EmailMe Form - SGF ADOPTION APPLICATION

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Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Email *

Would you like to be added to our email list?

Yes

No

Age *

How did you hear about us?

TELL US MORE ABOUT THE DOG YOU ARE INTERESTED IN ADOPTING.

Which dog are you interested in adopting?
If you do not have a specific dog in mind, just answer open. *

Second Choice Dog
In case your first choice is unavailable. Leave blank, if none.

Third Choice Dog
In case your first choice is unavailable. Leave blank, if none.

What age ranges are you open to adopting?
Check all that apply. *

What breed are you open to adopting?
Check all that apply. *

Purebred Dachshund

Dachshund Mix

Other purebred small breed

General Mix

What behaviors do you NOT want in the adopted dog? *

Why are you interested in adopting a rescue dog? *

TELL US MORE ABOUT YOU AND YOUR FAMILY.

Marital Status *

Age of Spouse or Partner

What is your occupation and place of employment? *

What is your spouse or partners occupation and place of employment?

What age ranges are the children living in your home? *

Please list the age and gender of each child living in the home, if applicable. *

Please tell us more about other people in your home who will be interacting with this dog. For example, you might list grown children, parents who live with you, roommates, etc. Please explain their experience with dogs. *

Please tell us if the children living in your home have experience with dogs, especially dachshunds, and explain. *

TELL US ABOUT YOUR HOME

Do you own or rent?
Please note you must be listed on the lease to adopt from us. *

Own

Rent

Third option

If renting, does your Landlord allow dogs?
If you rent, you will be asked to submit your Landlord's information at the end of this application. *

Yes

No

I own my own home.

Do you have a yard?
Check all that apply. *

Yes

No

Nearby park or grassy common area

Nearby walking trail

Type of fence.
Please check all that apply. *

Do you have a pool? *

PLEASE TELL US MORE ABOUT YOUR EXPERIENCE WITH DOGS, IN GENERAL.

Do you currently have other pets in the home? *

Yes

No

Occasionally

What kind of pets do you have in your home? *

Dog

Cat

Rabbit

Other

Please tell us more about your other pets.
Please tell us their name, age, gender, breed, temperament, if they are altered, and if they have any health issues. *

Please tell us about pets you have had in the PAST.
Please tell us their name, breed, and if they were altered. Tell us if they had any health issues. Also, please explain why you do not have them anymore, whether they are deceased, and at what age, or if you had to give them away. *

What type and brand of dog food do you use?
Please be very specific. If you do not have dogs in the home, leave blank.

If advised by SGF, would you be open to changing dog food?
SGF believes in the benefits of a healthy diet. We recommend reviewing dog food brands on the website dogfoodadvisor.com. SGF only recommends 4 star or higher brands. *

Yes

No

Possibly

What brand of heartworm preventative do you use? *

What brand of flea and tick preventative do you use? *

How much money do you anticipate spending on this dog each year?

$0-$200

$200-$500

$500-$1000

Greater than $1000

Will you commit to caring for this dog for his/her entire life? *

Yes

No

In the event this dog develops a serious health issue in his/her lifetime, what will you do?
Please explain what you would do if this dog develops a serious health issue. Examples would be diabetes, hypothyroidism, IVDD, paralysis, etc. *

If you have to move, what will you do with this dog? *

In the event you cannot keep this dog, what will you do with this dog? *

Where will this dog stay when you are NOT at home? *

When you leave for business or vacation, where will this dog stay? *

Where will this dog sleep at night? *

How much time will you spend with this dog on a daily basis? *

Have you ever attended puppy or obedience classes with a dog? *

Yes

No

What books or articles have you read on pet care and/or training?

What is your experience with training dogs, in general? How would you train and discipline this dog? *

If more training is recommended for the dog you adopt, are you willing to comply? *

Yes

No

Possibly

Are you familiar with the dachshund breed description?
Whether you consider yourself knowledgeable on dachshunds or not, we highly recommend reading their description on wikipedia, or other dachshund websites. http://en.wikipedia.org/wiki/Dachshund, paying close attention to health and temperament. *

Yes

No

What are your views on unwanted animals being euthanized, sold, or given to shelters? *

Additional comments or Suggestions
Please tell us if there is anything you would like to add or elaborate on.

PLEASE GIVE US YOUR REFERENCE INFORMATION BELOW.

Veterinarian Reference
Please list your current and previous veterinarians that you use/have used. We require veterinarian name, hospital name, address, phone number, and what pets were seen where. **Remember to call your veterinarians and inform them that you have applied to adopt a dog from Sophia's Grace Foundation and allow them to release pertinent information to us. If we have incorrect information or authorization is not given, your application WILL BE DELAYED OR PUT ON HOLD INDEFINITELY. *

Personal Reference #1
Please give us the name, address, phone number, and email address of a personal reference. This personal reference CANNOT be a family member. Please inform this person that you have applied to adopt a dog from Sophia's Grace Foundation and that we will either be calling or emailing them to ask them for their opinion of you as a pet adopter. If we have incorrect contact information for your references or they do not respond to us within 7 days, your application WILL BE DELAYED OR PUT ON HOLD INDEFINITELY. *

Personal Reference #2
Please give us the name, address, phone number, and email address of a personal reference. This personal reference CANNOT be a family member. Please inform this person that you have applied to adopt a dog from Sophia's Grace Foundation and that we will either be calling or emailing them to ask them for their opinion of you as a pet adopter. If we have incorrect contact information for your references or they do not respond to us within 7 days, your application WILL BE DELAYED OR PUT ON HOLD INDEFINITELY. *

Personal Reference #3
Please give us the name, address, phone number, and email address of a personal reference. This personal reference CANNOT be a family member. Please inform this person that you have applied to adopt a dog from Sophia's Grace Foundation and that we will either be calling or emailing them to ask them for their opinion of you as a pet adopter. If we have incorrect contact information for your references or they do not respond to us within 7 days, your application WILL BE DELAYED OR PUT ON HOLD INDEFINITELY. *

Landlord contact information, if renting.
Please supply your Landlord's name, address, phone number and email address, if available. If we have incorrect contact information for your Landlord or they do not respond to us within 7 days, your application WILL BE DELAYED OR PUT ON HOLD INDEFINITELY. In some cases, we may also require a copy of your lease. *

You're finished!

All we need now is for you to write your name below to certify that you are applying for a dog from Sophia's Grace Foundation.
By writing your name below, you also affirm that all of the information provided on this form is true and accurate to the best of your ability. You understand that submission of an application does not guarantee placement of an animal.

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