What are you applying for?
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Check all that apply
Dog's Name
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What attracted you to this dog, or what are you looking for in a dog?
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Name
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First Name
Last Name
Address
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City, State, Zip Code
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Phone
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(###)
###
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Email
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Occupation
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Employer
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Please list any children (with ages) in the household
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Are all members of the household in agreement about adopting or fostering?
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Are any household members allergic to pets?
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Do you rent or own your home?
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Landlord Name
Landlord Phone
(###)
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Are you moving in the next 12 months?
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Please list all pets living within your household, including name, age and breed:
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Are your pets spayed or neutered?
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If not, please explain:
Have you had other pets in the past 5 years?
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If yes, for how long and what happened to them?
Please list the names and phone numbers of all veterinarians that you've taken your pets to within the last 2 years:
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Please explain any current or past experience you have with dogs:
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What is the average number of hours the dog will be left alone daily?
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Select One
0-2
3-5
6-8
9+
Why do you want to add a new dog to your family?
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Please explain where your dog will spend their time while you're home, and while you're not home:
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Where will your dog sleep at night?
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Do you have a physically fenced in backyard?
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Please descibe your yard:
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How will your dog be cared for while you're on vacation?
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What types of activities and exercise will you provide for your dog?
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Do you have a contingency plan for your pet(s) in the event you are no longer able to care for them?
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Please briefly explain your contingency plan:
Have you applied to adopt or foster a pet through GRASP or any other rescue organization within the past 2 years?
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If so, please explain:
Have you ever surrendered an animal to a shelter or rescue group?
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If yes, please explain:
Do you agree to a home visit by a GRASP member?
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If not, please explain:
