| Applicant Information |
| First Name: * |
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| Last Name: * |
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| Address Street 1: * |
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| Address Street 2: |
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| City: * |
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| Zip Code: * |
(5 digits) |
| State: * |
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| Co-Applicant Information |
| First Name: |
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| Last Name: |
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| Contact Information |
| Daytime Phone: * |
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| Evening Phone: |
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| Email: * |
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| Animal Information |
| I am interested in a: * |
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| Animal Name(s): |
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| Housing Information |
| Adopting for: * |
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| Marital Status: * |
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| If Single, do you live alone?: |
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| Do you work?: * |
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| If yes, what hours?: |
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| Occupation?: |
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| Does your spouse work?: |
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| If yes, what hours?: |
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| Occupation?: |
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| Who will be responsible for the pet?: * |
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| Type of home: * |
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| Do you own your home?: * |
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| If no, does your lease allow pets?: |
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| Do you have a private yard?: * |
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| If yes, is it fenced?: |
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| What kind of fence?: |
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| Height of fence: |
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| Where will the pet be kept?: * |
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| Where will the pet sleep?: * |
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| Where will the pet be kept when you are not at home?: * |
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| Do you have other pets?: * |
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| Breed?: |
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| How long have you had it?: |
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| Have you ever had a pet before?: * |
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| Breed?: |
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| What happened to the pet?: |
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| Have you adopted from SFAS before?: * |
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| If yes, Where is this pet now?: |
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| Signature: * |
I have reviewed and accept the terms of the adoption fees and adoption. This application is a part of the adoption agreement. I understand that if the application contains any false of misleading information, SFAS shall be entitled to reclaim the animal and exercise all of its other rights and remedies stated in the adoption agreement. |
| References |
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I authorize St. Francis Animal Sanctuary to verify
my references. |
