Dog Application

Please list the following dog(s) you are interested in meeting. *

Applicant's Name *

First

Last

Phone Number *

Name(s) and age(s) of spouse/children/roommates/relatives living with you in the home: *

If anyone in the household is allergic to animals, please say who and what the allergy is. *

Landlord/Parent's Phone Number (if applicable) *

Landlord/Parent's Email (if applicable) *

Are you a first-time dog owner? *

Yes No

If applicable, tell us what experience you have had with dogs or other animals. *

Please list animals owned within the last 5 years:

Name of animal(s) *

Type of animal(s) *

Obtained how? *

How long kept? *

Where is animal now? *

Have your current animals been spayed/neutered? *

Yes No I don't currently own any animals

Please list your current veterinary clinic and contact information (if you don't currently own any pets, list N/A): *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

If you answered "Other," please explain: *

What outdoor space is available for the dog? *

How much time are you willing to spend helping this dog adjust to your home and lifestyle? *

What do you consider to be aggressive behavior? *

What would you do if this behavior were to occur? *

Please describe your preferred basic dog training methods. *

Please describe your preferred method for housetraining your dog. *

Tell us what makes you a great adopter. *

Is everyone in your home on board with adopting a new member into your family? *

Yes No Unsure

How long have you been thinking about adopting an animal into your lifestyle? *

Why is now the right time to adopt? *

Terms and Conditions of the Adoption Application

By agreeing below, I certify that the information I have given is true and that I recognize that any misrepresentation of the facts may result in my losing the privilege of adopting a pet. I understand that an incomplete application will not be processed. I authorize investigation of all statements on this application. I understand that this application is the property of the Humane Society of Southwest Missouri and will not be returned to me.

After your application has been submitted, you can call us at 417-833-2526 or come to the shelter, no appointment needed. Our shelter is open from 12-6PM Monday-Saturday and 12-5PM on Sunday. Applications MUST be approved before meeting any animal outside of the kennels.

Please Fill Out The Information Below To Apply

Please list animals owned within the last 5 years:

Terms and Conditions of the Adoption Application

Humane Society of Southwest Missouri