Name
*
First Name
Last Name
Address
*
Applicants must live in the United States within 300 miles of the Portland metro area. If you live outside the U.S., do not share your information with us
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Email
*
Occupation
*
If you know the foster parent of this dog, please give their name; if not, no worries!
What type of home do you live in?
*
Do you own or rent your home?
*
If you rent, please provide your landlord's name and phone number
How many people live at this address?
*
What are the ages of everyone who lives in your home?
*
Please tell us about any pets currently living in your home (species, breed, age, energy level, whether they're spayed/neutered, where they sleep)
*
Please tell us about any previous pets (species, breed, whether they were spayed/neutered, and where they slept)
*
Do you have any special requirements for your new dog (e.g., age, sex, size, maintenance level)?
*
Do you plan for your dog to be:
*
Brand of food you plan to feed your dog
*
Type of food you plan to feed your dog
*
Do you have secure fencing for your dog?
*
Please describe your yard, if it is fenced and, if so, the height of the fence
*
If you do not have secure fencing, how will you contain your dog?
*
Who will care for your dog when you're not at home?
*
Where will your dog sleep when you are home and when you are not at home?
*
On average, how many hours will your dog be left alone during the day?
*
How will you socialize your dog?
*
How will you train your dog?
*
What life changes will you have in the next 10 to 20 years that may impact your dog?
*
Have you ever had to find a new home for one of your own pets before? If so, why?
*
Please offer any additional information you feel would be helpful for us to know about you/your family
How did you hear about NWAC?
*
I, the applicant, confirm I have reviewed my application for accuracy and completeness. I understand that if my application is incomplete, it cannot be processed by Northwest Animal Companions
*
PLEASE ENSURE YOU HAVE INCLUDED THE NAME(S) OF THE DOG(S) YOU'RE INTERESTED IN ADOPTING
