Pawsitive Steps Dog Rescue

First Name

Last Name

Social Media Name(s) if different from above

We will sometimes use messenger video for our home visits

Email

Cellular Phone

best number to reach you any time of day

Landline (if you prefer)

if you do not have or use a cell phone regularly

Best time to reach you

Morning
Afternoon
Evening

Age

20-30
31-49
49-64
65+

Your Age

Address

City

Country

Are you applying for

Fostering
Foster to Adopt
Adopt
Any of the above

Are you willing to adopt/foster a dog that is not house/potty trained? Some of our rescues who have never lived in a home and are not house trained

Are you willing to adopt/foster a dog with no previous training?

Are you applying for a specific dog? If yes, please specify.

How many people live in your household?

Please indicate names sex and birthdate/age of each member.

If you have kids, have they been around dogs before? Describe

What best describes your living environment?

Do you have a fenced yard

Rent or Own

Rent
Own
Circumstances will be changing soon

Please provide Landlord Name and email if residing in a rental for verification of pet policy. Not providing this information will prevent your application from proceeding.

Are there any pets in your household? If yes, please indicate species, sex, whether spayed/neutered and vaccination dates.

Do you have a veterinarian? If yes, please provide your veterinarian’s name, clinic, and contact information.

Please list past vets if you no longer have a pet in the home

May we contact your Veternarian for a reference? *

Yes
No

If the answer is no, please elaborate (eg. I do not have a pet currently, or have just moved..)

Is anyone in your home allergic to dogs?

Yes
No
Unknown

What is the energy/activity level in your home (scale)

(0-4) Low/Quiet/Routine
(5-7) Medium average
(8-10) Active/busy or loud

What will happen to your dog if you or a member of your household goes through a major life change such as having a baby or illness?

Where will your dog stay when you are not at home?

How many hours a day would your dog be alone in the home?

What sort of enrichment do you plan on offering your dog?

Describe

Have you had dogs before

Yes, primary care giver
No
Yes, but not the primary care giver

Tell us a little more about your experience

Tell us a little more about your daily routine with pets in your home

Have you fostered before

Yes
No

Tell us a little more about your experience

What methods would you use to train your new dog?

How often should you dog see a veterinarian? Check all that apply (not required for fosters, all vet appointments will be booked by rescue should they be required while a dog is in foster)

How much are you prepared to spend on your dog each year? (not required for fosters, food/bowls/leash/collar will be provided by Rescue)

What will happen to your dog if they become unexpectedly ill or develop medical needs that require additional vetting and/or ongoing significant expenses? (Not required for fosters as medical issues are the responsibility of Rescue)

What is the best diet for your dog? (for Fosters, food will be provided)

Are there specific criteria you would like your dog to meet such as age, sex, coat length, size, energy level etc. If yes, please indicate all. (copy)

Are there any behaviours or characteristics that are unacceptable to you?

It is very important for my dogs to…(check all that apply)

describe

Which of the following would you be willing to work on with your new dog?

Of the common behaviours that you are willing to work on, describe briefly how you would approach these

If any of these are out of your experience, will you hire a trainer?

Yes, I have someone I trust
I’m open to references in my area
I am not going to hire a trainer

on a scale of 1-5 rate your experience with basic puppy or dog training

Selected Value: 0

Please provide the names of 3 personal references and their phone numbers. *

*please inform your references* It is imperative they are reachable in a reasonable amount of time as we are unable to continue with the application process until reference checks are complete* * not providing references will prevent your application from being processed*

For Personal References, please let your references know to expect a call. Vet Reference: Please give permission for your vet to release information to Pawsitive Steps Dog Rescue *

I have reached out to my references and they’re expecting your call

Please tell us about yourself, family and anything you would like us to know.

Admin Use ONLY

Status of Application (administrator)

Approved
Follow-Up Required
Not Approved
Another Dog Potential Match