Dog Application Step 1 of 7 14% About YouWhat is your name?* First Last What are your pronouns?What are pronouns?What is your spouse/partner's name? First Last What are your spouse/partner's pronouns?Address* Street Address (No PO Boxes) City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Primary Phone*Secondary PhoneEmail* Enter Email Confirm Email What is the dogs name that you're applying for?*What is the animals breed and age?*Have you ever adopted from CAWS before? Yes No Do you still have them? If not, why?Why do you want to adopt a dog?* Companion for self/family Companion for another dog Pet for your child Gift for someone other than your child Hunting dog Watch dog ESA/Service animal Your HomeDo you own or rent your residence?* Own Rent Live with Parents What is your residence type?* House Condominium Apartment Mobile Home Duplex How long have you lived at your current residence?*Is your yard fenced?* Yes No Please describe your yard and fence (Yard size / Type of fence and height):*Do you have approval from your landlord or parents for pets? (Proof required before adoption)* Yes No I haven't checked yet What is the amount of pet deposit required?*What is your landlord's Name?*What is your landlord's Phone?* EmploymentWho is your employer?*How many years have you worked?What is your employer's phone number?Describe the nature of your work:Who is your spouse/partner's employer?How many years have they worked?What is your spouse/partner's employer's phone number?Describe the nature of their work: Home LifeWhat is your spouse/partner's attitude about adopting a pet?Do you have any children living or staying in your home?* Yes No What are the ages of the children living or staying in your home?Please list all people living in the home who are not your spouse, partner or children: Pet HistoryDo you or anyone else in your home have allergies to dogs?* Yes No Do you currently have any pets in your home?* Yes No Who is responsible for the daily care of pet(s) in your home?*How many pets do you currently have?012345+Please provide the following information about your current pets: Click the "+" sign to add a line for each pet.Name:Breed:Age?Current Dog Food:Fixed?Current Vaccinations?Microchipped?How long have you had them? YesNoYesNoYesNo How many pets have you previously had?*012345+Please provide the following information about your previous pets: Click the "+" sign to add a line for each previous pet.Name:Type:Fixed?How long did you have them?What happened when you moved?Why are they no longer with you? (If deceased, under what circumstances?)Age when Passed? YesNoTook them with meLeft at home with family or friendGave to family or friendSurrendered to a shelterSurrendered to a rescueNot ApplicableDivorced Pet LifeHow many hours will your new dog be unattended each day?*How many hours will your new dog spend unattended outside?*What behavioral problems are you NOT willing to help your new dog with? (Select all that apply)* Barking Chewing or scratching of carpet/furniture Digging Escaping from house or yard House soiling Medical/ special needs Play biting Shyness/ fear toward humans or animals Reactivity/ aggression toward humans Reactivity/ aggression toward other animals None Where will your new dog stay during the day?* Inside - Crated Inside - Not Crated Access to both house and yard Garage Outside - Kennel Outside - Yard Where will your new dog stay during the evening?* House Yard Access to both house and yard Garage Kennel - Outside Crate Does your residence have a doggy door?* Yes No Do you plan on adding a doggy door in the future? Yes No What type of activity would you like your dog to participate in? Walking/jogging Daily walks Occasional walks I'd prefer a couch dog When would the dog be allowed indoors, how often, and what parts of the home?*What plan do you have in place for potty breaks? Fenced yard Daily Walks Outside on a tie down/chain Doggy door Dog run Do you plan to crate train your new dog? Yes No How many hours will your new dog be crated?Who is your current veterinarian?*How long have you been taking your pet(s) there?Why are you interested in this specific dog?*If adopted, describe an average day in your new dogs life?*Is there anything else you would like us to consider on your application? Additional InformationPersonal Reference: Someone we can contact who can vouch for you as a pet owner*Personal Reference Phone*Emergency Contact Name: Someone we would contact if your adopted animal was picked up as a stray and we couldn't get a hold of you.*Emergency Contact Phone*May a home visit be arranged with a CAWS volunteer?* Yes No Please explain why a home visit cannot be arranged:*How did you find the pet you are applying for? CAWS Website CAWS Foster Petfinder PetSmart Petco Friend Radio What is your age?* Under 18 18 - 20 21 or over I, the applicant, certify that all statements and answers are true and complete. I realize that any untrue statement is deemed by CAWS reason of refusal of adoption or reclaiming any adopted pet. Agreement* Agree Do not agree By agreeing to this form you are aware that CAWS is not responsible for any action of an animal while in your care, custody or control. CAWS does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. These activities include, but are not limited to, employment of staff, selection of volunteers and vendors, and provision of services. We are committed to providing an inclusive and welcoming environment for all members of our staff, volunteers, subcontractors, vendors, and clients. Adoption Events
