PAWS New England

Home
About
Resources
Blog
Contact

Adoption Form

Thanks for your interest in providing a PAWS dog with a safe and loving home.

Please complete all applicable fields.

Personal & Contact Info

Your Name
Dog You're Interested In
Street Address
City
State
Zip
Phone #
Alternate Phone #
Email
Date of Birth

Background Info

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

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.

Thank you for your interest in adopting a PAWS dog!

Your request may take as long as 48 hours. Thank you for your patience.

PAWS New England has saved the lives of more than 3,500 dogs. Learn more...

How to Help

Get Free Updates

Sign-up for our newsletter

Subscribe to our blog

Like us on Facebook

Special Thanks

Many thanks to John Gagnon's Pet Resort, Jenn Frankavitz Photography, Goodness Gracious, SmartPak, Timberwolf Organics, and our numerous partners, volunteers and donors for their support!

Copyright © 2010 - 2012 PAWS New England. All rights reserved.

Web design by Chris Ferdinandi.