| Information about you |
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Applicant:
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Co-applicant:
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Mailing Address 1:
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Mailing Address 2:
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City:
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State:
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Zip Code:
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Home Telephone:
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Work/Alternate Telephone:
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Fax:
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E-mail:
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How long have you lived at this address?
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Do you rent or own your home?
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If you rent, please provide the name and telephone number of your landlord:
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Are you allowed to have pets at this address?
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Please provide the names and ages of everyone living in your home:
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Who will be the primary caregiver(s) for the pet(s)?
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Why do you want to adopt a pet?
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Applicant's employer:
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Length of applicant's employment:
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Work Telephone:
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Co-applicant's employer:
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Length of co-applicant's employment:
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Co-Applicant's Work Telephone:
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| About your current pets |
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How many pets do you have?
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How many pets do you have that are altered (spayed or neutered)?
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If you have pets, please tell us about them.(Please include names, species, ages, temperament, etc.)
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If you have one or more veterinarians now, please provide contact information:
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If you have had pets in the past please tell us about them. (Please include names, species, what happened to them, etc.)
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| About the animal(s) you want to adopt |
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What kind of animal are you interested in? (check all that apply).
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Cat
Rabbit
Dog
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Would you consider adopting an older, shy or special needs animal? (check all that apply).
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Older
Shy
Special Needs
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| References |
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Reference one:
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Relationship to reference one:
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Phone number for reference one:
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Reference two:
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Relationship to reference two:
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Phone number for reference two:
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Reference three:
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Relationship to reference three:
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Phone number for reference three:
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How did you find out about Red Door?
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