What are you applying for?Position *AdopterVolunteer About Your New FriendAnimal Name Describe the attributes of the dog/cat you want: *Gender *MaleFemaleColor Markings *Age About YouFull Legal Name *Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryPrimary contact phone number *Occupation *Email * About Your New Friend's HomeHas your spouse, roommate or partner agreed to adopt a dog/cat? *YesNoIs anyone in your household allergic to pets? *YesNoFull Legal Name(s) of All Adults Over 18 Living in Household Please list the ages of all children living in your house Why do you want to bring this dog/cat into your household? *Why did you decide this dog/cat would be the right breed for you? *How did you educate yourself about the breed? *Have you ever been issued a citation or warning for, or arrested, charged or convicted of animal abuse or neglect? *YesNoHave you ever been convicted of a crime? *YesNoWhat is your housing situation (house, apt, condo)? *Are you in military housing? *YesNoDo you own or rent? *OwnRentIf you rent, you must supply your landlord's contact info below or your application will not be processed If there is a Homeowner’s Association where you live, list the name, address and phone number of the property manager or homeowner association officer. If no Homeowner Association, state “none” Do you own a swimming pool? *YesNoIs the swimming pool fenced? YesNoIs your yard fenced in? YesNoHow high is the fence at the lowest point? Current & Past PetsList all other animals in your household or on your property (we must have name, age, type) Other than the pets listed above, have you had dogs/cats in the past? *YesNoIf yes, what happened to them? Veterinarian's InformationVeterinarian's Name *Veterinarian's phone number * Additional InformationWhere will your dog stay when you are at work or away from home? *How many hours a day will your dog be left alone? *Where will the dog/cat sleep? *Who will be primarily responsible for the dog/cat? *What will happen to the dog/cat if you move? *Might you move into a new setting that does not allow the dog/cat? *YesNoIf yes above, please explain. Under what circumstances would you not keep a dog/cat? *Are you willing to go through obedience training with your dog (N/A for cats)? *YesNoWhat is your philosophy regarding discipline of your dog/cat? *What discipline would you use for potty accidents in your home? *Will you take responsibility for the dog’s/cat’s entire life (upwards of 10-12 years)? *YesNoWhat arrangements have you made for your pet in the event of an emergency or your death? *Please estimate how much you expect to pay per year on the animal’s medical care *Please estimate how much you expect to spend on FOOD and other NON-MEDICAL EXPENSES per year *List the health concerns you are aware of in this breed *Are you willing to pay for all medications, including heartworm preventative, your dog/cat may need? *YesNoMay a Rescue representative come to your home and visit with you? *YesNoHow did you hear about this dog/cat? *Have you applied to or are you working with any other animal rescue or adoption organization? *YesNoPlease type your full name below to digitally sign agreeing that you will return the dog / cat to ARF'N if you decide you cannot keep him or her *Email VerificationPlease enter any two digits with no spaces (Example: 12) *This box is for spam protection - please leave it blank:
