Applicant Name* Age* Co-Applicant Name Co-Applicant Age Email Address* Preferred Phone Number* Alternate Phone Number When is the best time to call you? Mailing Address* City* State* Zip Code* How long have you lived at this address?* Do you own your home or rent?* Own Rent If you rent, please provide the name and phone number of your landlord Are you allowed to have pets at this address?* Yes No Names & ages of everyone living in your home* Applicant's employer name* Length of employment* Employer Phone Number* Co-Applicant's Employer Length of employment Employer Phone Number How many pets do you currently have?* How many of your current pets are altered (spayed/neutered)?* If you currently have pets, please tell us about them (names, species, age, temperament, etc) Have you had any pets in the past? Please tell us about them and what happened to them:* If you have one or more veterinarians now, please provide contact information:* What kind of animal are you interested in adopting?* Cat Rabbit Dog Who will be the pets primary caregiver?* Why do you want to adopt a pet?* Would you consider adopting an older, shy, or special needs animal? (Check all that apply) Special Needs Shy Older Reference 1 Name:* Relationship to Reference 1:* Reference 1 Phone Number:* Reference 2 Name:* Relationship to Reference 2:* Reference 2 Phone Number:* Reference 3 Name:* Relationship to Reference 3:* Reference 3 Phone Number:* How did you hear about Red Door?* Adopt-A-Pet Petfinder Friend Veterinarian Online Phone Book Another Shelter Newspaper Other Is boiling water hot or cold?* Anti-spam question