ADOPTION APPLICATION

Please be sure to read this application thoroughly and fill it out to it's entirety. Failure to do so will result in an incomplete application and possible delay or rejection. 

***APPLICATIONS ARE REVIEWED IN THE ORDER IN WHICH THEY ARE RECEIVED***

*AFTLOA does not operate on a "first come, first serve" basis since we handle each adoption on a "case by case" basis, however we do not have any strict, specific qualifications or restrictions to apply. 

 *Applicants must be at least 18 years of age,  however those under 21 years of age may be required to provide additional information and references.
 
*Renters and Apartment dwellers are welcome to apply, however may be required to provide additional information.

*All applicants must agree to Home Inspection to confirm information provided on your application and applicants must be able to show proof of residency with a matching ID at the time of the Home Inspection.

   All fields marked with an asterisk (*) are required regardless if the question applies to the applicant.

Any questions that may not pertain to an applicant simply put "Does Not Apply (DNA)" as your given answer. 

All Applicant's who cannot provide a veterinary reference must provide 3 personal references NOT RELATED TO THE APPLICANT OR THE CO APPLICANT. 

Any applications received that have not been filled out to their entirety will be delayed in their process and have the possibility of being denied. 

The consideration process which includes the submission and review of your application, reference checks, and a home inspection can take 2-14 business days solely depending on when we received your submitted application, our schedule, and interest already shown in the animal of interest. 


*PLEASE BE AWARE THAT APPLICATIONS ARE OUR PRIORITY TO REVIEW AND GENERAL EMAIL INQUIRES MAY GET OVERLOOKED*


Please "Select All", COPY, PASTE into email, FILL OUT, and email to [email protected] making sure the subject of your email follows the following format: "Adoption Application *Animals Names/Breed* *Date of Application*" 

*DATE of Application (M/D/Y): 

*Animal of Interest (Name and/or Breed):

*Applicant's First Name:
*Applicant's Last Name
*Applicant's Age:

*Co Applicant's First Name:
*Co Applicant's Last Name:
*Co Applicant's Age:

CONTACT INFORMATION: 

*ADDRESS:

*CITY

*STATE:

*ZIP CODE:

*EMAIL ADDRESS:

*PHONE NUMBER: Please give best number to reach you including your area code

*When would the best available time to reach you via telephone?

HOME ENVIRONMENT AND LIFESTYLE: 


*How long have you resided at this address? Please specify:


*Select Dwelling: 
Apartment
Mobile Home
Condo
House

*Select Location:
City
Suburbs
Country


*Do you rent or own?
RENT
OWN

*How much property do you have? Please specify acreage:


*Do you have a securely fenced in yard?
YES
NO

*Type of Fence:


*Height of Fence:


*Dimensions of Fenced Area:


*If you do not currently have a fenced in area, please explain how you will give your new adopted animal(s) adequate exercise and time for them to do their business:

*How would you best describe the energy level of your household?
Homebody
Moderate
Active Outdoors
Active Home with Kids, Noises, and Visitors
Hardly Ever Home
Very Quiet Homebodies with every few visitors


*How many adults live within the home?


*Do you have children or grandchildren or any other children who visit the home often? If yes, please list their Ages/Age Range:


*Applicant's current occupation and work hours:








*Co Applicant's current occupation and work hours:








*Does either the applicant or co applicant work from home? 
Applicant
Co Applicant
Neither
Varies


ANIMAL HISTORY:


*Have you ever owned animals before as an adult?
YES
NO

*PREVIOUS ANIMALS: Please list all previously owned animals, their species, their breed, their age, and the reasons why these animals are no longer with you:








*Have you ever had to give up an animal for any reason whatsoever? If yes, please explain circumstances and list all contact information to the persons/facilities in which your animal(s) were surrendered:




*CURRENT ANIMALS: Please list all currently owned animals, their species, their breed, their size, and their age.






FUTURE ANIMALS:


*What is your reason for wanting to adopt an animal? Check all that apply.
GIFT
Watch/Guard Dog
Hunting
Pet Therapy
Agility/Ranch Work
Companion
Child's Pet
Family Pet


*Energy Level: What is your preference as far as the energy level of an adopted animal? Check all that apply.
Affectionate
High Energy
Active Outdoors
Quiet and Calm Indoors
Moderate
Lap dog/cat that will cuddle


*Are you looking for the animal(s) to primarily live INDOORS or OUTDOORS?
INDOORS
OUTDOORS


*On average how many hours a day will the animal(s) spend INDOORS? Please specify.*On average, how many hours a day will the animal(s) spend OUTDOORS? Please specify.




*If the animal(s) will be living INDOORS will they be allowed on the furniture?
YES
NO
SOME OF IT


*If the animal(s) will be living OUTDOORS what shelter will be provided? Please specify by checking all that apply.
Garage
Dog House
Barn
Shed
Car Port
Car
Porch
Other (please specify) 


*On average, how many hours a day with the animal(s) be left unattended without human contact? Please specify.




