Adoption Application

Animal Name*

AnimalId*

Rehoming Centre location*

Applicant First Name*

Applicant Second name*

Email*

Hidden

Address*

Hidden

Address2*

Address Apartment Number

Address Street Number*

Address Street Name*

Address Street Type*

Address Suburb*

Is your mailing address same as your physical address?*

Yes
No

Mailing Address Apartment Number

Mailing Address Street Number*

Mailing Address Street Name*

Mailing Address Street Type*

Mailing Address Suburb*

Mobile Phone*

Home Phone

Will children be living with the pet?

Yes
No

If so please choose their age.*

0 - 3 years old
3- 5 year old
5 - 10 years old
10 years old +

Home environment*

Rural Living
Apartment
Suburban block

Permission from home owner to have pets*

I am the home owner
I have permission
No

Will your pet be allowed inside/outside*

Inside only
Outside only
Both Inside/Outside

Do you have existing pets?*

What type of animals and how many live in the home*

Your current pets personality

To assist in finding the best match for your pet we have a couple quick health questions about your animal.

Are your current animals desexed?*

Are your current animals up to date with vaccines, flea, intestinal worming and tick prevention.*

Yes. up to date
No. overdue
No other animals

Home and lifestyle

Do you have secure fencing around your house boundary*

Yes
No
Apartment, not applicable.

Please advise the height and type of fencing and also the materials used.*

Please advise the size, type and temperament of pet you are looking for?*

What is your lifestyle ?*

Energetic- enjoy walking, hiking, sports and need a dog to join in.
Quiet- bit of a home body, a small group of family and friends with not too many visitors
Social- like to go out in the evenings, spend weekends away and have family and friends over regularly for dinner or events

How much time will this pet spend alone in a day?

Do you understand and accept this animal is a shelter rescue and as their new owner, you are giving them a second chance at a new life. They may need training, time and compassion to settle into their new life?*

Yes
No

I have read the animal's profile and also understand the AWLQ Adoption Journey:*

Yes

View our Adoption Journey here: https://bit.ly/35kVqG5

Any additional comments?

COVID-19 Health & Safety Checklist:

Have you travelled or returned from overseas or interstate in the past 14 days?*

Are you residing with any person who has travelled internationally or interstate in the last 14 days?*

Have you been in contact with any person suffering from coronavirus (COVID-19), or any person with like symptoms in the last 14 days.*

Are you sick with fever, a cough or have experienced any difficulty breathing?*

Hidden

Meet and Greet Date

Hidden

Meet and Greet Time

:

Hidden

Contacted

Yes
No

Hidden

Contact Date

Hidden

Contact Time

:

Hidden

Initial Email sent

Yes
No

Hidden

Application sent

Yes
No

Hidden

Applications under review

Yes
No

Hidden

Unsuccessful email sent (removed)

Yes
No

Hidden

Unsuccessful email sent (rehomed)

Yes
No

Hidden

Unsuitable applicant email sent

Yes
No