Applicant First Name *
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Applicant's first name.
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Applicant Last Name *
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Applicant's last name.
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Applicant Residence Address *
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Applicant's primary residence (no P.O. Box please)
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Applicant City *
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Applicant's city.
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Applicant State *
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Applicant's state
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Applicant Zip Code *
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Applicant's zip code.
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Applicant Home Phone *
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Please provide primary applicant's main phone number (home or mobile).
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Applicant Mobile Phone
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Please provide a secondary mobile number if applicable.
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Applicant Primary Email Address *
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Applicant's primary email address.
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Applicant Age *
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Primary applicant's age.
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Applicant Occupation *
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Applicant Employer
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Applicant Employer Address
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Applicant Work Phone *
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Applicant Income *
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Please provide applicant's annual income. Co-applicant's income will be asked for later.
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Applicant Remote Work Days *
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How many days per week does the applicant work away from the residence?
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Applicant Remote Workday Hours *
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When working remotely, what are the average number of hours the applicant is at work?
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Applicant Non-Workday Hours *
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Please describe your typical hours away from your home for activities and commitments other than your primary job.
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Applicant Work Travel *
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Does the primary applicant travel for work?
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Please describe
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If the primary applicant travels for work, please describe.
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Co-Applicant First Name
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If no co-applicant, please skip to Applicant Employment Information.
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Co-Applicant Last Name
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Co-Applicant Address Same?
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Does the co-applicant reside at the same address as the primary applicant?
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Please explain
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If co-applicant does not reside with the primary applicant, please explain and provide co-applicant's complete residence address.
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Co-Applicant Age
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Co-Applicant/Applicant Relationship
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Please describe the co-applicant's relationship to the primary applicant.
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Co-Applicant Years at Residence
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How long has co-applicant lived at this residence?
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Co-Applicant Occupation
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Co-Applicant Employer
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Co-Applicant Employer Address
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Co-Applicant Work Phone
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Co-Applicant Income
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Please provide co-applicant's annual income.
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Co-Applicant Remote Work Days
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Co-Applicant Remote Workday Hours
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Please provide co-applicant's typical work schedule.
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Co-Applicant Non-Workday Hours
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Please describe co-applicant's typical hours away from the home for activities and commitments other than their primary job.
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Co-Applicant Work Travel
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Does the co-applicant travel for work?
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Household Members *
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Please list all household members other than the applicants above (include name, age and relationship)
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Child Visitors *
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Do children visit your home other than those included above?
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If yes, please describe
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If you answered yes above, please provide the children's ages, relationship and frequency of visits.
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Responsible Party *
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Who will be responsible for caring for the bulldog you plan to adopt?
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Allergies *
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Is anyone in the household or a regular visitor allergic to dogs?
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Adoption Support *
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Are all members of the household in favor of adopting a bulldog?
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Dwelling Type *
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Please describe your residence type.
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Years at Current Residence *
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How many years have you lived at this residence?
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Anticipated Residence Changes *
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Do you anticipate relocating within the next 12-24 months? Please describe and include complete details.
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Pet Restrictions *
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Are there any restrictions about the breed or number of dogs you can own in your building, development, homeowner association, village, city or township?
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If yes, please describe restrictions
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Residence Ownership *
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Do you rent or own your residence? If you rent, we will have to contact your landlord to verify that you are permitted to have an additional pet in your residence.
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If you rent, landlord details required
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If you rent your residence, we will need complete contact information for your landlord including name, address, phone number and a contact person. Incomplete information will delay our abilitu to more forward with your application.
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Yard Fencing/Exercise *
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Do you have a fully fenced (wood, metal or vinyl construction 4 feet or higher) yard with locked gates? Invisible and electric fences are considered "no fence".
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Exercise & Supervision *
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Where will your bulldog be exercised, how often, and who will supervise him/her while outdoors?
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Stairs *
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Does your home have stairs that the bulldog will have to go up and down?
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Describe stairs
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If your home has stairs, please describe them as thoroughly as you can (location, number, open or closed tread, side walls, etc.).
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Pools or Ponds *
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Do you have a swimming pool, pond (including ornamental ponds), hot tub, lake, river, or any other body of water in or near your residence?
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Describe water exposure
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If you answered yes above to having a water exposure, please describe as completely as possible.
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Home Air Conditioning *
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Please select choice that best describes the air conditioning in your home.
