Adoption Application

Personal Information

Per our Adoption Policy, applicants must be eighteen years of age or older

Have you ever given away, sold and/or relinquished a pet in the past?

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Have you ever been convicted of animal abuse, neglect and/or cruelty in the past?

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Employment Information

How long have you worked for this company?

Veterinarian Information

Landlord / Management Information

Are you renting or leasing the residence where you currently reside?

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**** If Yes, you must complete the following information per our Adoption Policy. ****

Reference's (not related to you)

Additional Information

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How many adults (18+) are currently living at your residence? (including you)

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How many children (under 18) are currently living at your residence?

How many pets are currently living at your residence?

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What type of residence are you currently living at?

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How long have you lived at your current address?

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How many times have you moved in the past five (5) years?

Are there outside areas available to pets? (e.g. designated potty areas, dog parks, fenced areas)

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Where will the pet mainly reside when you are at home?

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Where will the pet mainly reside when you are NOT at home?

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Where will the pet reside when you go on vacation?

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Are you aware that owning a pet can cost up to $1,270.00 a year? (that's $105.00 a month)

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Questionnaire

How did you hear about Fullmer Menagerie Animal Rescue?

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Agreement & Disclaimer

I, the applicant, acknowledge and agree to the Privacy Policy

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Submitting this application does not guarantee that you will be approved to adopt a companion from our organization. Careful and thorough consideration is taken in order to place our companions into an environment that fosters their love, health and well-being while minimizing their risk of being placed back into the shelter and/or rescue system.

I, the applicant, acknowledge and agree to the Adoption Policy

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I, the applicant, acknowledge and agree that the information I entered is true and correct

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