Adoption Form

We hate paperwork, too. But to help us keep track of all the people who want to give our dogs wonderful homes, we need you to fill out an adoption form.

An application does not mean you are required to adopt – it just lets us know you are seriously considering a dog for adoption.

Please complete all applicable fields.

Personal & Contact Info

1. Your Name
2. Dog You're Interested In
3. Street Address
4. City
5. State
6. Zip
7. Phone #
8. Alternate Phone #
9. Email
10. Date of Birth

Background Info

1. How did you hear about PAWS New England?
2. Have you ever applied for a dog from PAWS NE before?
3. Yes
   No
4. If yes, please explain (date, name of dog, etc.)
5. Occupation
6. Employer Name
7. Year's Employed
8. Employer Phone
9. # of Adults in the Home
10. Who do you live with?
11. Spouse/Partner
    Roommate(s)
    Parent(s)
    Alone
    Other
12. Adult's Ages
13. 18 - 19
    20 - 30
    30 - 40
    40 - 50
    50 - 60
    60 - 70
    70 +
14. # of Children in the Home
15. Children's Ages
16. 0 - 5
    5 - 10
    10 - 15
    15 - 18
17. Has this adoption been discussed with all household members?
18. Yes
    No
19. Own a Home or Rent
20. Own
    Rental
    Shared Rental
21. If rental, please provide landlord's name and phone #
22. How long have you lived at your current residence?
23. Type of Home
24. Single Floor
    Multiple Floor
    Apartment (1st Floor)
    Apartment (2nd Floor +)
25. Yard
26. Fully Fenced
    Partially Fenced
    No Fence
    No Yard
27. If fenced, please provide height and type of fence
28. Street Type
29. Main Street
    Side Street
    Cul-de-sac
    Rural
30. May we visit your home?
31. Yes
    No
32. Any additional Information which helps describe your home environment?
33. Primary caregivers work schedule
34. Describe how the dog will be maintained while away or at work.
35. Have you had animals in the last 10 years? If yes, please list, name, alive or dead & how they died.
36. Veterinarian References: Name, Address & Phone #
37. Personal References: Address & Phone #
38. If no vet references please provide two personal. Family members may NOT be used as personal references.

1. I agree to the following: All statements made on this application are truthful; I have made no false statement with regard to family members in household, references provided - not being family members, status of my home ownership and any other statements made on this application.

 

We’re 100% volunteer-based, so it may take us a few days to respond to your application. Thanks for your patience.