*Where will the animal(s) be housed, kept, or confined when left unattended? Please check all that apply.
Crate Indoors
Kennel Outdoors
Chain/Rope/Cable
Dog Door
Fenced in Yard
Garage
Basement
Gated off room in the house
Free Roam of House once trustworthy and housebroken
Other (please specify)


*Where will the animal(s) sleep? Please specify.



*Most of the animals who enter our rescue come from shelter facilities and may have not had much training if any at all. How would you feel if the animal(s) was not house broken or obedience trained? How far would you go as far as training? Explain.





*What, in your mind, justifies giving up an animal?
Not House Broken
Behavioral/Obedience Issues
New Baby
Moving
Divorce
Child Lost Interest
Shedding/Drooling
Allergies (we are looking for a hypo allergenic dog)
SIZE
Too time consuming
Too expensive
Old Age
If I get tired of the animal(s) and just don't want
Medical Problems (Animal)
Medical Problems (Human) if unable to care for the animal(s)
Aggressive Behavior that cannot be corrected
None of the above
Other (please specify)


*If other, what, in your mind, would justify giving up an animal? Please Explain.


*If you should move what will happen to your animal(s)?
Surrender them to a local shelter
Find another reputable rescue organization to take them
Have them put down
Take them with me. I would seek out all resources to ensure I can keep my animals before I would ever consider giving them up. They are family.
Return them to AFTLOA Pet Rescue, Inc.


*If you animal(s) later developed a medical issues that becomes too expensive, what would you do?
Take them to a local animal shelter
Find another rescue organization who could take them
Have them put down
Pay whatever it takes if my vet feels they can offer my animal(s) a good quality of life
Return them to AFTLOA Pet Rescue, Inc.


REFERENCES:  

VETERINARY:  If you are under 21 or if this will be your first personal pet as an adult, please list your families veterinarian.

*Past Veterinarians Name:


*Past Veterinarians Phone Number(s) with Area Code:




*Past Veterinarians Address:






*In whose name (First and Last) are your previous animals listed under with this veterinarian?




*Current Veterinarians Name:


*Current Veterinarians Phone Number(s) with Area Code:




*Current Veterinarians Address:






*In whose name (First and Last) are your current animals listed with this veterinarian?


*Do you give one of our representatives permission to contact your past/current veterinarians as a reference?
YES
NO
If no, please explain.


LANDLORD:

*Landlord's First and Last Name:




*Landlord's Phone Number with Area Code:


*Landlord's Address:






*Do you give an AFTLOA representative permission to contact your Landlord?
YES
NO
If no, please explain.

PERSONAL: MUST NOT BE RELATED TO APPLICANT OR CO APPLICANT

*Personal Reference 1: 
First and Last Name:


Phone Number with Area Code:

Email Address:


Your relation to this reference:


*Personal Reference 2: 


First and Last Name:


Phone Number with Area Code:


Email Address: 


 Your Relation to this Reference:




*Personal Reference 3: 


First and Last Name:


Phone Number with Area Code:


Email Address:


Your Relation to this Reference




*Do you give an AFTLOA representative permission to contact all 3 personal references provided?
YES
NO

*If no, please explain:


*Finally, in a short essay, please tell us a little bit about your family and why you think you are eligible for the adoption of a AFTLOA rescued shelter animal:







APPLICANT ADHERES TO THE FOLLOWING AGREEMENTS AND UNDERSTANDINGS:

Applicant understands that the consideration process, including processing of this application, can take anywhere between 2-14 business days.

Applicant understands that submitting this application form does NOT secure the adoption of ANY animal.

Applicant understands that our organization does not operate on a "first come, first serve" basis when choosing applicants for the adoption of an animal.

Applicant understands that applications are reviewed in the order of which they are received. 

Applicant understands that AFTLOA reserves the right to refuse any applicant at any time for any reason whatsoever. 

Applicant understands that AFTLOA reserves the right to keep reasons for a refused application confidential. 

Applicant understands that AFTLOA can make no warranties or guarantees as far as the health or behavior of any animal.

Applicant agrees to a Home Inspection upon approval of their application and agrees to show proof of residency with matching ID at the time of the Home Inspection in order to confirm said residency. 

Applicant understands that there IS a Adoption Donation for each animal available for adoption and that all Donations to AFTLOA are Tax-Deductible but are Non-refundable.

Applicant understands the responsibility, training, and costs involved when owning any animal. 

*Applicant Agrees to and Understands the above:
YES
NO

*If applicant does not agree or understand any of the above, please specify and explain:





*Do you have any other questions or concerns? Please specify and explain:





By signing below, I state I am  attesting to the truthfulness of my answers. Any falsification of any of the above information will be grounds for rejection of this application.




*Applicant's Signature: