PAWS (Public Animal Welfare Society, Inc.) PO Box 24651, Cleveland, OH 44124 Phone: 440.442.7297
www.pawsohio.org
DOG ADOPTION APPLICATION
DATE
Thank you for filling out this profile. The information you provide will help us to help you find the dog that best matches you and your family. It is a requirement that you fill out every field. if you cannot answer or don't know how to answer, please put in N/A.
Name and address
Name (first, last)
Home address Apartment number
City State Zip Code County
Home Phone Cell Phone Work Phone
E-mail Birth date Age
BACKGROUND INFORMATION
Do you own or rent your home? own rent House Condo Mobile Home Apartment How many years have you lived at this address? less than one year 1-3 years 3 years or more If less than three years, where did you live before? If you rent, what is your landlord’s name? phone number If you rent, are you allowed to own a pet? yes no If you rent, do you have to pay an additional security deposit or pet fee? yes no Are you or any family members allergic to dogs? yes no Do you have any children under the age of 5? yes no
How did you hear about us? Previous adoption Newspaper Word of mouth
PAWS website Special Event Other
Is there a certain dog that you are interested in? If so, which one?
What kind of pet are you looking for? puppy adult dog
FAMILY INFORMATION
Who do you live with? Spouse Parents Children Significant Other Roommates Alone
Number of adults in household 1 2 3 4 5+ List adult's ages
Number of children in household 0 1 2 3 4 5+ List children's ages
Any family members suffer from pet allergies? Yes No If yes, allergic to: Dogs Cats Both
What qualities are you looking for in your dog/puppy? (check all that apply)
Size preference Small (5-20lbs) medium (20-50lbs) large (50-100lbs) any size
Age preference 2-4 months 4-12 months 1-4 years 5-7 years Senior no preference
Personality traits playful easily trained fully trained good with kids athletic protective
will hunt companion for other animals mellow laid back energetic
loves to spend time outdoors
PET INFORMATION
List all present and past pets you have been responsible for as an adult.
1. Name dog/cat spayed/neutered indoor/outdoor/both
living/deceased , if deceased, the cause
2. Name dog/cat spayed/neutered indoor/outdoor/both
3. Name dog/cat spayed/neutered indoor/outdoor/both
If you currently have pets, what is the name and phone number of your veterinarian?
Name phone
Do you give us permission to contact them? yes no
List all members of your household and which one will be primarily responsible for the care of this pet.
Name Age How do they feel about getting a dog?
Do you have a completely fenced in yard? yes no
How do you plan on exercising your dog? in my yard dog park walks other
What type of lifestyle do you want your dog to live? inside outside
Where will your dog stay while you are at work?
Where will your dog sleep? Is this dog/puppy for you or a third party?
Check any of the following reasons you would give your dog away. Please read this section carefully.
fleas getting married/divorced allergies too expensive chews or destroys household objects
children will no longer take care of it having a baby found a new place to live and they don't allow pets
sheds too much having accidents in the house other
How long do you expect a dog to live? years
Would you have any objections if a PAWS adoption volunteer made a follow-up visit to the dog's new home after the adoption?
yes no
PERSONAL REFERENCES
List the names, relationship, and telephone numbers of three persons that are not related to you.
Name Relationship Phone
What are your plans for the dog when you go away on vacation?
Applicant's electronic signature Date
PAWS Thanks you for your interest in one of our rescues.
We here at PAWS reserve the right to deny any application without explanation