Apply for your own hero.Every dog is Somebody’s Hero.Fill out this form to find yours! Name * First Name Last Name Co-Applicant Name If applicable First Name Last Name Email * Phone * (###) ### #### Address * US only Address 1 Address 2 City State/Province Zip/Postal Code Country Is this application for a specific available Hero? * Yes No Household Information Own or Rent * Own Rent Pet Policy If you rent, please disclose if your rental agreement includes a policy on owning pets. If yes, please email a copy of your rental agreement once you have submitted your application. Yes No Number of individuals living in the home * Are there children living in the home? * Why do we ask- some dogs may not be suitable for homes with children under the age of 16. If "yes", your application will be reserved for dogs suitable to live in homes with children under the age of 16. Yes No Are the children living in the home aged 16 or older? Why do we ask- some dogs may not be suitable for homes with children under the age of 16. If "no", your application will be reserved for dogs suitable to live in homes with children under the age of 16. Yes No Have you or anyone in your household ever been convicted on charges of animal cruelty or neglect? * Yes No Is anyone in your home allergic to dogs? * Yes No Are there any dogs currently living in the home? * Yes No Are there cats or small animals currently in the home? * Yes No Dog Experience Have you ever owned a dog? * Yes No Current/Previous Dogs * Please include ages, breeds, if they are alive or deceased, and cause of death if applicable. Have you ever re-homed or surrendered an animal to another individual, shelter, or rescue organization? * Yes No If yes, please describe the circumstances. Current or Prospective Veterinarian * If any, what activities are you involved in? * Type N/A if you are not involved in any activities. Do you recognize that dogs need time to learn about their new environment and must be provided with adequate decompression time upon adoption? * Yes No What will happen to this dog if it does not get along with other resident pets, or vice versa? * Will you seek professional advise from a dog trainer or behaviorist if necessary? * Yes No References We recommend no more than 1 family member be included as a reference. Please inform your references that we will be contacting them regarding this application. Reference #1 * First Name Last Name Reference #1 Relation * Reference #1 Phone or Email * Reference #2 * First Name Last Name Reference #2 Relation * Reference #2 Phone or Email * Reference #3 Name * First Name Last Name Reference #3 Relation * Reference #3 Phone or Email * Agreements * I agree that all information provided above is accurate and I have not misrepresented any facts about myself, my household, or my experience. I agree to allow a representative of Kaiser K9 Inc to contact me via the contact information provided regarding this application. Thanks for getting in touch! We’ll get back to you shortly.
