First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Work Phone
x

Cell Phone

Are you applying to foster or adopt?*

What dog(s) are you interested in?*

Why are you interested in adopting a pet at this time*

Have you applied with any other rescue*
Choose one: Yes No

How did you hear about us*

What is your age?*

What is your occupation?*

How many hours per day are you away from home?*

Are you married? Partnered?*
Choose one: Yes No

Name of Spouse or Partner, if applicable. If not married or partnered, please answer NA*

What is your spouse/partners occupation?*

If married, how many hours is your spouse gone per day?*

How many ADULTS reside in your home? *

Ages of other adults in home (spouse, partner, roommate, etc.)

Are there any other people living on the property or in the home? (renters, tenants, roommates, family members, ranch hands, etc.) If yes, please list all people that would have contact with this dog: *

How many children are in the home? What are their ages?*

Who in the household will care for the pet*

In what type of home do you live*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

Do you own or rent your home*
Choose one: Rent Own

Are you planning on moving within the next year?*
Choose one: Yes No

If you rent, have you received the approval of your landlord to have an animal
Choose one: Yes No

Is your neighborhood considered urban, suburban, rural or semi rural?*

Is your yard fenced? If your answer is "NO," your application will not be approved and will be automatically rejected with no further notice.*
Choose one: No Yard Unfenced Yard Yard Completely Fenced Invisible Fenced

What type of fence do you have?*
Choose one: Chain Link Wood Privacy No Climb Welded Wire Other Livestock Fencing Barbed Wire Invisible Fencing Wrought Iron Other

What is the height of the fence? PLEASE MEASURE if you are uncertain of height*

If you answered "other" for previous question, please specify and/or describe what type of fencing you have.

How much time will the animal spend alone during the day*

Where will the animal be kept when you are not home*

Where will the animal be kept when you are home*

Will you be crating this dog? If yes, for how long and when (bed time, during the day, etc.)*

Please list all dogs currently in your home NAME AGE GENDER BREED SPAYED? NEUTERED?*

Do you have cats? If yes, will the dog be in contact with them?*

Do you have livestock? If yes, please list what species.

What animals will the dog be in direct contact with?

If this is a working dog, what type of shelter will the dog have?

Please list dogs you have owned in last 10 years, how long they lived with you and what happened to them.*

Have you owned a large or giant breed in the past? If so, what breed and how long did the dog live with you?*

Have you ever given up a pet? If yes, please explain*

Have you ever owned an Anatolian Shepherd Dog? If yes, when and for how long?*

IN YOUR OWN WORDS Please give a brief description of the Anatolian Shepherd Dog and their character traits. **PLEASE** do not copy from Wikipedia or other websites. Be honest and tell us what you know or dont know about the breed. *

What type of dog do you prefer?

Describe how you will train the pet*

Veterinarian's Name and Phone Number*

Do you use a flea and tick preventative? If so, what product do you use and how often?*

Do you use heartworm preventative?*

If you currently have a dog, what kind of heartworm preventative do you use? If you do not have a dog at this time, what kind of preventative have you used in the past?*

I certify that the information entered on this applicant is true. Enter your name and date*

List at least one reference (who is not a family member)*