Partners Among Cats and Canines

 
 

Adoption Application

 

If you have already found a pet that you are interested in, our would like to tell us more about your household and have us tell you which animals we have that maybe a good match, please complete the application below.

If you have not looked at what animals we currently have in foster care please visit

OUR PET LIST


Completing the application does not obligate you to adopt.

Please answer as honestly as possible, there are no right or wrong answers.

General Information
Name:
Address:
Home Phone Number:
Work Phone Number:
E-Mail Address:
Type of residence:
Do you own or rent your home?:
If renting please list your landlord's name and phone numbe
Name:
Phone Number:

If you are renting, do you have permission from the landlord to keep animals?

Which pet(s) are you interested in adopting?

Do you currently own a pet?

If you have a pet or have had a pet in the past 5 years please answer the following. If you have more than three pets please continue the listing under the Comments section.

PET #1
Do you currently own this pet: Yes No
What species is your pet? What breed is your pet?
How old is your pet? Has your pet been spayed or neutered?
How did you acquire this pet?
If you no longer have this pet please explain why.
Veterinarian's name and number used for pet listed above
Vet Name
Vet Phone Number
PET #2
Do you currently own this pet: Yes No
What species is your pet? What breed is your pet?
How old is your pet? Has your pet been spayed or neutered?
How did you acquire this pet?
If you no longer have this pet please explain why.
Veterinarian's name and number used for pet listed above
Vet Name
Vet Phone Number
PET #3
Do you currently own this pet: Yes No
What species is your pet? What breed is your pet?
How old is your pet? Has your pet been spayed or neutered?
How did you acquire this pet?
If you no longer have this pet please explain why.
Veterinarian's name and number used for pet listed above
Vet Name
Vet Phone Number
Additional Pet History and Comments:
Additional Information
If any of your current or past pets were not spayed or neutered please explain why:  
How much do you think the average pet cost per year is (excluding emergency care)?:  
Please list any other members of your household and their ages:  
Have you ever given an animal away to a shelter, friend, or family member?:  
If yes, please explain:  
If you move what will you do with your pet?:  
What will you do if where you move does not accept pets?:  
Have you ever adopted from a shelter or rescue?:  
If yes, please list the organization('s) name and the year(s) adopted:  
If there are other members in your household, do they also wish to adopt this pet?:  
Is anyone in your household allergic to animals?:  
How long will the pet be left alone during your working hours?:  
What do you plan to do with the pet while you are gone?:  
 
This ends the questionnaire for pets other than canines. We thank you for your interest and time. Please scroll to the bottom of the page and click the Send button to submit your questionnaire. If you are interested in a canine, please continue below.
The following questions are for Canine applications ONLY!
By answering the following questions you will help PACC to match you with the best suited pet for your family and lifestyle. Please answer as honestly as possible, as there are not right or wrong answers.
Do you have a yard?:  
If yes, how large is your yard?:  
If yes, if your yard fenced?:  
If your yard is fenced, please describe the type of fencing used:  
What size dog are you looking for?:  
What type of coat do you prefer?:  
Shedding will bother me:  
Do you have a breed preference?:  
If yes, please explain why:  
Are you willing to use crate training?:  
Please check any of the following that you hope your new dog will enjoy (CTRL-Click to select multiple items):  
Will you take your dog to obedience classes?:  
If obedience classes were offered free of charge would you be:  
I would like my dog to sleep:  
I would like my dog's personality to be:  
I would prefer a dog in this age range:  
Please choose between 1 and 4 points for each of the following questions.
1 - No Problem
2 - Workable
3 - Workable with professional help
4 - Intolerable
Excessive barking and whining while alone or crated:  
Accidents in the house:  
Getting in the trash:  
Begging for or stealing human food:  
Aggression towards other dogs in the family:  
Aggression towards unknown dogs:  
Aggression towards strangers:  
Aggression towards family members:  
Aggression towards cats:  
Rushing open doors or gates:  
Digging:  
Escaping from the yard:  
Chewing:  
Pulling on lead:  
Being timid around new people and new situations:  
Jumping:  
Hyperactivity:  


 
 
   

partners among cats and canines