NCSR Application for Adoption
There is an Adoption Fee when Adoption is finalized that will be between $200-$300. (This helps defray the rescue's vet costs for spay/neuter, vaccinations, heartworm treatments and preventive, and many other medical costs incurred while in foster care, and is determined by the age of the dog that is being adopted.) PLEASE COMPLETE ALL QUESTIONS ON THIS FORM. If the question does not apply, answer with an "N/A" as a blank line may delay the processing of your application. NOTE: We cover and adopt out only to current residents of NORTH CAROLINA. By filling out and submitting this document, you are agreeing to allow us to contact your personal references and Veterinary reference to find out any necessary information regarding your current or previous animals.
* denotes required fields
Describe the dog you would like to adopt:
NOTE: There is the possibility that the dog(s) you apply for could be adopted by someone else before you complete the application approval process. Please only apply if you are willing to entertain other dogs for adoption as they come into the rescue, and are not just set on adopting 1 particular dog. You may still be able to adopt the dog you apply for, but understand that statuses of the dogs can change on a daily basis, and we receive MANY applications for each dog.
Date:
Interested in NCSR dog(s):
(Enter either dog' name or number)
* Prefer:
Male
Female
Doesn't Matter
* Age range of dog desired
* Oldest dog considered
* Describe any other preferences for the dog you adopt (temperament, physical traits, special needs, etc.):
* Is your family willing to work with a new dog on any issues that he/she may have?
* What dog behaviors or characteristics would be unacceptable to your family?
Applicant Information:
* Application Name:
* Street Address:
,
* Driver's License:
State:
* Home Phone:
Work Phone:
Cell Phone:
* Email:
* Date of Birth:
* No. of people in the household:
Please Select
1
2
3
4
5
6
7
* If children, please list ages:
* Are you or any member of your family allergic to pets?
Yes
No
* Are you presently:
Employed
Unemployed
Retired
Student
If employed, Employer:
Co-Applicant/Spouse Information:
* Name:
* Relationship:
* Home Phone:
Work Phone:
Cell Phone:
* Email:
* Date of Birth:
* Are you presently:
Employed
Unemployed
Retired
Student
If employed, Employer:
Home/Environment Information:
* Type of Residence:
House
Apartment/Townhouse
Condo
Mobile Home
Farm/Barn
Do you own or rent?
Rent
Own
If rental, are dogs allowed?
Yes
No
Type of Street:
Very Busy Road
Slight Traffic
Residential Area
Speed Limit:
Where will the dog live?
Inside Only
Mostly Inside
Mostly Outside
Outside Only
Where will the dog spend nights?
Inside
Outside
Please Describe:
* Do you have a fenced yard?
Yes
No
If yes, please describe (height, materials):
* How will you handle bathroom duties with the dog?
* How many hours per day will the dog be alone?
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Where will the dog stay when left alone?
Describe the activity level in your home:
Busy (visits by friends, meetings, children, parties at home)
Noisy (TV, stereo, machinery, tools, children playing, dogs barking)
Quiet (Homebodies, few guests)
Other
If other, please describe:
* In the absence of the primary caregiver (due to illness, death or other inability to care for a pet, etc) who will care for the dog?
* Under what circumstances would you need to return the dog to us?
New Job
New Baby
Illness
Other
Divorce
Move
None
If other, please describe:
* Have you researched Miniature Schnauzers or had experience with them in the past?
Yes
No
If yes, please describe:
* Please describe the good and bad characteristics of Miniature Schnauzers as you know them:
* Are you willing to take responsibility if this pet acquires an illness in the future?
Yes
No
* Are you willing and financially able to pay the veterinary costs of caring for your new pet?
Yes
No
* Are you willing to take the time to work with a dog on housebreaking, chewing, or other behavioural issues if such problems arise?
Yes
No
* Would you consider Obedience Training for your new dog?
Yes
No
* How much time are you prepared to allow for your new pet to adjust to your home?
Current/Former Pet Information:
* Have you had pets in the last 5 years?
Yes
No
* Please list any current or former pets within the past 5 years - names, breeds, ages - and where they are now:
* Current or past VETERINARIAN information (Must include Vet's Name , Address, and Phone # - if no vet in the last 5 years, please put "n/a" since this is a REQUIRED field ):
Are all your pets (current or past) spayed or neutered?
Yes
No
Are your pets (current or past) up to date on all vaccinations?
Yes
No
Are your pets (current or past) on heartworm preventive?
Yes
No
If you answered "no" to any of the above questions, please explain your answer:
* Do you consider your dog a part of the family?
Yes
No
* Will your dog be on monthly heartworm prevention?
Yes
No
How did you hear about North Carolina Schnauzer Rescue (NCSR)?
Have you applied with other rescue groups?
Yes
No
If yes, which ones?
Would you like to become a volunteer/member of the rescue group?
Yes
No
Personal References:
Please let your references know in advance we will be contacting them. No Family Members please.