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