I like dogs that are:
The breeds or mixes I like best are:
Please describe the temperament and activity level you are looking
for in a dog. Check all that apply.
When it comes to relating to dogs, I tend to be more:
strict, demanding, a real leader (the dog
must sit for a cookie), or
lenient, a little wishy-washy, easily coerced
by the dog (the dog looks cute so she/he gets the cookie without performing
Someone in my home is nervous or unsure of dogs:
very (e.g. bitten as a child)
some (no experience with dogs)
About Me and My Household
I share my home with ___ adults and ___ children.
Ages of children:
I have children that visit or live next door.
I have ___ indoor cat(s), ___ in/out cat(s), ___ dog(s), and these
other pets and livestock:
The noise/activity level in my home is usually
When it comes to keeping a clean and tidy house I am
I need a dog that will tolerate being alone ___ hours/day
I'd enjoy brushing or grooming my dog:
I would enjoy taking my dog in the car:
I prefer a dog whose energy level is:
I prefer a dog that:
will enjoy walking with me on a leash
will enjoy walking with me on or off the leash
will run, jog, or hike with me
will exercise him/herself in our yard
required only enough exercise to do his/her
will enjoy living outside
My ideal dog would:
Bad doggie habits that I just can't tolerate are:
It may take a new pet up to 2 months to adjust to a new home.
Are you willing to devote this time?
Please tell us anything else you would like us to know about you
or the dog you're looking for.
Please check any areas you would like to discuss with an adoption
How will you handle the following?
Where will you keep your dog during the day, at night, or when you're
If you have to move?
How will you care for your pet when you're on vacation or business
How will you handle bad habits such as marking, jumping up, nipping,
barking, chewing, digging?
Please list two personal references:
I certify that the information I have given is true, and I authorize
CVHS to contact veterinarians, landlords, and references to investigate
statements in this application, and to do follow-up property checks.
Follow up: (CVHS USE ONLY)