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?
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Have you ever been convicted of animal abuse, neglect, and/or cruelty?
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Employment Information
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How long have you been employed by this company?
Veterinarian Information
Landlord / Management Information
Are you renting, leasing, or residing in a dwelling that you do not own?
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**** If yes, you are required to complete the following section per our Terms and Conditions ****
Do you have written permission from the landlord/owner to adopt an animal?
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References (Not Related to You)
Additional Information
How many adults (18+) are living at your residence? (Including you)
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How many children (under 18) are living at your residence?
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How many animals are living at your residence?
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What type of residence are you living at?
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How long have you lived at your current residence?
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How many times have you moved in the past ten (10) years?
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Are there outside areas available to animals? (e.g. designated potty areas, dog parks, etc.)
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Where will the animal mainly reside when you are home?
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Where will the animal mainly reside when you are not home?
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Where will the animal reside when you go on vacation?
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Are you aware that owning an animal can cost $1,270.00 a year, if not more?
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Questionnaire
How did you hear about Fullmer Menagerie Animal Rescue?
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Agreement and Disclaimer
BY SUBMITTING THIS ADOPTION APPLICATION YOU ACKNOWLEDGE THAT YOU HAVE READ, IN ITS ENTIRETY, AND FULLY UNDERSTAND AND AGREE TO OUR TERMS AND CONDITIONS, WHICH INCORPORATES OUR ADOPTION POLICIES, AND GOVERNS THIS CONTRACT. 
I acknowledge and agree that the information I entered is true and correct?
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I acknowledge, fully understand, and agree to the Terms and Conditions?
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