Ellie’s Legacy Animal Foundation Adoption Application Requirements for Adoption: -You must be 21 years of age or older with 3 years of employment history. -You must be willing and able to provide proper daily care, exercise, and veterinary medical care to this animal. -All pets in your household must be spayed and neutered and up to date on routine vaccinations and heartworm and flea/tick preventative unless there is a medical reason for not doing so. We are so happy that you have decided to adopt a dog! Thank you for taking the time to fill out this application. We know we ask a lot of questions, but we are fully committed to making sure that we place our dogs in the most appropriate and loving homes possible. Step 1 of 8 12% Applicant InformationName* First Last Phone*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Drivers License #*State*How did you hear about us?*FacebookWord of MouthRadioOther AdoptingWhat dog are you interested in?*Why are you interested in this dog in particular?* Employment VerificationEmployer Name*Position*Contact Name*Contact Phone Number* Household InformationAre there children in your household?*YesNoList all people living in your home:*Name, Age & Relationship (Please type N/A if there are no other occupants.)Will you be the primary person responsible for Daily Care?YesNoName the person/people responsible for Daily Care:*Will you be the primary person responsible for Veterinary Care?*YesNoName the person/people responsible for Veterinary Care:*Will you be the primary person responsible Financially?*YesNoName the person/people responsible Financially:*Are all members of your household aware that you would like to adopt a dog?*YesNoIs any member of your household allergic to dogs?*YesNoIf so, how are these allergies managed?*Length of time at current residence:*Type of Residence*CondoApartmentHouseMobile HomeDo you own your own home?*YesNoDo you rent or are you bound by any condo/home-owner association restrictions, do you have permission to adopt an animal?*YesNoPlease provide the name and contact info of landlord or association contact person:*Our adoption process involves a home visit. Are you willing to allow us to visit your home prior to adopting the dog?*YesNoBy appointment, of course!Do you have a yard?*YesNoIs it fenced?*YesNoPlease describe fence type and height:*How do you plan to keep the dog from wandering when outside or provide it with bathroom breaks and exercise?****Please note that we highly discourage the use of electric fencing for dogs, and are happy to discuss further if you have questions.**** Where will you keep the dog when you are home?*Where will you keep the dog when you are not home?*Where will the dog sleep?*If the dog will spend more than 6 hours alone per day how do you plan on providing bathroom breaks for him/her?*How much exercise do you plan to give this dog per week and how frequently?*How will you provide care for your dog when you are away on vacation or out of town?*If you move, will you take this animal with you?*YesNoAre you willing to keep this pet for the rest of his/her life?*YesNo Pet HistoryHave you had pets in the past?*YesNoPlease list any pets you have had in the past (names, ages, species, breeds, gender and what happened to them)* Pet CareDo you currently have any pets?*YesNoPlease list any current pets (names, ages, species, breed, and gender)*How will you keep your current pets separate from your new pet during the introductory and quarantine period?*Do you have any concerns introducing a new dog?*Are all your current pets spayed/neutered?*YesNoAre they up to date on routine vaccinations?*YesNoDo you routinely give heartworm and flea/tick preventative?*YesNoPlease list the products you use:*Do you have a current relationship with a veterinarian?*YesNoPlease list his/her name, practice name, and their contact info.* Calling your veterinarian for a reference check is part of our adoption process. How do you plan to care for your pet if she/he should have special medical needs now or in the future? How would you handle an emergency medical situation?*Have you ever had a pet euthanized?*YesNoHave you ever surrendered a pet to a shelter or rescue, or given a pet away?*YesNoWhat lead to this decision?*Have you adopted a pet before?*YesNoFrom what rescue? Tell us about your adopted pet:*Have you ever applied to adopt a pet from rescue or shelter and your application has been declined?*YesNoWhat was the reason?*What would you do if your pet developed unwanted behaviors?*Would you be willing to work with a dog trainer?*YesNo ReferencesPlease provide three references who are not related to you.Name* First Last Email* Phone*Relationship*How long have you known them?*2nd ReferenceName* First Last Email* Phone*Relationship*How long have you known them?*3rd ReferenceName* First Last Email* Phone*Relationship*How long have you known them?