Dog Adoption - Illinois Valley Animal Rescue

How did you hear about IVAR?

Do you plan to attend obedience classes? How do you intend to reprimand your new dog?

If you rent, Landord's Name and Phone number

List any animals you currently own. Please include: age, gender, size, and breed and whether they are kept inside or outside

Signature - Please type in your full name

List 2 References. Please include Name, Relationship and phone number for each. *

Do you understand the link between lack of exercise and behavioral problems? How do you intend to exercise your dog?

Have you ever applied for a pet at another shelter? If yes, please include the shelter's name, location and phone number:

Thank you for your application.

Are you open to crate training?

Yes

No

Length of time with current employer

City, State, Zip Code *

By my signature below,

Length of time with current employer

Average Hours Per Week

It may take a month or longer for your new dog to adjust to its new home. Two example issues include: a dog that is considered housebroken will have a few accidents, and a dog may begin to develop separation anxiety. Are you prepared to handle this?

Are your currrent animals tested for heartworm, if yes how often?

Work Phone

If you rent, are there any size/breed limitations, if yes, describe:

Do you: *

Rent

Own

Live with Family

We are dedicated to finding permanent, lifelong homes for our dogs. Knowing a dog can live 15+ years please consider the following. If you are a senior citizen, or will become so in the next 15 years, have you made plans in the event you are no longer able to care for your animal?

What type of identification do you intend to keep on your dog?

Have you ever adopted an animal from IVAR or any other shelter before?

Yes

No

Name (First, Middle, Last)

If a veterinarian diagnosed a condition that would cost over $200 to treat, how would you handle it?

Birth Dates *

Home Phone *

Are your current animals kept on monthly heartworm and flea preventatives

Yes

No

Some

Street Address *

If "yes" to any of the above, please describe situation:

Driver's License #(s)

Employer/Position

About your new dog: How long have you been searching for a dog?

Illinois Valley Animal Rescue Dog Application

Are your current animals vaccinated

Yes

No

Some

Date

Dogs have been returned to us for a variety of reasons, including, but not limited to : Death, Sudden Illness, Too Energetic, Moving, Change of Job, Destruction of the home. Please list at least ONE case in which you would give up a pet. If your answer is none, please indicate what would happen to your pets in the unforeseeable instance that you could not care for them.

Cell Phone *

Ages of Children

If "yes" to IVAR, who and when?

What brand and type of food did or do you feed your animals?

Work Phone

List any and all veterinarians you have used in the past 5 years. Please include Name of Doctor/Practice, Location, and Phone number

Are your current animals Spayed or Neutered

Yes

No

Some

How long have you lived at this address? If you have lived at your current address less than 5 years please include your previous address:

Name of dog(s) interested in and why this dog(s) appeal to you:

Do you have a yard? *

Yes

No

Employer/Position

Household Information: Number of adults *

What do you plan to do with your dog while you are away or on vacation?

What will you do if your new dog urinates in the house or chews inappropriate items?

Please list any other animals you have owned in the past 5 years (other than those listed above):

Are all members of the household aware you are adopting a pet? *

Yes

No

If "yes" to another shelter, what is the Name, Location and Phone Number of that shelter?

Email *

If a portion is completely fenced in, what is the height and type?

Date

How many hours per day and days per week will the animal be alone (without human companionship)