Carolina Poodle Rescue - Adoption Application

Thank you for your interest in adopting a rescued dog! Once your application has been received and approved, we will do everything in our power to assist you in adopting a companion that will be an excellent fit for your family and truly your forever dog. Please be careful to answer each question fully as we cannot process your application otherwise.

Please note:
1. We do not adopt our pets to homes where children under 5 years old live. It is for the safety of the child and the pet. You can find detailed information about why we have this policy on our webpage: Why We Don't Adopt to Families with Young Children.

2. If you would like to adopt a standard poodle but do not have a physical fence (underground or electronic fences are not considered sufficient, please review our criteria for this.

If you prefer, you can open and/or download this application as a Word document: MS Word version - Adoption Application.
After you have completed it, please email it as an attachment to applications@carolinapoodlerescue.org.



* Denotes required fields

Part 1. Applicant Contact Information:

Applicant's Name: *
Residential Street Address: *
City, State, Zip: *
County: *
Email Address (Please type carefully!): *
Home Phone: *
Cell Phone:
Work Phone: (For emergencies only):
Place of employment:

Part 2. Type of dog desired

Why do you want to adopt a dog?*
What variety/size of dog? (Poodles come in Toy, Mini,
and Standard varieties. Also we often have non-Poodles available.) 		Standard (Large)
Mini (Medium)
Toy (Small)
Non-poodle
Not sure yet / Open
If there is a specific dog that you want, what is its name?

If you are interested in a specific dog but that dog has already been adopted,
would you consider another?

Yes
No
Maybe
What age dog are you interested in adopting?  

 

 

Are you flexible in your age requirements?

 Puppy
Adult
Senior
Not sure yet / Open

Yes
No

Do you prefer a male or female?

 

If your sex preference isn't available, are you willing to adopt the opposite sex?

Male
Female
Either

Yes
No
Not sure

Part 3. Pet Ownership Experience

7. Current Pets - What pets live in your home now? Please list ALL of your CURRENT pets:

If you have no pets currently, please check the
appropriate box then move on to the next section.		 I have no pets right now.
I had pets previously, but don't have any right now.

If you have selected one of the above, click here to move to the next section.

Pet #1
CURRENT PET #1 INFORMATION:
Pet 1 Name
Breed: Poodle
Other breed:
Size/weight: Small (under 15 lbs)
Medium (15 -35 lbs)
Large (over 35 lbs)
Age: Puppy
Adult
Senior
Sex: Female
Male
Please check one: Spayed
Neutered
Not altered

If not altered - can you tell us why?

How did you get this pet?
(Ie: Pet store, Breeder, Rescue, Shelter, Friend, Etc.)
How this pet will get along with a new dog?
Do you anticipate any problems?		 Will get along fine
May need some time to adjust
Other:
Describe where this pet lives and spends most of its time: Indoors
Outdoors
Kennel / Run
Other:

Pet #2
CURRENT PET #2 INFORMATION:
Pet 2 Name
Breed: Poodle
Other breed:
Size/weight: Small (under 15 lbs)
Medium (15 -35 lbs)
Large (over 35 lbs)
Age: Puppy
Adult
Senior
Sex: Female
Male
Please check one: Spayed
Neutered
Not altered

If not altered - can you tell us why?

How did you get this pet?
(Ie: Pet store, Breeder, Rescue, Shelter, Friend, Etc.)
How this pet will get along with a new dog?
Do you anticipate any problems?		 Will get along fine
May need some time to adjust
Other:
Describe where this pet lives and spends most of its time: Indoors
Outdoors
Kennel / Run
Other:

Pet #3
CURRENT PET #3 INFORMATION:
Pet 3 Name
Breed: Poodle
Other breed:
Size/weight: Small (under 15 lbs)
Medium (15 -35 lbs)
Large (over 35 lbs)
Age: Puppy
Adult
Senior
Sex: Female
Male
Please check one: Spayed
Neutered
Not altered

If not altered - can you tell us why?

How did you get this pet?
(Ie: Pet store, Breeder, Rescue, Shelter, Friend, Etc.)
How this pet will get along with a new dog?
Do you anticipate any problems?		 Will get along fine
May need some time to adjust
Other:
Describe where this pet lives and spends most of its time: Indoors
Outdoors
Kennel / Run
Other:

Do you currently have more pets than the ones described above? Yes
No
Is there anything else you like us to know about your current pets?

