Dog Application - Canine Haven Rescue

SAVING LIVES

ONE DOG AT A TIME

Name

Pronouns

Are you a Patreon subscriber?

Name of dog you are applying for?

What about this dogs bio makes you feel they would be a good fit in your life?

How will you help this dog become successful? Will you be able to work with them on their needs? What is your experience?

Why do you think it's the right time to adopt a dog?

Your Street Address

City

State/Province

Postal/Zip Code

Country

Phone

What is your Facebook name?

What is your Instagram name?

Are you over 18 years of age?

How long have you been looking to adopt?

Have you ever adopted a dog from a rescue or shelter?

Are you working with another rescue or shelter to adopt a dog?

If yes, what stage are you at in the adoption process from the other rescue?

What do you do for a living?

Do you have any travel plans in the near future that would prevent you from being able to adopt right away?:

I live in a

Who do you live with?

Do you have children living at home with you?

If yes, how old are your children?

Provide information on your family and living arrangements (Please also describe your outdoor space (fenced, partially fenced, forest, etc)

What is your activity level?:

Do you have any current pets?

If yes, please tell us about your current pets? (what kind, how many, what do you like about them, how are they with other animals)?:

Do you have any pets no longer with you? How so? (old age, medical, gave away)

Indicate your dog experience

How old would you like your rescue to be?

What is your preferred activity level in a dog?:

How many hours might your dog be left at home alone?

How might this change in the near future (ex- returning to the office)?:

Where will your dog stay during the day?

Where will your dog sleep during the night?

Where will your dog stay if you go away? (weekend, vacation)

Would you consider a dog walker?

Do you plan on attending dog training?

If you answered no to any of the above questions, why not?

Are you willing to work through behavioural issues? (guarding, anxiety, barking, fearfulness)

Are there any deal-breakers which would prevent you from adopting a Dog? Please explain:

Are you prepared for an adjustment period of 2 weeks or longer?

In your opinion, what are the basic requirements for the care of a rescue dog?:

What makes you a responsible pet owner?

A dog can live well over 10 years and requires major commitment of time, finances and emotions. Do you feel you can make that kind of commitment at this time?

Lastly, How did you hear of Canine Haven Rescue?

"We can only accept one reference from a family member. Thanks!"

Reference #1 Please provide full name

Reference #2 Please provide full name

Reference #3 Please provide full name

Please notify your Veterinarian to give permission for a Canine Haven Rescue Member to speak with us about your pets (present or past).

Vet reference Please provide full name, e-mail and phone number ?

Home information requirement - If you are one of the selected applicants you will receive an email with a link to upload 3 or 4 pictures of your main living area and yard (if you have one) or video.

I understand than any misrepresentation of the above information authorizes Canine Haven Rescue to deny any application, and/or reclaim the dog in my home. I acknowledge that Canine Haven Rescue cannot guarantee any dogs against parasites, diseases or destructive behaviours. I will not hold Canine Haven Rescue responsible, nor seek any compensation for damages, medical fees or other liabilities incurred by the dog I may adopt.

SAVING LIVES

ONE DOG AT A TIME

**PLEASE ADD adoption@caninehaven.org to your “safe senders list” and/or check your junk mail for any emails from us!