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Adoption Application

1.What is your full name?(Required.)
2.Are you 21 years or older?(Required.)
3.Driver's License Number
4.Name of Employer or School(Required.)
5.Length of Current Employment(Required.)
6.What is your address? Please include City(Required.)
7.Please list all of the phone numbers we can reach you at(Required.)
8.What is your email address?(Required.)
9.How many people currently live in the house (full or part-time) and what are their ages?(Required.)
10.What is your current living condition?(Required.)
11.If you rent, please include your landlord's name, address, phone number, and email
12.Does your landlord allow pets?
13.If your landlord allows pets, are there any restrictions?
14.How long have you been at your current address?(Required.)
15.If you've been at your address for less than 2 years, please list previous addresses in the last 2 years
16.Do you have a fenced in yard?(Required.)
17.If you have a fenced yard, how tall is it, what type, and is it locked?
18.Do you plan on moving in the near future?(Required.)
19.If you plan on moving, where will you move to?
20.DOG ONLY: Which specific dog are you interested in?
21.DOG ONLY: What types of dog are you interested in?
22.DOG ONLY: What is your desired level of activity with the dog(s)?
23.DOG ONLY: What are your preferences in a dog? 
24.DOG ONLY: Desired Age range
25.DOG ONLY: Desired Breed(s)
26.DOG ONLY: Desired weight/size
27.DOG ONLY: When left alone inside the home, how will the dog be kept?
28.Will your dog be left outside unsupervised?
29.DOG ONLY: If left alone outside of the home, how will your dog be kept?
30.DOG ONLY:How do you plan to introduce your dog to other pets in the home?
31.DOG ONLY: If the following issues occur, please describe how you would handle them.
32.DOG ONLY: If the following were to occur, which would you get rid of your dog over?
33.CATS ONLY: Which specific cat are you interested in?
34.CATS ONLY: What types of cats are you interested in?
35.CATS ONLY: Click on all that you prefer about your cat. 
36.Will you cat be inside or outside? If both, please say how much time your cat will spend outside.
37.CATS ONLY: Please describe how  you would handle the following issues if they were to occur
38.CATS ONLY: Which issue would be a reason you would get rid of your cat for?
39.May we contact your vet?(Required.)
40.Please give your vet's name, address, and phone number(Required.)
41.Are your pets spayed or neutered?(Required.)
42.Are your dogs licensed?
43.Are your animals current on vaccines?(Required.)
44.Please list all animals in the household, their breed, age, gender, temperament, and medical status:(Required.)
45.Please tell us about your previous animal experience(Required.)
46.Please list the name and phone number for two people who can give a character reference preferably related to your animal experience. Ex: Long term friend, co-worker, minister(Required.)
47.Have you ever taken an animal to the pound? If yes, please explain why.(Required.)
48.If you are no longer able to care for the adopted animal, do you agree to notify Second Chance Dog Rescue as soon as possible? Under no circumstance can an animal be rehomed to anyone other than Second Chance Dog Rescue.(Required.)
49.The above Statements are true to the best of my knowledge(Required.)