In order to be considered for an adoption you must:

1. Be at least18 years of age, and have a valid ID with current address

2. Have the knowledge and consent of all adults living in your household

3. Have your landlord's name and telephone number and proof of pet ownership approval (not just a lease copy)

4. Be able to check your email frequently if you supply us with an email address

Date:                     Name of dog you are interested in adopting:                 

Adopter's FULL Name:                     Co-Adopter:                 

Address:                     

City:                    State:         Zip:                  County:                 

Home phone:                    Work phone:                  Cell phone:                   
(** TWO PHONE NUMBERS REQUIRED)

Employer: Position:

Home email:  Work email:  
(** CHECK YOUR EMAIL FREQUENTLY FOR NOTES FROM US ABOUT YOUR APPLICATION)

Age group:     Personal reference (cannot be a relative):

Address: Phone:

Veterinarian where your pet(s) records are located:
(** YOU MUST GIVE THIS VET PERMISSION TO RELEASE YOUR PETS' MEDICAL HISTORY TO APB.)

Vet clinic name:   City:  
State: Phone:  

It is the goal of the Animal Placement Bureau to place as many healthy, temperamentally sound animals as possible in homes where they will receive good, stable, LIFE-LONG care. Please read and answer the following:

How did you hear about Animal Placement Bureau?   

Have you adopted from us before? 

If so when, and what was the dog/cat's name at the time? 

Do you live in a

Your home is:   

If you rent, what are the restrictions for owning a pet according to your lease? 

Before adopting a pet today, you must supply APB with a copy of your lease or a letter from your land lord stating permission to own a dog, or APB must be able to confirm permission of pet ownership with you landlord over the telephone. Please complete your landlord's information below.

Name:   Phone:   

Address:

Please provide the following household information:

Number of children: Children's ages:  

Number of adults:

Do you run a day care in your home?

Which member (s) of the family will be responsible for caring for your new pet?

How long have you been looking for a new pet?

Who is or who will be your veterinarian?   Phone:

List EVERY pet you currently own or have in the last five years. Ask for additional paper if necessary.

Name of Pet Type/Breed of Pet Age of Pet Was the pet spayed
or neutered?		 Reason for not neutering Sex of Pet How long did you have the pet?? What happened to pet? (Be very specific...hit by car, etc.) Where did pet stay when home alone?

Are you now or have you ever been a breeder?

If you answered yes to the above question please explain:

What brand of food do you feed your pets and why?

Were all medical requirements kept current for the above pets ( vaccinations, heartworm preventative, etc. )?

If you answered no, please explain why. 

What brand of heartworm preventative are/were your dogs on?

Please tell us why you would like to adopt a new dog?

Do you agree to keep up to date with all your pet's vaccinations and check ups?

How much are you prepared to pay for annual veterinary expenses?

If you move in the future, what will you do with your pet (s)? 

Are any members of your family allergic to any domestic animals?

If so, how are you prepared to cope with the allergies?

Do you have a fenced yard?  Height and type of fence:

If not, how will you let the dog out safely to relieve itself?

How long will your dog be left outside alone when you are home?

How many hours a day will your dog be left home alone?

Where will your dog be kept when left alone during this time?

Where will your dog sleep?

Where will your dog stay while you are on vacation?

It may take your dog two weeks to adjust to its new home. 
 What concerns do you have about this adjustment period? 

Will you call us if you have any questions or problems? 

By signing below, I certify that the information I have given is true. I authorize investigation of all statements in this application.

IF YOU DO NOT HEAR FROM US WITHIN FIVE BUSINESS DAYS AFTER APPLYING, CALL 517-346-4505 OR EMAIL INFO@APBPETS.COM AND TELL US WHAT DOG YOU APPLIED FOR.

Adopter's signature      

 

INTERVIEW SHEET

APPLICANT, PLEASE GIVE US YOUR DETAILED THOUGHTS ON THE STATEMENTS BELOW. 
DO NOT SIMPLY ANSWER "YES" OR "NO".  THIS IS A REQUIRED PART OF THE APPLICATION PROCESS.

1.Why are you interested in adopting a Senior Dog?

2. How do you plan to exercise your dog?

3. How do you feel about keeping the dog indoors when you're gone?

4. Our rescue dogs are not perfect - are you willing to put the extra effort into the dog for issues like obedience, housebreaking, or medical issues?

5. What are your feelings about returning our calls and e-mails about our senior dog?

6. What do you like about the dog you're interested in adopting? Do you have experience with this breed? If not, have you researched this breed? Please explain.  

7. If the dog you are interested in requires grooming, how do you feel about this - knowing that it will cost you $25-50 or more every 6-8 weeks?

8. What do you enjoy most about having a pet?

9. What will you do if your dog runs away - who will you call and what will you do to get it back?

10. How do you feel about the fact that if you adopt a dog from APB, you will sign a legally binding contract, and breaching this contract will give us the legal right to remove the dog immediately and permanently?

11. Have you read the information on senior dogs, and are you prepared to deal with a senior dog?

12. What are your thoughts on alternative treatments for senior ailments, such as supplements for arthritis?

13. Do you have any experience with alternative treatments? Please explain.

14. Why did you choose a rescue group for your senior pet?

15. What form of discipline will you use on your dog?