* Application AgreementsI have read and agree to the following:* I certify that all the information I have provided and the answers to the above questions are true and that any false or misleading information that I have provided may lead to nullification or denial of adoption. ELAF reserves the right to deny adoption to anyone, and no animal will be adopted to prospective owners who mislead or fail to provide accurate information on our adoption paperwork.I understand that the application is not complete until signed. Once submitting the form you will be redirected to terms and eSignature. Thank you! CAPTCHA Ellie’s Legacy Animal Foundation Adoption Application Requirements for Adoption: -You must be 21 years of age or older with 3 years of employment history. -You must be willing and able to provide proper daily care, exercise, and veterinary medical care to this animal. -All pets in your household must be spayed and neutered and up to date on routine vaccinations and heartworm and flea/tick preventative unless there is a medical reason for not doing so. We are so happy that you have decided to adopt a dog! Thank you for taking the time to fill out this application. We know we ask a lot of questions, but we are fully committed to making sure that we place our dogs in the most appropriate and loving homes possible. Step 1 of 8 12% Applicant InformationName* First Last Phone*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Drivers License #*State*How did you hear about us?*FacebookWord of MouthRadioOther AdoptingWhat dog are you interested in?*Why are you interested in this dog in particular?* Employment VerificationEmployer Name*Position*Contact Name*Contact Phone Number* Household InformationAre there children in your household?*YesNoList all people living in your home:*Name, Age & Relationship (Please type N/A if there are no other occupants.)Will you be the primary person responsible for Daily Care?YesNoName the person/people responsible for Daily Care:*Will you be the primary person responsible for Veterinary Care?*YesNoName the person/people responsible for Veterinary Care:*Will you be the primary person responsible Financially?*YesNoName the person/people responsible Financially:*Are all members of your household aware that you would like to adopt a dog?*YesNoIs any member of your household allergic to dogs?*YesNoIf so, how are these allergies managed?*Length of time at current residence:*Type of Residence*CondoApartmentHouseMobile HomeDo you own your own home?*YesNoDo you rent or are you bound by any condo/home-owner association restrictions, do you have permission to adopt an animal?*YesNoPlease provide the name and contact info of landlord or association contact person:*Our adoption process involves a home visit. Are you willing to allow us to visit your home prior to adopting the dog?*YesNoBy appointment, of course!Do you have a yard?*YesNoIs it fenced?*YesNoPlease describe fence type and height:*How do you plan to keep the dog from wandering when outside or provide it with bathroom breaks and exercise?****Please note that we highly discourage the use of electric fencing for dogs, and are happy to discuss further if you have questions.**** Where will you keep the dog when you are home?*Where will you keep the dog when you are not home?*Where will the dog sleep?*If the dog will spend more than 6 hours alone per day how do you plan on providing bathroom breaks for him/her?*How much exercise do you plan to give this dog per week and how frequently?*How will you provide care for your dog when you are away on vacation or out of town?*If you move, will you take this animal with you?*YesNoAre you willing to keep this pet for the rest of his/her life?*YesNo Pet HistoryHave you had pets in the past?*YesNoPlease list any pets you have had in the past (names, ages, species, breeds, gender and what happened to them)* Pet CareDo you currently have any pets?*YesNoPlease list any current pets (names, ages, species, breed, and gender)*How will you keep your current pets separate from your new pet during the introductory and quarantine period?*Do you have any concerns introducing a new dog?*Are all your current pets spayed/neutered?*YesNoAre they up to date on routine vaccinations?*YesNoDo you routinely give heartworm and flea/tick preventative?*YesNoPlease list the products you use:*Do you have a current relationship with a veterinarian?*YesNoPlease list his/her name, practice name, and their contact info.* Calling your veterinarian for a reference check is part of our adoption process. How do you plan to care for your pet if she/he should have special medical needs now or in the future? How would you handle an emergency medical situation?*Have you ever had a pet euthanized?*YesNoHave you ever surrendered a pet to a shelter or rescue, or given a pet away?*YesNoWhat lead to this decision?*Have you adopted a pet before?*YesNoFrom what rescue? Tell us about your adopted pet:*Have you ever applied to adopt a pet from rescue or shelter and your application has been declined?*YesNoWhat was the reason?*What would you do if your pet developed unwanted behaviors?*Would you be willing to work with a dog trainer?*YesNo ReferencesPlease provide three references who are not related to you.Name* First Last Email* Phone*Relationship*How long have you known them?*2nd ReferenceName* First Last Email* Phone*Relationship*How long have you known them?*3rd ReferenceName* First Last Email* Phone*Relationship*How long have you known them?* Application AgreementsI have read and agree to the following:* I certify that all the information I have provided and the answers to the above questions are true and that any false or misleading information that I have provided may lead to nullification or denial of adoption. ELAF reserves the right to deny adoption to anyone, and no animal will be adopted to prospective owners who mislead or fail to provide accurate information on our adoption paperwork.I understand that the application is not complete until signed. Once submitting the form you will be redirected to terms and eSignature. Thank you! CAPTCHA
