Adoption Enquiry Form

"If you are looking to adopt, be prepared to complete a lengthy adoption application and to spend some time chatting on the phone with a volunteer. Don't be offended or annoyed - be thankful that those rescue-minded individuals care enough about the dogs in their care to ask the questions that need to be asked.Rescue organisations find some phenomenal homes - amazing people are out there. That being said, so many of the dogs in rescue are amazing too.

They are worth the time and effort and they deserve the exceptional home. They deserve a home that will keep them until the end of their days.The questions on the application (and if you're lucky enough to get that far, those asked of you in a phone interview) have been designed to weed out the bad owners.

Is the system perfect? No. Nothing is perfect. However, the situations that rescue organisations have encountered through the years has given them a pretty good idea of what to ask in order to find exceptional homes for the dogs.Why are exceptional homes needed? So these dogs do not end up without an owner again. So the dogs don't end up at a shelter where they might be euthanised.

"excerpt from a magazine article "why so many questions"

Some of our foster dogs will attract multiple applications and we, as a team, will discuss the merits of each application and proceed with the best possible applicant for that particular dog. Submitting an application does not guarantee an adoption.

Due to the large amount of applications received, the Adoption Team are NOT able to personally notify each application if unsuccessful.

Successful adoptions are announced on our Facebook page https://www.facebook.com/NovaPoochRescue

You must be over the age of 18 to apply.

Application Date *

- Month - Day Year

Full Name *

First Name Last Name

E-mail (Primary) *

E-mail (Secondary)

Residential Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Postal Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number (Day) *

- Area Code Phone Number

Phone Number (Evening) *

- Area Code Phone Number

Are you an Australian resident? *

Yes No

1. Do you own or rent your home? *

Own Rent Board

2. If you live in a rental, do you have written approval to own a dog

Yes No

3. How long have you been at this rental?

4. When does your current lease expire?

5. How long was this lease for?

6. What are your future housing plans once this lease has expired?

7. If renting is your long term housing plan, what is your plan of action for the dog should you be unable to secure another pet friendly rental in the future?

8. Do you live in a: *

House Apartment Unit Townhouse Villa Acreage Retirement Villiage Hostel

9. Environment

10. Environment Photos

Support your application with photos of your yard

11. Do you have a pool in your yard? *

Yes No

12. Who lives in your household & what are their ages? *

13. Does anyone in the household have any animal related allergies? *

14. Are you currently working? *

Yes No

15. Employment Status *

Unemployed Full Time Part Time

16. How many hours a week do you work?

17. Do you travel a lot?

Yes No

18. Are you planning a trip or holiday in the near future?

Yes No

19. Future Travelling Details

20. How best would you describe your personality? *

Calm Controlled Nervous Excitable Anxious Energetic Sedate

21. How much exercise would you & your dog enjoy together? *

I'm a jogger - daily runs suit me I like to walk for fitness, but I'm no athlete I prefer a stroll to the local shops I'm looking for a dog that enjoys the comforts of home

22. What activities do you anticipate sharing with your dog? *

23. What do you think you will most enjoy doing with your dog on a daily basis? *

24. What are the characteristics you would MOST look for in a dog? *

25. What are the characteristics you would LEAST like in a dog? *

26. Is everyone in your household in agreement about adopting a dog? *

Yes No

27. Have you had pets previously in your adult life? *

Yes No

28. Previous Pets *

29. Have you ever had a rescue/shelter dog? *

Yes No

30. Have you ever had to surrender a dog or family pet? *

31. Have you ever been charged with animal cruelty? *

32. Have you previously had a dog? *

Yes No

33. What breed of dog did/do you have? *

34. Where is that dog now (if not with you now)? *

35. Do you currently have any other pets? *

Yes No

36. Current Pets *

37. Are your current pets desexed? *

Yes No

38. How do your current pets get along with other animals?

39. How have you previously trained your pets (if at all)?

40. What sort of training did you do?

41. How much time would you spend with ongoing training of your dog? *

42. Would you consider attending formal training sessions? *

Yes No

43. Who will generally be responsible for the care of the dog? *

44. Who is your current Veterinarian or Vet Clinic? *

45. Dog's Name

If you are interested in a specific dog, please provide the dog's name.

What kind of dog are you hoping to adopt?

46. Gender

Male Female Either

47. Age

48. Size

49. Activity Level

50. Coat

51. Breed

52. Is it essential your dog be housetrained?

Yes No

53. Is it essential your dog is social with other dogs?

Yes No

54. Is it essential your dog is good with children?

Yes No

55. Is it essential your dog is good with pocket pets?

Yes No

56. Is it essential your dog is good with chickens?

Yes No

57. Do you want your dog to breed & have puppies?

Yes No

58. On a weekly basis, how many hours will your dog be alone for?

59. Where will your dog be when left alone?

60. If a single dog home, would you consider adopting a second dog?

Yes No

61. Which areas of your home are off limits to your dog?

62. Do you have a succession plan for your dog should you no longer be able to care for him/her ?

63. Address where the pet will be living?

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

64. Where will your dog be during the day?

65. Where will your dog be during the night?

66. Are you adopting this pet for yourself, or someone else?

67. Why are you interested in this dog?

68. What are your thoughts should you experience behavioural issues with your dog?

69. How would you approach behavioural problems?

Referee #1 (Please provide a reference from a Professional source)

Full Name

First Name Last Name

Relationship To You

E-mail

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

- Area Code Phone Number

Referee #2

Full Name

First Name Last Name

Relationship To You

E-mail

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

- Area Code Phone Number

If you adopted a pet from us would you be willing to provide occasional updates (emails and/or photos) as to how your pet is adapting to life with you? *

Yes No

By submitting this questionnaire and answering yes, you agree that all the information you have provided is correct. *

Yes No

By submitting this questionnaire, you understand that providing untruthful answers or failure to comply with the requirements of this application can result in the refusal of this adoption. *

Yes No

By submitting this questionnaire, you agree to allow our representative to contact the referees/references you have provided. *

Yes No

By submitting this questionnaire, you understand that in some instances a property check may be required. *

Yes No

By submitting this questionnaire, you understand that we reserve the right to refuse any applicant. *

Yes No

THANK YOU FOR TAKING THE TIME TO COMPLETE THIS QUESTIONNAIRE!

Your information is confidential and will not be shared with any third parties and will remain strictly confidential.

Nova Pooch Rescue Inc. Adoption Enquiry Form

ABOUT YOU & YOUR FAMILY

ABOUT YOUR HOME

ABOUT YOU

LIFESTYLE

YOU & YOUR PETS

DOG INFORMATION

REFEREES

DECLARATION