I do not have a poolOther

Do you have a doggy door? *YesNoNo, but willing to installOther

If requested, are you willing to allow an in-home visit by a PAWS representative? *YesNo

Pets & Experience

Which specific dog(s) are you interested in adopting? *

If you do not have a specific dog in mind, what type of dog(s) are you interested in adopting? (e.g., size, age, breed preferences) *

Do you currently have pets? If yes, please list type, breed, age, and gender. *

Where will the dog(s) spend most of their time in your home? (e.g., indoors, outdoors, specific rooms) *

Where will the dog(s) sleep at night? (e.g., crate, bedroom, outdoors, other) *

When you are away, how will your dog(s) be cared for? *CratedFree-roaming indoorsOutdoors onlyOther

How often will you feed the dog(s)? *Free feed (food available at all times)Once a dayTwice a dayThree times a day (puppies)

What type of food does your dog(s) current receive?

Have you ever surrendered a pet before? If yes, please describe your experience. *

Acknowledgment & Agreement

Thank You

Thank you for applying and for supporting PAWS in our mission to place dogs into safe and loving homes. Your time and effort in completing this application helps us ensure the best match for both our dogs and adopters.

Acknowledgement *I understand that each dog is carefully evaluated to ensure the best match. Depending on the dog’s breed, personality, energy level, or specific needs, PAWS may require that an adopter meet certain conditions (such as having another dog in the household, a securely fenced yard, or prior experience). I understand that I may not be selected to adopt certain dogs if these conditions are not met.Yes

Comments or additional information you'd like us to know:

SignatureBy typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.