AOSR: Dog Adoption Application

All Over Staffy Rescue

Dog Adoption Application
*Please Note: We are based in Melbourne, we only adopt in our state. We need to be close to our dogs for the rest of their lives in case they ever need us*

Sumitting this application does not mean you are commiting to a dog, nor does it guarantee you will get that dog. It is simply a tool we use to help both you and us identify a good potential match for your family and lifestyle.

A successful adoption depends on selecting the right dog for your household and a good understanding of the dog's needs and care requirements. Please help us with this process by answering the following questions fully & completely.

**We are only a small rescue with limited time and volunteers. We cannot reply to every application. Only short listed potential matches will be contacted**

Thank You

The AOSR Team
Name of the dog you want to adopt*
Adopter's Full Name*
First & Last Name
Co-Adopter's Full Name
First & Last Name
Phone Number*
Address: (note:we only adopt to Victoria)*

Street Address

Street Address Line 2

CityState

Post Code
Adopter's E-mail*
Co-Adopter's E-mail*
Have you had any experience with the Staffordshire Breed? If yes, provide details.
If no experience with Staffordshire Breed, what other experience have you had as a dog owner?
Names and ages of all permanent residents of your home.*
(adults/Children)
Do you currently have any pets?*

YesNo
If you currently have pets, please list them below. Must include gender. **We do not place same gender together** Also note unless dog’s bio says cat friendly we cannot place with cats*
*Must include gender
Are your current pets desexed?*

YesNoWill be within the next 30 days, appointment has been scheduled. (We will call your vet to verify this.)
Vet reference
Vet name, address & phone number
Are you planning to move in the near future?*

YesNo
If moving soon, to what city/state?
When will you be ready to adopt this dog?*

TodayThis weekendWithin a weekWithin a monthNot ready yet, just researching
Is anyone in your home allergic to dogs?*

YesNo
Does anyone in your home fear dogs?*

YesNo
Are you familiar with dog regulations in your area?*

YesNo
I/We live in a*

HouseTownhouseApartment
Do you rent or own this property?*

RentOwn
Renters, have you contacted your landlord to find out if there's any restrictions on the kind or size of dog you can have?

YesNoNot yet, but I willIt's written in our lease
Do you have a yard?*

Yard, fenced with a vertical fenceYard, fenced with invisible fencingYard, no fenceNo yard (apartment)
Upload pictures of your yard so we can see it is secure

Browse Files

Cancelof
If vertical fence, what is your fence height?

.5 meter high1 meter high1.5 meters highover 2 meters high
Do you work outside the home?*

YesNoOne applicant is home/works from homeWe work different shifts
If you both work outside the home, how many hours per day are you away?*
Where will your dog be kept during this time?*
Have you discussed this adoption with all members of your household?*

YesNoYes, adults have discussed. Kids don't know yet.
Where will your dog sleep at night?*
Upon meeting the dog, what would give you cause to not want to adopt it? Please explain.*
Fantasy question: What would your dream dog be like? (If this dog is not a fit, we may be able to recommend another based on what you say here.)*
What activity/energy level do you prefer?*

Wild and crazy is coolLeash trained daily jogging partner would be excellentMedium energy, plays a bit then hangs out with youLow energy, walks slowly on leash, a total couch potatoOther
Please check all that apply. I want to adopt this dog...*

As a family petTo train/use for agilityTo train/use as a therapy dogTo train/use as an assistance dog for the disabledTo use as a guard dogFor a jogging/hiking partnerTo interact with lots of friends/familyAs a gift for a friend, partner, or family memberAs a companion for my dog(s)As a companion for my cat(s)As a companion for my child/children
Please take time to think, be honest with yourself and us when answering this question. What are you absolutely NOT willing to deal with at the time of adoption or at any time during the life of the dog?*

HousebreakingChewingJumpingPulling on leash during walksCounter surfingObedience trainingFear of menFear of womenFear of childrenMouthiness (may sometimes snag your hand or arm instead of the toy in play and will need redirection/training)GrowlingBarkingRough play with my dogHigh activity levelFood/toy aggression/not willing to share with other dogsFood/toy aggression with peopleWhining/cryingBlindnessLimited SightDeafnessSeparation AnxietyDiabetesSpecial DietLong Term MedicationIncontinence / Leaking UrineTaking classes with the dogGets stressed/carsick when riding in vehicleCan't climb stairs due to age/arthritis/health issuesHeart conditionSkin allergiesFood allergies***********I will do whatever it takes to help this dog adjust and work with a trainer to help resolve any training needs.Other
What would cause you to return a dog?*
What do you feel is a reasonable amount of time for a dog to adjust to life with you/your family?*
What would you do if you discovered after adoption (at any time during the life of the dog) if your vet diagnosed an expensive health condition?*
What brand of dog food do you plan to feed?*
How long have you been looking for a dog?*
Do you plan to take formal obedience classes?*

YesNo
Additional reference (if desired)
Do you have any additional comments, questions or concerns? Anything else you would like us to know to help match you up to a dog?*
I understand that completing this application does not guarantee I will be allowed to adopt a dog, and that the application is a tool to help All Over Staffy Rescue determine if this dog and my family are a good fit for each other. I acknowledge that all information provided on this form is true and correct. I understand that any misrepresentations may result in my not being approved and/or removal of the adopted dog from my possession. I also certify that I have never been convicted of animal cruelty or neglect.

I agree to allow a representative from All Over Staffy Rescue to contact my vet for a reference and also agree to allowing a home visit prior to adopting this dog.

If I am approved to adopt a dog, I agree to pay a non-refundable adoption fee and hand sign an adoption contract at the time of adoption. This is only open for refund in the 2 week trial period which commences when you collect your dog.

I understand that all dogs adopted from All Over Staffy Rescue will be spayed/neutered, wormed and vaccinated prior to adoption.
Please read the above, make sure a copy of your drivers licence is attached, check this box, sign, and click Submit.*

I/We have read and understand all of the above.
Applicant's Signature*
Co-Applicant's Signature
Feel free to email us with any questions:

alloverstaffyrescue@gmail.com

All Over Staffy Rescue reserves the right to reject any application based on information obtained during this screening process. Please understand that our primary goal is the health, happiness, and safety of our rescued dogs.
Admin Use
Should be Empty:

All Over Staffy Rescue