Foster-to-Adopt Application

Step 1 of 6

SECTION 1: ABOUT YOU
Name*
First Last
Your Age*
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone*
How would you prefer to be contacted?*
Your Occupation*
Your Employer*
Your hours worked per day*
Please enter a number from 0 to 24.

SECTION 3: ABOUT YOU AND YOUR FAMILY
Do you have a Spouse/partner/roommate?*
Spouse/partner/roommate name*
Spouse/partner/roommate age*
Please enter a number from 1 to 110.
Spouse/partner/roommate Occupation*
Hours worked per day*
Please enter a number from 0 to 24.
How many adults live in your home?*
Please enter a number from 1 to 99.
How many children under age 18 live in your home?*
Please enter a number from 0 to 20.
Children's Ages*

separate with comma
Does anybody in your family work from home?*
Does anybody in the home smoke (including but not limited to cigarettes, cigars, pipes, medical marijuana, e-cigarettes, vaping)*
If yes, please explain.
Do you have changing roommates?*
Are you a US Citizen?*
If not US Citizen, please explain*
Does everybody in the home want to get a pug?*
Is anybody in the home allergic to dogs?*
Do you currently own any dogs?*
Do you own cats?*
If you own cats, how many?*
Please enter a number from 1 to 50.
Are all your pets spayed/neutered?*
If not spayed/neutered, please explain why*
Are your pets current on vaccinations?*
Are your dogs currently on heartworm preventative?*
If not on heartworm preventive, please explain why*
Have you ever owned, or lived with, a pug?*
Do you currently own a pug?*
If you own a pug(s), how many?*
Please enter a number from 1 to 50.
Please list ages and gender of your pug(s), as this will assist us in the matching process*
Do any of them have any physical problems?*
If any have physical problems, please explain*
Do any of them have behavior problems?*
If yes, please explain*
Do you have another breed of dog?*
If you have another breed of dog, what breed(s), and how many of each?*
Please list ages and gender, as this will assist us in the matching process:*
What brand of dog food do you feed your dog(s)?*
After adoption, are you willing to feed a different food?*
Do your dogs have set feeding times or do you leave food out at all times for them ("free feed")?*
Where did you get your animals from?*
If answered "Other" to previous question, please explain:*
Have you adopted from an Arizona Rescue before?*
If yes,which rescue(s)?*
Have you ever had to give up a pet?*
If you had to give up a pet, please explain*
Are you willing to housebreak a new dog if necessary?*
What method will you use?*
Do you often travel away from home?*
Who will take care of your pug when you are out of town?*
If other, please explain*
Are you planning a wedding within the next 3 months?*
Are you expecting a child within the next 6 months?*
Are you planning to move within the next 3 months?*
Do you have reliable transportation?*
Are you able to lift a 25 pound pug?*
After adoption, will you commit to care for the pug for the rest of its life, even if special needs arise?*
After adoption, if for some reason you are unable to continue to care for the pug, do you agree to return the pug to APARN so we can find him/her another home?*
Do you currently have a veterinarian you use for your pets?*
Do you authorize your veterinarian to give APARN a reference?*
Vet name & clinic name*
Vet clinic phone*

SECTION 6: SIGN AND PAY FEE
How did you hear about APARN?*
If answered "Other" to previous question, please explain*
OUR PUGS ARE LOCATED IN FOSTER HOMES THROUGHOUT THE PHOENIX METRO AREA. IF YOU ARE INTERESTED IN A PARTICULAR PUG, YOU MUST BE WILLING TO TRAVEL TO MEET HIM OR HER. WE DO NOT ATTEND EVENTS IN TUCSON, PRESCOTT OR FLAGSTAFF.
Please read the statements below and check the boxes to acknowledge them*
- I have reviewed the answers I have given, and verify that they are accurate.
- I understand that my application will not be reviewed until I have paid my $10 fee.
- I understand that a volunteer will visit me at my home before I am able to foster.
APARN requires that you certify your application by submitting an electronic signature. To certify your application, provide an electronic signature (type your name) in the box(es) below. By clicking the “Submit Application” button below, you are confirming your electronic signature, and you certify that all the information in your application is accurate and true.
Signature of applicant*
Date*
MM slash DD slash YYYY
Signature of spouse/partner/roommate*
Date for Spouse Signature*
MM slash DD slash YYYY
Foster Application Fee*
Price:
Please help us reduce spam by filling the Captcha field below. You will be taken to Paypal to pay the foster application fee when you submit the form, then return to APARN website after payment.
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