Please read our Adoption Process before completing an adoption application.
Thank you for your interest in adopting a dog from Promises Animal Rescue. Please tell us more about yourself and your family in the space below. Our casesworkers are looking forward to working you to help you find the best dog for you.
Please list the full name(s) of any additional applicant(s) in the box below.
Which animal are you interested in adopting?
Choose an animal:
How long have you lived at your provided address?*
More than 1 year
Less than 1 yea
If you lived at your current address for less than one year, what was your prior address?
Do you own or rent at the provided address?*
If you rent, please provide your landlord NAME and PHONE NUMBER.
Please select the type of residence from the dropdown below.*
Have you or anyone in your home ever been investigated or convicted for animal neglect or cruelty?*
Yes, myself or someone in my home has been investigated or convicted of animal cruelty
No, myself or someone in my home has NOT been investigated or convicted of animal cruelty
Please select the number of dogs currently in your home from the dropdown.*
3 or more dogs
Please select the number of cats in your home from the dropdown below.*
3 or more cats
Are your pets spayed/neutered?*
What is your Veterinarian's NAME and PHONE NUMBER?
(If you have pets or have had a pet within the past 5 years, this information is required)
What are the names of current pets or names of pets owned within the past 5 years?
Have you or any member in the household applied with any other rescue?
If yes, please provide the organization's name and web address (ie. http://www.example.org).*
Approximately how long will the dog be home alone on an average day?*
less than 3 hours
3 to 7 hours
7 to 9 hours
How many people, including you, live in your home?*
7 or more
Please list name, relationship, and age for each person in your house
What is the NAME, EMAIL and PHONE NUMBER of your 1st required personal reference?
What is the NAME, EMAIL and PHONE NUMBER of your 2nd required personal reference? *
What is the NAME, EMAIL and PHONE NUMBER of your 3rd required personal reference?*
Thank you for taking the time to fill out this application. We will review the information you have provided. Once your references have been successfully checked, you will be scheduled for a home inspection. This is a chance to meet you, your family and current pets. All members of the household (including children and pets) need to be present for the home visit. Please contact your veterinarian and personal references to let them know we will be contacting them, so that they know they have your permission to talk to us.
We are pleased that you have shown interest to help save a dog with Promises Animal Rescue, Inc. We are always interested in comments and suggestions and are open to new ideas.
For questions/comments, please email: email@example.com .
Promises Animal Rescue
Gainesville, VA 20155