What traits would your ideal dog have? (Personality, size, energy level, etc.)
Your answer
Full Legal Name *
First, Last name, Middle Initial
Your answer
Date of Birth *
Your answer
Applicant Address Street, City, State, ZIP Example: 123 Alphabet Road, Oshkosh, WI 54902 *
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Applicant Phone Number *
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Email *
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Do you currently own or rent? *
Choose
Own
Rent
If you rent, please give your landlord's name and phone number so we can verify your ability to adopt. *
Your answer
Full legal name of all other Adults living in the house hold as well as their date of birth. Example: John Lee Smith 7.25.59 *
Your answer
Children: Please list the ages of the children in your home.
Your answer
Please list all animals currently living in the house: (Please include name, age, breed, altered status, and species) Reminder: Please call your Veterinary Office and release your pets records to Saving Sully *
Your answer
Veterinary Office contact information *
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Please list 1-2 references who will speak to your character. (Name, Relationship, Phone Number) *
Your answer
Please describe a day in the life of your new dog *
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Have you ever had to re-home or surrender a previous pet? *
Choose
Yes
No
If yes, please explain:
Your answer
Additional Information:Please use this space to offer any additional information you think our volunteers should know when processing your application and matching you with a dog.
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