All Creatures’ ADOPTER PROFILE APPLICATION
- Print this entire form. Fill it out and FAX to: 415-456-2003 OR…..
- HIGHLIGHT entire form, COPY it, and PASTE into your e-mail or word program. Send to: lyncat1@sbcglobal.net
All Creatures is a nonprofit, all-volunteer, animal welfare organization dedicated to helping displaced animals
To be considered as an Adopter, you must be 1) at least 18 yrs old, 2) be able/willing to spend the time and money to provide proper care, training & veterinary support. Animal guardianship is a major responsibility and a long-term commitment. You will be sharing your life with an animal for 15 or more years. In All Creatures’ ongoing effort to find the best match between prospective adopters and the animals in our charge, we ask that you fill out this questionnaire.
NAME __________________________________SPOUSE/PARTNER___________________________
ADDRESS ______________________________________CITY __________________ZIP___________
YOUR AGE RANGE: 20s ____ 30s ____40s____50s____60s____ 70s ____ Older ____
PARTNER’S AGE RANGE: 20s ____ 30s ____40s____50s____60s____ 70s ____ Older ____
DO YOU OWN? HOUSE ____ APT ____ CONDO ____ OTHER _______ HOW LONG _______
DO YOU RENT? HOUSE ____ APT ____ CONDO ____ OTHER _______ HOW LONG _______
If you rent, does owner/management allow animals? ______ Is it written in your lease? ______
Interest in: CAT____ DOG ____ MALE ____ FEMALE ____ EITHER ____ SPECIFIC BREED? ___________
Special Characteristics+______________________________________
Are you applying for a specific animal? _____ If so, who? __________
APPROX WEIGHT RANGE ______ APPROX AGE RANGE ______
HOW SOON DO YOU WANT HIM/HER? ___________________________________________
HOME PHONE ___________________________ E-MAIL ADDRESS ______________________________
WORK PHONE __________________________
CELL PHONE ____________________________
FAX __________________________________
If interested in adopting a cat, will you have cat declawed? __________________
Will you keep him/her INDOORS _______________ OUTDOORS ____________________ BOTH _______
WHY DO YOU WANT TO ADOPT AN ANIMAL? ________________________________________
IS THE ANIMAL A GIFT? ______ ARE YOU FAMILIAR WITH THIS BREED?_____________________________
HOW MANY ANIMALS HAVE YOU HAD IN THE LAST 5 YEARS? ______ WHAT KIND? ___________________
__________________________________________________________________________________
__________________________________________________________________________________
WHAT ANIMALS ARE AT HOME NOW? _________________________________________________
GIVE THEIR SPECIES, BREED, SEX AND AGES _______________________________________________________
___________________________________________________________________________________________
WHAT HAPPENED TO THOSE NO LONGER WITH YOU? _____________________________________________
HAVE THEY ALL BEEN SPAYED/NEUTERED? ______________________ IF NOT, WHY NOT? _________________
_
WHAT HAPPENED TO THOSE NO LONGER WITH YOU? ______________________________________________
__________________________________________________________________________________________
VETERINARIAN OR PET HOSPITAL REFERENCE _____________________________________________________
__________________________________________________________________________________________
PERSONAL REFERENCE _______________________________________________________________________
(please include name(s), city, phone)
# of ADULTS IN THE HOME _____ # of CHILDREN AT HOME _________Boys' Names & Ages________________
Girls' Names & Ages________________ DO ALL MEMBERS OF THE HOUSEHOLD WANT AN ANIMAL? ________
WHO WILL BE PRIMARILY RESPONSIBLE? ___________________________________________________
WHO WILL BE RESPONSIBLE IF SOMETHING HAPPENS TO THE YOU? ____________________________
DOES ANYONE HAVE ALLERGY? __________________________________________________________
WHAT IS YOUR OCCUPATION? ________________________PARTNER’S OCCUPATION _______________
- HOW MANY HOURS ARE YOU AWAY FROM HOME EACH DAY? ______
- HOW MANY HOURS IS PARTNER AWAY FROM HOME EACH DAY? ______
WHERE WILL THE ANIMAL SLEEP AT NIGHT? (pls be specific) _________________________
WHERE WILL THE ANIMAL STAY DURING THE DAY? (pls be specific _____________________
dHOW MANY STORIES IN YOUR HOME/APT? _____________
DO YOU HAVE SCREENS ON YOUR WINDOWS? ____________
DO YOU HAVE A YARD? _________ A FENCE? ______________HOW HIGH? __________________
DO YOU HAVE A PATIO? ___________________ IS IT ENCLOSED? ________________
WHEN YOU GO AWAY, WHO WILL CARE FOR THE ANIMAL? ____________________________________
HOW LONG DO YOU EXPECT TO KEEP THIS ANIAML? _________________________
UNDER WHAT CIRCUMSTANCES WOULD YOU SURRENDER HIM/HER? _________________________
IF DOG NEEDS OBEDIENCE TRAINING, ARE YOU WILLING AND ABLE TO DO THIS? __________________
IF DOG NEEDS HOUSE TRAINING, ARE YOU WILLING AND ABLE TO DO THIS? ______________________
IF YOUR ANIMAL HAD AN EMERGENCY OR SERIOUS ILLNESS, HOW MUCH WOULD YOU BE ABLE AND/OR WILLING TO SPEND ON HIS/HER CARE? $100 ____ $250 ____ $500 ____ $1000 ____ whatever it takes _____
Would you object to an All Creatures’ representative visiting your home, either before, or following
an adoption? ____________
Would you be willing to foster an animal while waiting for your preferred, permanent pet?
HOW DID YOU LEARN ABOUT ALL CREATURES? Petfinder ____ Adopt-a-Pet ____ Flyer ____ Friend ____
Referred by______________________ Other Pet Site _____ All Creatures’ website _____________
Signature _____________________________________________ Date _____________________