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Auto Air Conditioning *
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Does your car have functioning air conditioing?
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Bulldog Daytime Space *
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Where will your bulldog stay during the day?
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Bulldog Nightime Space *
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Where will your bulldog stay at night?
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Family Adjectives
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What five words best describe your family?
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Family Activity Level *
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How would you describe the activity level of your home?
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Budget *
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Will owning a bulldog have an impact on your budget?
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Expected Life Changes
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Please describe any changes you expect in your household in the next few years (ie new children, job changes, moving, etc.).
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Adoption Readiness *
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How soon will you be ready to adopt a bulldog?
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Family Schedule *
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Are any family members at home during the day?
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Animal Friendly Activities
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Please describe any animal friendly activities you are currently involved with.
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Other Options *
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Are you currently working with any other rescue groups to adopt a dog or are you considering purchasing a dog?
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Describe Other Options
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If you answered Yes to working with other rescue groups or purchasing a dog, please describe.
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Previous Dog Ownership *
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Have you owned a dog on your own?
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Previous Bulldog Ownership *
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Have you ever owned a bulldog?
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Current Dogs *
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Do you currently own any dogs?
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Current Cats *
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Do you currently own any cats?
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Other Pet Detail
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Please list all pets (dogs, cats and others) that live in your home now including breed, age, gender and spayed/neutered.
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Past Pet Detail
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Other than those pets listed above, please describe pets that have lived in your home in the last 5 years and where are they now?
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Past Surrender *
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Have you ever given a pet to a rescue organization or animal shelter?
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Describe Circumstances
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If you had to give a pet to a rescue organization or animal shelter in the past, please describe the circumstances.
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Outside Dog *
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Have you ever had an "outside" dog?
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Dog Bite *
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Have you ever owned a dog that has bitten someone?
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Describe Bite Circumstances
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If you answered Yes above, please describe the circumstances of the dog bite.
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Pet Sociability *
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Do all of your current pets get along well with other animals?
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Previous Rescue Experience
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If you have adopted a rescue dog before, please provide details.
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Current Pet Care *
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Do all of your current pets receive regular veterinary care and are they up-to-date on vaccinations?
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Heartworm
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What heartworm preventative do you use?
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Veterinarian's Name
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Your vet will be contacted. Please give them permission to share your pet's information with us.
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Vet Clinic Address
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Vet Clinic City
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Vet Clinic State
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Vet Clinic Zip Code
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Vet Clinic Phone Number
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Adoption Goals *
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Why do you want to adopt a bulldog?
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Post Adoption Training *
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How will you correct behavior problems?
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House Training *
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Do you understand that rescued bulldogs may have house training problems, especially at first?
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Health Issues *
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Are you familiar with common bulldog health problems?
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Health Issue Description
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Please describe those bulldog health issues you are familiar with.
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Vacation Care *
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Who will care for your bulldog during vacations or overnight trips?
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Surrogate Care *
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Can someone in the household provide daily care when the primary caregiver is away?
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Emergency Care *
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Please describe your emergency plans for your bulldog (after hours medical emergencies, care if you have to leave town suddenly, etc.)
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Crate Use *
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What do you feel is the proper use of crates or cages?
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Age Expectations *
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What bulldog are you willing to consider? (Please check all that apply)
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Children Compatibility *
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Must the bulldog be good with children?
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Other Dog Compatibility *
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Must the dog get along with other dogs in your household and/or with visiting dogs?
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Special Care Expectations *
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Are you willing to accept a bulldog needing additional care?
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Care Expectations *
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Please note all bulldogs require some daily care. Which of the care procedures listed above are you comfortable providing? (Please check all that apply)
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Training Expectations *
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What behaviors listed above are you willing/able to deal with?
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Your adoptaBull
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Is there an adoptaBull currently in our care that interests you most?
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Other adoptaBulls
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Are you willing to consider other adoptaBulls?
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Meeting Your adoptaBull *
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Can all household members travel to the rescue group to meet the adoptaBull being considered for your home (if necessary)?
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Responsibility *
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Are you willing to take responsibility for your adopted bulldog for its lifetime?
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Spay/Neuter *
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All bulldogs adopted through adoptaBull English Bulldog Rescue will be spayed or neutered before placement. Do you have any questions or reservations about this policy?
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Closing Comments
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Please feel free to add any additional comments that will help us get to know you better when we are reviewing your adoption application.
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Application Status *
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Attachments
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