9. Previous Pets

If you have had previous (not current) pets before, please complete the information below.
You do not need to list pets that your family owned when you were a child.

If you had no previous pets, please check the
appropriate box then move on to the next section.		 I have had no previous pets.
If you have selected the above, click here to move to the next section.

Pet #1
Previous Pet #1 Information
Previous Pet 1 Name:
Breed: Poodle
Other breed:
Size/weight: Small (under 15 lbs)
Medium (15 -35 lbs)
Large (over 35 lbs)
Was this pet spayed or neutered? Yes
No
I don't know
Age at death: Puppy
Adult
Senior
Cause of death?

Approximate date of death?

Pet #2
Previous Pet #2 Information
Previous Pet 2 Name:
Breed: Poodle
Other breed:
Size/weight: Small (under 15 lbs)
Medium (15 -35 lbs)
Large (over 35 lbs)
Was this pet spayed or neutered? Yes
No
I don't know
Age at death: Puppy
Adult
Senior
Cause of death?

Approximate date of death?

Pet #3
Previous Pet #3 Information
Previous Pet 1 Name:
Breed: Poodle
Other breed:
Size/weight: Small (under 15 lbs)
Medium (15 -35 lbs)
Large (over 35 lbs)
Was this pet spayed or neutered? Yes
No
I don't know
Age at death: Puppy
Adult
Senior
Cause of death?

Approximate date of death?

Do you have additional previous pets that are not listed above? Yes
No

Part 4. You, Your Home and Family

Have any of your pets had special needs? No
Yes - please describe:
What do you feed your current dog(s)?
For whom are you adopting this dog? Myself
Spouse
Children
Other:
If you are adopting this dog for another person, have you told them? No
If yes, please describe their reaction:
How familiar are you with a poodle's grooming requirements (time and cost)? Very, I've had poodles before
Somewhat
Not very
I'm not adopting a poodle
Please provide the name and phone number of your groomer:
A dog may live for 10 - 18 years, or even longer. Are you committed to caring for it that long? Yes
No
Maybe / Not sure
Who will be the dog's primary caretaker? Myself
Someone else:
Please describe your typical day:
Have you ever volunteered with or applied to adopt from a rescue group? Yes
No
Some rescue dogs may have behavioral problems due to their previous situations.
Are you willing to attend obedience and other types of classes in order to train the dog?		 Yes
No
Maybe / Not sure
Please describe your family and lifestyle.
Include the ages of all children living in or visiting in the home on a regular basis:
Does everyone in your family want to adopt a dog? Yes
No
Maybe / Not sure
Please describe your home Single family home
Apartment
Condo / Townhouse
Other:
If renting, does your lease allow pets? Not applicable. We own our home
If renting, please provide your landlord's name, phone number and/or email address:
Do you have a physically fenced yard?
Please note: We do not adopt Standard Poodles to homes that do not have physical fences (underground or electronic fences are not considered sufficient).		 No physical fence
Chain link
Vinyl privacy
Wood privacy
Picket or other wood
Underground or electronic
Invisible
Other type of fence:

If you have a fenced yard, please describe height and the approximate size:
Height:
Less than 3 feet
3 feet
4 feet
6 feet
More than 6 feet

Approximate size (i.e. 100x60 feet):

Do you have a Doggie Door?

 

 

No
Yes
Do you have a pool?

 

 

No
Yes

If you have a pool, is it enclosed in a separate fenced area?
No
Yes

Please describe the lifestyle you envision for your new dog:
How many hours per day will the dog be without human supervision each day? 0 to 3
4 to 7
8 to 12
Other:
Where will the dog stay when he/she is home alone? Crate
Inside house
Outside
Other:
If you work, can you come home for or arrange for a mid-day potty break? Yes
No
Maybe / Sometimes
What arrangements will be made for the dog when you travel?
How do you expect the dog to behave in your home? In public?
What are your goals and expectations for the new dog? Companion
Agility competitor
Therapy dog
Other:
Please describe how you would teach your dog a new behavior or trick:
Under what circumstances would you return a dog to Carolina Poodle Rescue? Couldn't be housetrained
Aggression
Move to a new home or city
If I die or become disabled
Other:

Part 5. References and Such

Our contract with adopters specifies that the dog will be returned to Carolina Poodle Rescue
if you can't take care of it for any reason. We will ask that you maintain the dog in your home until a
new placement can be found. Will you agree to this requirement? 		Yes
No
A home inspection visit is part of our screening process.
Are you willing to have a Carolina Poodle Rescue volunteer visit in your home? 		Yes
No
Are you willing to travel to Dreamweaver Farms in Pacolet SC (about 30 min east of Spartanburg)
to meet your new dog?		 Yes
No
Are you ready to adopt your new pet now? Yes
If not, when do you want to bring your new pet home?
Carolina Poodle Rescue requires at least two character references. These should NOT be family members.
They should be pet owners themselves and should have some knowledge of how you interact around animals.

