Rehome Pet Pre Application
Why fill out a pre-application questionnaire?
You are about to begin a journey of love, commitment, joy, work, and expense that can last up to 22 years! Because there are three parties involved in this potential rehoming – the animal, you, and me – all three parties must have realistic expectations and be in agreement for this pet rehoming to be successful.
My primary focus of concern is the animal. Most of these animals were unplanned, unwanted, abused,abandoned,
sick, or neglected. Many were scheduled to die at local animal control facilities. I have worked hard to reverse
the damage experienced by these animals. Because of this and because of the time, dedication, and finances which
will be required of you and your family, it is important I ask the following questions.
NOTE: PROVIDING FALSE OR MISLEADING INFORMATION HEREIN WILL RESULT IN THE FORFITURE OF ANY REHOME FEES AND ANY ANIMALS ADOPTED. “2 Hands Saving 4 Paws, Inc. current OWNER OF ALL ANIMALS BEING REHOMED,RESERVES THE RIGHT TO DECLINE ANY ADOPTION FOR ANY REASON. THE PROFESSIONAL JUDGEMENT OF THE ADOPTING OWNER IS FINAL.
Our contact information via email:
PLEASE TELL ME ABOUT YOURSELF!!!!!
Please print clearly: Today’s date is:______Name of dog/cat______
1. Your name is______
2. Your street address is (no P.O. boxes):______
3. Your City is:______
4. Your State is:______Zip code______
5. Tele: Home______Cell______Work______
6. How long have you lived here?______
7. Check one: House______Apartment_____ Duplex_____ Condo_____ Mobile Home_____ Townhouse_____
8. Do you: Live with roommates?______Live with parents?______Own?______Rent?______
9. Name of apartment complex and landlord’s phone # ______
10. Proof of pet deposit or pet deposit waiver VERIFIED by______
11. Are you 21 years old? Yes______No______
12. Are you: Employed______Unemployed______Retired______Work at home______
13. Employed where______Howlong______Phone#______
14. If you are a stay-at-home mom, please give name of husband’s employer and phone#______
WHAT MY DOG/CAT WOULD LIKE TO ASK ABOUT YOU AND YOUR FAMILY!!!
15. Why do you want me?______
______
16. Does your spouse want me? Yes______No______Not Sure______N/A______
17. Does anyone in your household DISLIKE dogs/cats?
Yes______No______Not sure______
18. Who will be responsible for my care? ______
19. How many adults live in your home? ______Do your parents live with you? ______
20. How many children? ______Please give ages: ______
21. Does any member of your household have allergies? Yes___ No____ If yes, to what?______
______
22. Does any member of your family have respiratory problems? Yes______No______
23. What will you do with me if any member of your family develops allergies or respiratory problems?______
______
24. Does anyone in your household smoke? Yes_____ No______If yes, how much?______
WHAT OUR DOG WANTS TO KNOW ABOUT YOUR OTHER PETS AND YOUR LEVEL OF COMMITMENT TO THEM AND OUR DOG
25. As an ADULT, how many animals have you owned in the past?______
26. Where is each animal now?______
______
27. Do all your other pets live indoors? Cats: Yes______No______Dogs: Yes______No______
28. Who will be my veterinarian? Dr.______who works at the
______Animal Hospital/Clinic. Phone#______
29. Are all your pets spayed or neutered? Yes______No______Verified by______
30. Are all your pets up to date on vaccinations? Yes______No______Verified by______
31. Will I have a fenced yard to play in? Yes______No______. If Yes, What type of material is the
fence made of?______
32. Can you afford to take me to obedience school, (K-9 ONLY) Yes______No______
33. How will you handle destructive behaviors of K-9, such as barking, digging, house soiling, chewing, dominant be- haviors?______
33a. How will you handle destructive behaviors of a feline, such as spraying, litter box mishaps, scratching furniture?
______
34. How long will someone be home during the day?______The night?______
35. If you had to move, what would you do with me?______
______
36. Have you ever given away any animal? Yes_____ No______If Yes, please explain:______
______
37. In your own words, what does “Lifetime commitment” mean to you?______
______
______
For internal use only: Approved by______Date:______Driver license number matches address: Yes_____ No_____DL#______