EOPR’s Adoption Application

Please fill out ALL of the information requested. An incomplete application form will be discarded.

Date

Name of dog you are interested in adopting (list all dogs names if you are interested in multiple OR type “general application”)

First Name

Last Name

Phone

Address

Address Line 1

Address Line 2

City

Country

Select

State/Province

Select

Postal Code

Do you rent or own your home?

Rent
Own

If you rent, do you have your landlord's permission to own a dog?

If yes, please provide Landlord's contact information below.

Landlord's first name, company name, and phone number (if applicable):

How long have you lived at your current address?

Do you live with roommates?

What are the occupations of the adults in your home?

Employment Schedule?

Full time
Part time
Unemployed
Retired
Student

What type of area do you live in?

Choose one:

City/Downtown
Suburb
Small town
Rural

What type of housing?

Choose one:

Apartment
Condo
Semi-detached Home
Detached Home
Townhouse

Do you have a fenced yard?

If yes, please indicate type and height of fence

YES
NO
Building a fence in the near future

Description of fence (if applicable):

How would you desribe your household?

Loud
Calm
Quiet
Busy
Active

How long has your family been looking to adopt a dog?

Do you have children living in your home, or children who visit your home?

Children living in my home
Children visiting my home frequently
Children visiting my home rarely
None of the above

Please provide the number and ages of all children in the home OR visiting your home (if applicable):

If you have children in the home, what is their experience with dogs?

Please tell us a little more about yourself/your family and why you feel you could provide a good home for one of our rescue dogs:

Does anyone in your household suffer from pet related allergies?

Are all members of the family supportive of the adoption?

Choose one:

Who will be the primary caregiver for this dog?

If your current relationship changes, with whom will your dog remain?

What are the major activities, hobbies or exercises you and your family participate in?

What other pets have you previously owned? Please explain their breed, your relationship to them and what happened to them:

What types of animals currently live in your home? Please provide their age, breed, name, temperment, etc.

Are your current pets spayed/neutered, up to date on vaccinations and seen routinely by your veterinarian?

What do you know about Potcakes as a breed?

Do you have a preference to the sex of the dog? If so, please explain why:

Choose one:

Male
Female
No preference

If yes, please explain your reasoning for preference:

What are your future plans and goals for this dog?

Have you ever trained a dog in obedience before?

Choose one:

How will you exercise your dog both physically and menatally?

Will you take this dog to obedience/training classes?

Choose one:

If behavioural issues were to arise with your new dog, would you be willing to work through them and commit to working with EOPR and a professional dog trainer to resolve these issues?

Have you ever surrendered an animal to a shelter or rescue before? If yes, please explain.

Please describe, in as much detail as possible, what qualities you are looking for in your new dog. What would be the description of your ideal dog? (i.e. energy level, size, age, breed, etc.)

Where will the dog be kept when no one is home?

Where will the dog sleep at night?

How many hours a day will the dog be left alone?

If you go away (i.e. vacation, serious illness, etc.), who will care for your dog?

Do you believe in dog crates?

Choose one:

If you answered NO to the previous question, please explain why:

If you move, what will you do with your dog? (i.e. rehome, take with, etc.)

How will your dog travel to the vet/other places?

Choose one:

Loose in the car
Crated in the car
Tethered with a harness in the car
With you on the bus

Are you prepared to make the 10+ year commitment that is required when becoming a dog owner?

Please list the names and phone numbers of 2 references that you have known for at least 2 years. At least one reference must NOT be a member of your family.

First Name

Last Name

Phone

First Name

Last Name

Phone

Please provide the name and phone number for your veterinarian. If you do not currently own an animal , provide information on the last veterinarian you saw. If you have never had a pet, please indicate how you will go about finding a veterinarian. If applicable, please ensure to give your veterinarian consent to divulge basis information to an EOPR voluteer.

Do you consent to EOPR contacting your references including vet reference? If no, why?

Choose one:

A home visit is required in order to finalize the adoption process. Do you consent to representatives from EOPR visiting your home? If no, why?

Choose one:

How did you hear about our rescue?

Any Additional Information You'd Like to Share:

We reserve the right to refuse any applicant. These questions may seem irrelevant but a fully completed questionnaire is required as the first step to the adoption process. Owning a dog is a privilege, not a right! Please help us get a glimpse into who you are and why you are interested in adopting one of our rescue dogs!

Should the online application form not work, please send an email to eopradoptions@gmail.com to receive a Word Doc version of the application form.

Signature

To confirm this application, type your name below

Thank you for contacting us!

Thank you for your interest in adopting a potcake! We have received your adoption application! Please keep in mind that EOPR is a volunteer-run rescue. With our small adoptions team and a very high number of adoption applications due to current high demand for dogs, unfortunately we cannot reply to every application that we receive. Should your application be a good fit for the dog you have applied for, you will be contacted by a member of our adoptions team!

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