Full Name
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First Name
Last Name
How did you hear about Hear No Evil?
Are you adopting a Dog or Cat. Please select
Dog
Cat
Age
E-mail
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Phone Number - Mobile
*
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Area Code
Phone Number
Alternative Contact No.
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Area Code
Phone Number
Drivers Licence #, State of issue and Expiry Date.
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Which dog are you interested in adopting?
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What drew you to this dog?
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Do you have any experience with this breed?
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Do you live in a:
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Please Select
House
Townhouse
Apartment
Duplex
Other
Do you:
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Own
Rent
Live with Parents
Other
Do you have proof of Real Estate/Land Lord permission to have pets?
Yes
No
Do you consent to a property check?
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Yes
No
Have you ever been investigated, or convicted of an animal related offence? (Including Council, RSPCA or other authority)
Household Setting
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Rural
Suburban
Urban
Describe your Homes Activity Level
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Busy/Noisy
Moderate Comings/Goings
Quiet with Occasional Guests
Do you have children living with you?
Yes
No
If yes, please provide ages.
Please indicate your level of dog experience (whether deaf or hearing)
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Have you adopted a rescue before?
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Expect it will take time for your newly adopted dog to get used to the new routines and adapt to their new home. The ‘Rule of Three’ means that you can gauge the time it might take for your dog to fully acclimate to his home in threes: three days, three weeks, and three months.Are you prepared to work with your rescue dog, and understand it could take up to three months for them to settle?
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Do you currently have pets? Please list breed, age whether desexed and vacinated.
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Do you have a fenced yard?
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Yes
No
Partial
What size is your yard?
What height are the fences?
What height are your fences?.
What are the fences made of?
Is there shelter from all weather conditions? Please describe
*
Is there shelter from all weather conditions?
*
Yes
No
Please attach photos of your yard
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You will be asked to send through pictures of your yard later if you can't upload here.
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How many hours in a day would the dog be left alone?
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Where will the dog be when you are not at home?
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What mental enrichment will you provide your dog
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How will you ensure you meet the needs of this dog and their breed?
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Where will the dog be while you are at home?
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Where will the dog sleep?
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Knowing that all HNE dogs are crate trained to provide a safe space for each dog, are you willing to continue this practice? Do you have any experience with crate and mat training?
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This is your time to shine! What else would you like to share with us about you, your home, your family and the kind of life you can provide for a dog.
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Date
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Month
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Day
Year
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Your name
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Signature
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Status
Approved
Declined
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Short-listed
Pre-approved for another dog
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