United Animal Friends - United Animal Friends

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Please complete all required fields!

United Animal Friends (UAF) is dedicated to matching each dog in our care with the most compatible home. Submission of this questionnaire does not obligate you to adopt, nor does it guarantee that you will be selected to adopt. Incomplete applications will not be considered. United Animal Friends will conduct a search of public records on all applicants, including a criminal database check. By submitting this application, you give United Animal Friends express authorization to contact your veterinarian and landlord, if applicable, and you agree to a home visit conducted by a qualified United Animal Friends volunteer.

ALL REQUIRED (*) FIELDS MUST BE COMPLETED OR THE APPLICATION WILL NOT BE CONSIDERED.

IMPORTANT: THIS IS A LENGTHY 3-PAGE FORM. BEFORE BEGINNING, PLEASE ENSURE THAT YOU HAVE ADEQUATE TIME TO COMPLETE IT ALL IN ONE SITTING

Dog(s) Of Interest

Someone already caught your eye? If so, please specify:(*)

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Family Information

Number of adults in household(*)

123456

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No. of children in household / Ages of children(*)

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Full name(s) & date(s) of birth of all adults in home

Legal Last Name (Adult #1)(*)

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Legal First Name (Adult #1)(*)

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Date Of Birth (Adult #1)(*)

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Legal Last Name (Adult #2)(*)

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Legal First Name (Adult #2)(*)

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Date Of Birth (Adult #2)(*)

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Legal Last Name (Adult #3)(*)

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Legal First Name (Adult #3)(*)

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Date Of Birth (Adult #3)(*)

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Legal Last Name (Adult #4)(*)

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Legal First Name (Adult #4)(*)

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Date Of Birth (Adult #4)(*)

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Legal Last Name (Adult #5)(*)

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Legal First Name (Adult #5)(*)

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Date Of Birth (Adult #5)(*)

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Legal Last Name (Adult #6)(*)

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Legal First Name (Adult #6)(*)

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Date Of Birth (Adult #6)(*)

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If additional adults in household, please add to comment section at end of this form

Primary Phone(*)

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Secondary Phone

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Work Phone

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Email (Adult #1)(*)

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Email (Adult #2)(*)

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Email (Adult #3)(*)

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Email (Adult #4)(*)

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Email (Adult #5)(*)

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Email (Adult #6)(*)

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Residence Information

Address(*)

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City(*)

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State(*)

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Zip Code(*)

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Mailing Address (If different)

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(Enter "N/A" if not applicable)

Residence Type(*)

HouseCondoMobileDuplexApartment

Invalid Input (Must Select One)

Do you own or rent your home?(*)

OwnRent

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Required If You Rent: Landlord's Name & Phone Number(*)

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How long at present address?(*)

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Plan to move in near future?(*)

YesNo

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Does your community restrict the number, breed or size of pets?(*)

YesNo

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If yes, please describe

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Do you have a fenced yard?(*)

YesNo

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Type Of Fencing Material(*)

Chain LinkNo-ClimbWoodBlockOtherN/A

Invalid Input (Must Select One or More)

How tall is your fence?(*)

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(Enter "N/A" if not applicable)

What is the approx. size of the fenced area?(*)

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(Enter "N/A" if not applicable)

Does your home have a pool?(*)

NoYes

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Is your pool fenced?

NoYesN/A Invalid Input

Preferred Age:

Under 6 months 0-1 year 1-2 years 2-4 years4-6 years 6 or more years No preference Invalid Input

Gender

MaleFemaleNo Preference Invalid Input

Coat Length

ShortMediumLongNo Preference Invalid Input

Size:

Small (under 25 lbs)Medium (25-40 lbs)Large (40+ lbs)No Preference Invalid Input

Primary Breeds

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Color or Other Characteristics

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What Activity Level Do You Want Your New Dog To Have?

HighMediumLowNo Preference Invalid Input

In which activities do you want your new dog to participate with you/your family? (Check all that apply)

HikingTravelJoggingCampingRelaxingBicyclingSwimmingAgilityBoatingPlay with kidsPlay ballOther (Describe in comments section below) Invalid Input

Who will be responsible for the care of the dog?

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What brand of dog food will the dog be fed?

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Where will the dog stay during the day?

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Where will the dog stay at night?

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Where will the dog stay during vacations?

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How many hours per day will your dog be unattended?(*)

123456789101112131415161718192021222324

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Are you familiar with crate training?

NoYes Invalid Input

Will you crate train?

NoYes Invalid Input

How often will the dog be fed?

Once dailyTwice dailyFree-fed Invalid Input

Please check the reason(s) why you want to adopt a pet at this point in your life.

Want a companionPlaymate for child(ren)Playmate for pet(s) Invalid Input

Do you currently have a dog or dogs?(*)

NoYes

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If yes, how many?(*)

12345678910

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If yes, describe breed, sex, approximate weight and temperament(*)

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Dog Age(s)?(*)

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Do you currently have a cat or cats?(*)

NoYes

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If yes, describe breed, sex, approximate weight and temperament(*)

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Cat Age(s)?(*)

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Is your pet(s) spayed/neutered?(*)

NoYes

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Up to date on vaccinations?(*)

NoYes

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Do you have a veterinarian?(*)

NoYes

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Vet's Name and Phone Number(*)

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What animals have you had in the past?

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What would cause you to return this dog? (check all that apply)

AllergiesChange in marital statusNot compatible with other petsNew babyHousetrainingDoes not play ball (catch)MovingPersonal health issuesDog’s health issuesVet billsDestructive behaviorKids not taking care of petJob changeAggressivenessNone Invalid Input

Have you ever adopted a pet from United Animal Friends?

NoYes Invalid Input

Have you ever adopted a pet from another rescue group or shelter?

NoYes Invalid Input

Do you have a plan in place for this dog should you become unable to care for it?

NoYes Invalid Input

How did you hear about UAF?

UAF websitePetfinderFacebookAdvertisementUAF newsletterAdoption eventVeterinarianFriend Invalid Input

Acknowledgement and Agreement I understand that United Animal Friends will conduct a search of public records on all applicants, including a criminal database check. By submitting this application, I give United Animal Friends express authorization to contact my veterinarian and landlord, if applicable. I agree to a home visit conducted by a qualified United Animal Friends volunteer.
I understand that submission of this questionnaire does not obligate me to adopt, nor does it guarantee that I will be selected to adopt, and that the decisions of the application review board are final.
I understand that submission of this questionnaire does not obligate me to adopt, nor does it guarantee that I will be selected to adopt.

Comments

I certify that the information supplied in this interview is true and correct. Checking this box signifies your signature.(*)

Information on this form is true, accurate and correct.

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Required Fields(*)

(*)

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