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We participate on GuideStar, the on-line standard for nonprofit accountability.
Take a look at our listing.
MILITARY
WORKING DOG (MWD) ADOPTION APPLICATION
Thank you for considering the adoption of
a MWD. Please take a few moments to carefully read and complete this application. The decision to adopt a MWD is one that must be taken seriously. In order to insure that you and the MWD will be happy and safe for years to come, we need to take time
to discuss your and the animals individual needs and personality traits. Before
you begin your interview please note:
· You must have two forms of Identification
· You must provide the name and telephone number of two personal references we can reach on the phone during the interview
process
· We will need to speak to all adults currently residing in your household
PERSONAL DATA
|
Name (Last Name, First Name, MI) |
Spouse Name (Last Name, First Name,
MI) |
|
Home Address |
Apt |
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City |
State |
Zip Code |
Home Phone
(
) |
|
( ) Working (
) Retired ( ) Attending school
( ) Homemaker
( ) Other |
|
Employer’s Name |
Work Phone
(
) |
Spouse Employer’s Name |
Work Phone
(
) |
|
Address |
Working Hours |
Address |
Working Hours |
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e-mail Address |
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HOUSEHOLD INFORMATION
( ) Yes
( ) No
If you answered yes, list below the other members of the household |
|
Name |
Employer’s Name |
Address |
|
Working Hours |
|
1. |
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|
(
) |
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2. |
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|
(
) |
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3. |
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(
) |
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Who will be caretaker for the pet?
( ) Self ( ) Spouse
( ) Children ( ) Roommate |
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How many children are at home? |
List ages here: |
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Do you:
( ) Own ( ) Rent |
Does your landlord/lease or co-op allow pets?
( ) Yes ( ) No |
Do you have screens on your windows?
( ) Yes ( ) No |
|
Where will your pet be kept primarily?
( ) Inside ( ) Outside |
Are you moving?
( )
Yes ( ) No If yes, when? |
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Are any members of your household allergic to pets?
( ) Yes ( ) No |
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PET INFORMATION
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Type of pet |
Age |
Spayed/Neutered |
Years Owned? |
Do you still have this pet? If
not, where is it? |
|
1. |
|
( ) Yes ( ) No |
|
( ) Yes ( ) No |
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2. |
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( ) Yes ( ) No |
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3. |
|
( ) Yes ( ) No |
|
( ) Yes ( ) No |
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4. |
|
( ) Yes ( ) No |
|
( ) Yes ( ) No |
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If there are pets living with you, have they been vaccinated?
( ) Yes ( ) No
If yes, when? |
|
Veterinarian’s Name |
Address |
Phone
(
) |
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PHONE REFERENCES (Not
living with you, but can be reached by telephone during interview)
|
Reference Name |
Address |
City, State, Zip code |
Phone |
|
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|
(
) |
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|
(
) |
The above information is true to the best
of my knowledge
___________________________________ ______________________
Signature of Adopter
Date
Remember these dogs are free of charge, but you are responsible for transporting the dog to your city. You may fax all
paperwork to me at 210-671-3402 and if you require additional information you may call me on our toll free line - 1-800-531-1066.
After receipt of this paperwork, I will keep your application on file, but I do request
that you call me periodically to let me know that you are still interested in adopting
one of our dogs.
Thank you for your interest in our program.
Barbara Stadts
Status Control
341st. Training Squadron
1230 Knight Street
Lackland AFB, Texas 78236-5151
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