I Am Alive Dog Rescue

Adoption Application

We realize there are a lot of questions to answer, please understand they are all in the in best interest of you and the dog for which you are applying. Please take the time to carefully read and complete all of the questions as best as possible as they are designed to assist with placing our dogs in an environment that meets their individual personality and needs. Our wish is for the dog and the adoptive family alike to be happy, and for the dog to find a permanent, happy, forever home. Thank you for your patience and understanding!

You may think this is a lot of effort to go through to adopt a dog. Yes, it is! These are dogs who have already lost the only home they knew, and it is our organization's responsibility to find them their forever home where they can be loved, well cared for, and be a part of your family for the rest of their life.


  • Leave this empty:

  • ANIMAL INFORMATION


  • Yes
    No

  • Yes
    No

  • Yes
    No


  • PERSONAL INFORMATION



  • Street Name





  • House
    Appartment

  • Yes
    No
    Not applicable, I own this property

  • If you rent, please provide the name of the apartment complex and the landlord's phone number, so we can verify that animals are allowed






  • Yes
    No

  • Yes
    No


  • MY PET OWNIG HISTORY

  • This will be my first pet

    Tell us about the pets you currently own OR have owned IN THE LAST FIVE (5) YEARS:

    PET #1

  • Type of Animal



  • Sex of Animal

  • Is the animal fixed? (spayed or neutered)

  • This animal was last vaccinated:


  • Do you still own this animal?

  • If you answered "No" above, why do you no longer own this animal?


  • Tell us about the pets you currently own OR have owned IN THE LAST FIVE (5) YEARS:

    PET #2

  • Type of Animal



  • Sex of Animal

  • Is the animal fixed? (spayed or neutered)

  • This animal was last vaccinated:


  • Do you still own this animal?

  • If you answered "No" above, why do you no longer own this animal?

  • Tell us about the pets you currently own OR have owned IN THE LAST FIVE (5) YEARS:

    PET #3

  • Type of Animal



  • Sex of Animal

  • Is the animal fixed? (spayed or neutered)

  • This animal was last vaccinated:


  • Do you still own this animal?

  • If you answered "No" above, why do you no longer own this animal?


  • HOUSEHOLD/LIFESTYLE INFORMATION

  • How physically active is your family?

  • Which veterinary clinic(s) have treated your pets in the past?

  • Which veterinary clinic will you be using for this pet's veterinarian care?

  • Yes
    No
    Not applicable, this will be my first pet

  • Please provide a reference name (someone who knows you for at least 3 years), email address and/or phone number of a person who knows you as a pet owner or who can vouch for your overall responsibility

  • Yes
    No

  • Yes
    No







  • $


  • Yes
    No

  • Which of the following DOG issues are you NOT willing to accept in your home?
    Barking
    Separation Anxiety
    House Training
    Digging
    Property damage
    Chewing
    Jumping up on people
    Shedding
    Mouthing
    (I am willing to accept and work on all these issues)

  • Which of the following training methods/devices are you going to use to train your dog?
    Verbal corrections
    Leash corrections
    Electric Underground fencing
    Treats and praise
    Electronic collar/shock collar
    Choke chain
    Prong collar
    Bark collar
    Gentle Leader/No-Pull Harness type device
    Clicker training
    Dominance theory/Pack leader
    Obedience classes in a group
    Obedience classes one-on-one
    Puppy socialization classes



  • Please list any questions you may have for the Adoption Counsellor:


  • IMPORTANT INFORMATION

    1. Dog adopters must supply a properly fitting buckle collar and leash at the time of adoption. Dogs can not ride in the back of pick-up trucks.

    2. No matter how much rescued dogs are evaluated by their temporary care families, they usually come with "baggage" we don't know about, and the transition may take weeks or even months.

    Yes
    No

    4. Falsified answers to any question in this application or asked as part of the application process will lead to automatic refusal of this application.

    5. I Am Alive reserves the right to refuse any adoption application if it feels the adoption is not in the best interests of the dog.


    By signing or typing your name below, the applicant and co-applicant certify that the information given is true, and you understand that I Am Alive Dog Rescue reserves the right to deny your application for any reason at any time. You further authorize the investigation of all statements in this application.