Please list these references along with phone numbers (include the area codes) and email addresses.

Please tell your references that a CPR volunteer will be contacting them. We cannot process your application if
your references do not respond to our calls and/or emails.
Reference #1 Name:
Phone:
Email:
How do you know this person?

 
Reference #2 Name:
Phone:
Email:
How do you know this person?

If you have current or previous pets, CPR requires a veterinary reference.

Please list the name, full address and phone number (with area code) of your veterinarian.

If you have used more than one veterinarian, specify which pet(s) is a client with each specific
veterinarian. List all veterinarians involved in the care of each pet and include the approximate
date range during which care was provided.

If this dog is not for the applicant, please also provide the name and address of the person on
whose behalf you are applying; we must have the name so that the appropriate account can be
found.

PLEASE TELL YOUR VET THAT A CPR VOLUNTEER WILL BE CALLING THEM.

I have no vet.

Veterinarian Name and Address:
Veterinarian Phone Number:

Do you have any questions?
Please give three good days/times to contact you by phone, and a phone number to use: Time to call #1:
Time to call #2:
Time to call #3:

Phone number to contact you:

May we have your permission to cross post to other poodle rescue groups? Yes
No
How did you learn about Carolina Poodle Rescue (CPR)? Carolina Poodle Rescue Website
Adopt-A-Pet
Pets911
Petfinder
Friend
Other:
May we add you to our mailing list? (This will only be used for CPR information,
such as our newsletters and special events. You may unsubscribe at any time.)		 Yes
No

Completed By (your name):
Email Address: (please type carefully, as this will be how we contact you!)
Date:

When you submit this form, a copy of it will also be sent to the email address you have provided on the application.

If you experience problems with this form, you can download our application: MS Word version. After completing it, please email it to applications@carolinapoodlerescue.org

 

Please read the information below. It describes our screening process and tells what you can expect as we review your application.

Carolina Poodle Rescue is as much sanctuary as shelter, and our animals are only placed when we are as sure as we can be that the new home is the last and permanent home for this pet. In addition, our research shows that animals and homes that are thoroughly screened and matched make better permanent relationships between the pet and the family.

Carolina Poodle Rescue is staffed by experienced volunteers who are also dog owners. Our dogs are maintained at Dreamweaver Farm (our main location) or at foster homes until a suitable permanent home can be found. We know our dogs very well. Unlike most shelters, we have an excellent success rate with our adoptions. Fewer than two percent of our placements are returned due to incompatibility. This is a tribute to our diligence in screening potential homes as well as the skill of our volunteers. Though you may apply for a particular dog, please allow our adoption counselors to advise and guide you in the selection of your next companion.

Our adoption process is extensive. Your answers will be reviewed and your references will be contacted. Should we not receive a positive report, you will be contacted by email and given the opportunity to correct the information we have been given. Once references are approved, you will be contacted by phone for an extensive interview. If that step is approved, you will be visited in your home by a CPR rescue volunteer. In addition, we retain the right to conduct follow up visits at one week, one month, six months and annually.

We retain the right to refuse any adoption.

CPR charges adoption fees that vary with each dog. Adoption fees are posted along with the description of each animal.

Rescue and rehabilitation efforts are funded solely through adoption fees and donations. We receive no public funds.

We do not euthanize. Once an animal has been accepted into CPR, it will be cared for throughout its natural life and it is always welcome to return here. In fact, our contract requires that you return the dog to CPR if you can no longer care for him or her, no matter what the reason.

Thank you for applying to adopt a rescue dog. We look forward to working with you.

You will hear from us within 24 hours of submitting your application. If you do not receive an email within 24 hours, please email us at applications@carolinapoodlerescue.org to check on the status of your application.

Carolina Poodle Rescue
Pacolet, South Carolina
www.carolinapoodlerescue.org
Email: applications@carolinapoodlerescue.org

(Application updated March 2011)