Adopter Application

Personal Information
Name *
Name
Phone *
Phone
Address *
Address
Employment Information:
Employer’s Name *
Employer’s Name
Employer’s Phone
Employer’s Phone
Employer’s Address *
Employer’s Address
Our adoption screening process includes e-mailing your personal references. Please provide a valid e-mail address for reach reference listed. You do NOT need to provide a phone number unless the person does not have an email address.
Personal Reference #1
Name *
Name
References should not be family members or roommates.
Phone
Phone
References should not be family members or roommates
Personal Reference #2
Name
Name
Phone
Phone
References should not be family members or roommates.
Personal Reference #3
Name *
Name
Phone
Phone
References should not be family members or roommates
Name / Relationship / Pet Allergies?
Pet Preferences:
**Please note that there are often multiple applications for the same dog. However, we always work very hard to find great matches for each adopter!
If the dog is unavailable, would you be interested in similar dogs? *
What age of dog are you interested in? *
Please select one of the following
Is there a specific gender you are looking for? *
What energy level would work with your lifestyle? *
**Please note that we require dogs of all energy levels be given adequate exercise and daily walks.
Where will the dog spend time alone? *
Please select one of the following
Are you willing to work through unexpected hardships with your pet and hire a trainer if need be? *
***This could include: house training, separation anxiety, socialization, fear, adjustments to other pets (and other pets’ adjustment to the new pet).
Do you have a contingency plan to pay for unexpected emergency vet bills?
How soon do you want to adopt a pup? *
Pet History
**Please answer the following questions regarding current and/or previous family pets or pets you have been responsible for.
Pet #1
(i.e. fostered, adopted, owned, etc):
Pet #2
(i.e. fostered, adopted, owned, etc):
Pet #3
(i.e. fostered, adopted, owned, etc):
If you currently have pets, are they spayed or neutered? *
Please select one of the following
Are your pets up to date on their vaccinations and monthly preventatives? Please select one of the following *
**Monthly preventatives refer to Flea and Tick preventatives such as Frontline or K-9 Advantix as well as Heartworm preventatives such as Heartguard or Tri-Heart
Current Veterinary Information
***Please ask your vet to release your pet's records to It’s Ruff Without A Roof Rescue. This will facilitate an accelerated screening process.
Veterinarian's Name *
Veterinarian's Name
Address *
Address
Phone
Phone
About Your Home:
Do you currently Rent Or Own?
If you rent, does your landlord allow pets? *
**Please be prepared to provide copy of lease and proof of landlord approval.
Do you have a yard? *
*** Please note - you do NOT need an outdoor space to adopt a IRWAR dog. Please select one of the following:
Just a Few More Questions…
**While no one wants to think about this happening, it is a common problem and we ask this question so that adopters will have a plan in place if such an unfortunate circumstance were to happen.
How did you hear about us? *
Please select one of the following
AGREEMENTS
Do you agree to a IRWAR representative conducting a home visit? *
Have you read and agree to our adoption agreement?
Do you agree to pay the adoption fee of $350 if approved? *