Adoption Application Adoption/Foster Application Apply for adoptions of a PAWs Rescue Dog Interested in:*AdoptingFosteringFostering with potential to adoptPAWS dog/puppy most interested inName First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country PhoneEmail EmployerOccupationSpouse's Name First Last Spouse / other adult employerSpouse / other adult occupationName of Personal Reference First Last RelationhipPersonal Reference Phone NumberNumber of Adults in HouseholdNumber of ChildrenAges of ChildrenAre all the adults in the household aware that you are adopting a dog / puppy?yesnoWho will have primary responsibility for this pet? First Last Primary caregivers ageDoes anyone in the household have pet allergies or asthma?YesNoWhy did you choose this particular dog / puppy?Residence TypeSingle Family HomeTownhomeApt / CondoIf you rent, does your lease allow animals?YesNoI do not rent*We will verify this.Are there any weight/breed restrictions? If so, please describe:Management company or landlord name.Management company or landlord phoneIf you have a yard, is it fenced? If so, what type of fence and what is the height?If you do not have a fenced yard, what method of restraint do you intend to use?If you have a pool, is there a fence around it?Will this dog be allowed outside unattended during the day / night?Do you have a doghouse or outside pen / kennel?yesnoWill this dog ride in the back of a pick-up truck?yesnoHow many hours a day will the dog / puppy be left alone?Where will the dog / puppy be kept when you are home?Where will the dog / puppy sleep at night?How often and what kind of exercise will you give the dog / puppy?Are there times when your dog / puppy will be tied outside?yesnoDo you travel or relocate frequently?yesnoplease explainWhat will you do with your dog / puppy if you have to move?Please list the animals you currently have:Please list the animals you have had in the past as an adult:What heartworm preventative have you given your dogs?What flea & tick treatment have you given your dogs?Have you ever given away, sold, or surrendered an animal?yesnoWhat were the circumstances and to whom?What method of training / discipline will you use?How were your previous pets trained / disciplined?Some animals are either Not housetrained, or, when introduced to new surroundings, stressed or as an attention getter, will have housetraining issues. Are you prepared to deal with this?yesnoHow will you correct him / her if an accident occurs?What method do you intend to use for housetraining?How long do you think it takes to housetrain a dog / puppy?Do you know how dogs get heartworm disease? Check one.WormsMosquitosDogs that are not vaccinatedHave you ever applied to adopt from a rescue organization, SPCA, animal shelter or Humane Society before?yesnoWhat was the outcome?Are you willing to allow a representative of PAWS to visit where your dog/puppy will be living?yesnoAre you willing to allow a representative of PAWS to contact your personal veterinarian?yesnoVeterinarian name:Veterinarian's Phone NumberUser Agreement* I certify that the information above is true and understand that false information will result in nullification of adoption. By typing your name here, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this applicatio