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Home
About
Apply for Assistance
Give/Volunteer
Events
Adopt/Foster
Contact
Volunteer Application
PLEASE ANSWER
ALL
QUESTIONS COMPLETELY. QUESTIONS WITH A RED ASTERISK (
*
) ARE REQUIRED. LEAVING OUT REQUIRED INFORMATION MAY DELAY APPROVAL OF YOUR APPLICATION. CLICK SUBMIT AT THE BOTTOM ONCE COMPLETED.
ACAP IS ALWAYS LOOKING FOR GREAT FOSTER HOMES!
CLICK HERE TO SEE OUR AVAILABLE DOGS!
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Indicates required field
I AM INTERESTED IN:
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FOSTERING A DOG
ADOPTING A DOG
YOUR INFORMATION
Applicant's Full Name
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What COUNTY do you live in?
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Address
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Line 1
Line 2
City
State
Zip Code
Country
How long have you lived at this address?
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Email
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Phone Number
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please include your area code
Employer Name (if unemployed, state that)
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TELL US ABOUT THE DOG YOU WISH TO ADOPT OR FOSTER
Name of Dog you are interested in
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If not a specific dog, give us an idea of what you are looking for
Male or Female
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-- Please select --
Male (Neutered)
Female (Spayed)
Activity/ Energy Level
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-- Please select --
High
Medium
Low
Breed
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Weight/Size
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Age
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Color
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Does this dog need to be good with any of the following?
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Children
Elderly Adults
Dogs
Cats
Chicken/Other Fowl
Horses
Livestock
Other - please explain
This dog will be the only animal we have
Check all that apply
Explain if Other
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Would you be willing to adopt any of the following?
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A dog that needs regular medication
A dog that needs frequent grooming
A shy or scared dog
A dog that needs training
Check all that apply
Are there any behavior challenges (barking, chewing, scratching, accidents in the house) you are not willing or not able to manage in a way that is best for the dog?
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Yes - please explain
No
Explain if Yes
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FAMILY AND HOUSING
What type of home do you live in?
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-- Please select --
Single Family, Detached
Town Home
Apartment/Condo
Farm
Other - describe below
Describe if Other
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Do you own or rent your residence?
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-- Please select --
Own
Rent*
Other - explain below
Explain if Other
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Additional Information if Renting Your Home
Landlord's Name
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First
Last
Landlord's Phone Number
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Please upload a copy of your lease showing the rules for pet ownership and a receipt showing payment of any required pet deposit (you may email this to us instead at info@acapva.org with your name)
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Max file size: 20MB
To upload: 1) click on the Choose File button; 2) find the image or file you want and click on it; 3) click "Open" on bottom right. The selected file name will be listed next to the Choose File button below
Adults Residing in Your Household (18 years old & older)
Adult #1 - Full Name
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Adult #1 - Age
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Adult #1 - Relationship to you
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Adult #2 - Full Name
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Adult #2 - Age
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Adult #2 - Relationship to you
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Adult #3 - Full Name
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Adult #3 - Age
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Adult #3 - Relationship to you
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Adult #4 - Full Name
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Adult #4 - Age
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Adult #4 - Relationship to you
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How many children reside in your household (0 - 17 years old)?
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-- Please select --
0
1
2
3
4
5
6 or more
What are the ages of the children?
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How would you describe your household?
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-- Please select --
Active
Quiet
Noisy (lots of kids/visitors)
Other - describe
Does anyone smoke inside the home?
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Describe if Other
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CURRENT PETS IN YOUR HOUSEHOLD
Pet #1 - Name (please answer "n/a" if none)
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Pet #1 - Type
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-- Please select --
Dog
Cat
Other
Pet #1 - Spayed or Neutered?
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-- Please select --
Yes
No
Pet #1 - Age
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Pet #1 - How long owned?
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Pet #1 - Up to date on vaccinations?
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-- Please select --
Yes
No
Pet #1 - Additional information, if needed
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Pet #2 - Name
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Pet #2 - Type
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-- Please select --
Dog
Cat
Other
Pet #2 - Spayed or Neutered?
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-- Please select --
Yes
No
Pet #2 - Age
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Pet #2 - How long owned?
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Pet #2 - Up to date on vaccinations?
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-- Please select --
Yes
No
Pet #2 - Additional information, if needed
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Pet #3 - Name
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Pet #3 - Type
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-- Please select --
Dog
Cat
Other
Pet #3 - Spayed or Neutered?
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-- Please select --
Yes
No
Pet #3 - Age
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Pet #3 - How long owned?
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Pet #3 - Up to date on vaccinations?
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-- Please select --
Yes
No
Pet #3 - Additional information, If needed
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Pet #4 - Name
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Pet #4 - Type
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-- Please select --
Dog
Cat
Other
Pet #4 - Spayed or Neutered?
