Animal Adoption Application Adoption Application Our ProcessThank you so much for your interest in adopting a dog from Chicago Canine Rescue! It is only through the support of the community and adopters like you that we can do our lifesaving work! Due to the large number of applications, we are unable to guarantee every adopter will get their first choice of adoptable dog. We will do our best to be as efficient and transparent as we can with the adoption process so that you know what to expect. All applicants will receive a response via email regardless of the availability of dogs. Currently available dogs are listed on our website only. Please do not rely on third-party websites like Petfinder or Adopt-a-Pet to give you up-to-date information about available dogs. Please see our Adoptable Animals listing for currently available animals.PLEASE READ THE FOLLOWING VERY CAREFULLY!* Are you ready to take your dog or puppy home in the next 72 hours? Do you have the approval of your entire household andlandlord? If you have a pet at home already, are they are up to date on all required vaccinations? If you feel that you can do all of the above, click on the button below to start the application process.* I am ready to adopt I am NOT ready to adopt Visit our HomepagePlease describe the kind of dog you are looking for below, or the names of the dogs you love to meet.Applicant's Name* First Last Are you at least 21 years old?* Yes No Date of Birth* MM slash DD slash YYYY Preferred Pronoun He/Him She/Her They/Them Primary Phone Number*Email* Enter Email Confirm Email Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Is there a Co-Applicant? (Spouse, partner, family member)* Yes No Co-Applicant's Name* First Last Relationship to Applicant Co-Applicant's Date of Birth* MM slash DD slash YYYY Co-Applicant's Phone Number*Co-Applicant's Email Address* How long have you been at your current address?* 0 – 1 year 1 – 5 years More than 5 years Tell us about your home* I/We own a single family home I/We own a condo or townhome I/We rent our home Landlord's Name* First Last Landlord's Email Landlord's Phone*Contact Person's Name for Condo or Townhome Association* First Last Contact Phone*Association Email How many adults in your household?*Have all the adults in the household agreed to this adoption?* Yes No Number of children in the household?*Ages of children*Have the children had pets before?* Yes No Is anyone in the home allergic to pets?* Yes No Please explain the allergies.*Why would you like to adopt an animal from us?*Name of Personal Reference* First Last Please list someone who can speak to your character and pet history like a friend or coworker. Personal references cannot be a family member, a person living in the same home as you, or a significant other.Phone Number of Reference*Email of Reference Do you currently have any pets?* Yes No If yes, please list the name, species/breed, and age of each pet currently in your home.*Are your current pets spayed or neutered?* Yes No If no, please explain the circumstances.*Have you had any pets in the past?* Yes No If yes, please list the name, species/breed, and age at passing of the last four pets you've owned.*Were your previous pets spayed or neutered?* Yes No If no, please explain the circumstances.*How did you obtain your pets?* Do you currently have a veterinarian?* Yes No Name of Current Veterinarian* First Last Current Veterinarian's Phone*Name of Past Veterinarian First Last If you do not currently have a vet, please provide the name of the vet you used most recently.Past Veterinarian's PhoneHave you ever given an animal away or relinquished an animal to a shelter?* Yes No If yes, what were the circumstances?*How long have you been looking for a pet?* 0 – 3 months 3 – 6 months Over 6 months Describe the kind of temperament you are looking for in a dog?* Are you looking for a particular breed? If so, which breeds and why?*What food (brand, type) do you plan to feed your pet?* How often will you feed your pet?* How much time are you prepared to allow for your new pet to adjust to your home?* Are you able to afford a bill of $500 (or more) for emergency vet care?* Yes No If no, what is your plan to provide emergency care should the need arise?* How much do you plan to spend on maintenance for your pet in a year?* Are you committed to providing a responsible home for your pet's entire life (15+ years)?* Yes No If you have to move, what do you plan to do with your pet(s)?* What will you do with your pet(s) when you travel?* Who in the household will be the pet(s) primary care giver?* Where will the pet(s) be kept during the day?* Where will the pet(s) be kept during the night?* How many times per day do you plan to take your dog outside?*How do you plan to house train your dog?*Do you have a fenced in yard?* Yes No How many hours a day will your pet be left alone?*Please enter a number from 0 to 24.How will you deal with possible digging?* How will you deal with possible barking?* How will you deal with possible chewing?* How will you deal with possible aggression?* Please provide any experience you have with pets, information you believe we should know, or any additional information you may have:Name of Applicant:* First Last By typing my first and last name into this box, I attest that the information above is true and accurate to the best of my knowledge.NameThis field is for validation purposes and should be left unchanged.