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-- Please select --
Yes
No
Pet #4 - Age
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Pet #4 - How long owned?
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Pet #4 - Up to date on vaccinations?
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-- Please select --
Yes
No
Pet #4 - Additional information, if needed
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Does anyone residing in your household have an allergy to dogs?
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-- Please select --
Yes - explain
No
Explain if Yes
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Is everyone in your household in agreement with the decision to adopt a dog?
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-- Please select --
Yes
No - explain
Explain if No
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VETERINARIAN
Name of Veterinary Clinic
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Phone Number
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Name of Regular Veterinarian
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What amount are you willing and able to spend annually for regular and emergency care?
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-- Please select --
Up to $100
$100 to $300
$300 to $500
$500 or more
Should your dog ever need emergency veterinary care, where do you plan to go?
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PREVIOUS PETS YOU'VE OWNED IN LAST 10 YEARS (please indicate "n/a" if applicable)
Type and/or Breed
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Age
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How long owned?
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What happened to this pet?
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Type and/or Breed
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Age
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How long owned?
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What happened to this pet?
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Type and/or Breed
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Age
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How long owned?
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What happened to this pet?
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Type and/or Breed
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Age
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How long owned?
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What happened to this pet?
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ADDITIONAL INFORMATION
Have you ever declawed a cat or debarked a dog?
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-- Please select --
Yes - please explain
No
Explain if Yes
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Have you ever been convicted of animal cruelty or neglect in ANY state or country?
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-- Please select --
Yes - please explain
No
Explain if Yes
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Have you ever had to surrender a pet to an animal shelter, officer or veterinarian?
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-- Please select --
Yes - please explain
No
Explain if Yes
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How many days a week will this dog be alone during the day and for how long each day?
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Where will your dog stay when you are not at home?
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Is your yard fenced? If so, how much area is fenced, what type of fencing and how high?
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If your yard is not fenced, how do you plan to confine this dog to your premises?
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FOSTERING AN ACAP DOG (PLEASE SKIP IF YOU ARE ADOPTING)
Thank you for opening up your heart and home to a homeless pet! Fostering is one of the most important and rewarding ways to save a life, and make no mistake - when you foster a dog, cat, kitten or puppy, you are saving at least two lives! How? By removing the pet you'll be fostering from a shelter and making room for another homeless pet at that same shelter. Sadly, animal shelters have a finite number of kennels or cages, and a finite number of financial resources to care for the pets that they take in. Unless a shelter has a relationship with rescue groups, they almost always must euthanize healthy, adoptable animals to make room for more. So you see, when you foster, you not only save the life of the pet who comes to temporarily live with you, you also save the life of the next pet who will take the kennel or cage at the shelter from where your foster boy or girl came!
ACAP can also only save lives when we have room; whether it be at our sanctuary (for unadoptable, sick, or hospice dogs) or in our foster homes.
ACAP will provide you with what you need to care for your foster dog, to include veterinary costs (must be pre-approved by the ACAP medical coordinator), medications, flea/tick preventatives and dewormers, and any prescription food your foster may require. You provide regular dog food, attention, and LOVE! The average stay for a foster dog is 1-3 months, but may be longer if you're fostering an older dog or one with chronic health issues (like diabetes).
We promise to provide you with whatever support you need, and we will do our best to match you with the right foster dog for your home, lifestyle and your own pets!
ADOPTING AN ACAP DOG (PLEASE SKIP IF YOU ARE FOSTERING)
Adopting a pet is a happy occasion and pets provide numerous benefits to our health and well-being, in addition to their love. It benefits both you and your pet to fully understand the long-term care and financial responsibilities that come with the benefits of pet ownership before you adopt.
When you adopt from ACAP, we ask you to sign an adoption contract that outlines our expectations of the care you will provide to your new dog. These expectations are:
This dog is being adopted as a personal pet and companion, not as a gift, not as an outside-only pet, not as a chained guard dog, not as a hunting dog and never to be used for illegal or research purposes
You will keep and care for this dog in a safe and humane manner for the rest of its natural life
You will provide clean and dry housing indoors, adequate, fresh food and water and daily exercise
You will provide appropriate veterinary care by a licensed veterinarian as needed, including annual exams and vaccinations
You will provide regular flea/tick preventative and heartworm preventative
You will obey all applicable state and local laws governing control and custody of animals
This dog will not be kept on any property where a "No Pets" policy is in force
You will not debark a dog or declaw a cat for any reason
ACAP strives to ensure that each adoption will be permanent and that the adopter and the pet are the best possible match. Therefore, ACAP reserves the right to make the final decision in the adoption process.
CERTIFICATIONS FOR THIS APPLICATION
I certify that all statements made and information provided in this Foster/Adoption application are true and complete to the best of my knowledge. Typing my name below will serve as my electronic signature
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Yes
No - you will not be eligible to foster or adopt
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