MWD Adoption Application
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The United States War Dogs Association

                                             
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    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

     

    City

    State

    Zip Code

    Home Phone

    (          )

    Are You

              (   ) Working         (   ) Retired        (   ) Attending school        (   ) Homemaker        (   ) Other

    Employer’s Name

    Work Phone

    (          )

    Spouse Employer’s Name

    Work Phone

    (          )

    Address

    Working Hours

    Address

    Working Hours

    e-mail Address

     

    HOUSEHOLD INFORMATION

    Are there any other adults living in the household?                                      

              (   ) Yes        (   ) No       If you answered yes, list below the other members of the household

    Name

    Employer’s Name

    Address

    Work Phone

    Working Hours

    1.

     

     

     

    (          )

     

    2.

     

     

     

    (          )

     

    3.

     

     

     

    (          )

     

    Maximum number of hours MWD will be left alone daily?

    Who will be caretaker for the pet?

    (   ) Self   (   ) Spouse   (   ) Children   (   ) Roommate

    How many children are at home?

    List ages here:

     

     

     

     

     

     

    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?

    Are any members of your household allergic to pets?

    (   ) Yes   (   ) No

     

    PET INFORMATION

    List below any pets you have owned in the past 5 years:

    Type of pet

    Age

    Spayed/Neutered

    Years Owned?

    Do you still have this pet?  If not, where is it?

    1.

     

     

    (   )  Yes (   )  No

     

     

    (   )  Yes (   )  No

    2.

     

     

    (   )  Yes (   )  No

     

     

    (   )  Yes (   )  No

    3.

     

     

    (   )  Yes (   )  No

     

     

    (   )  Yes (   )  No

    4.

     

     

    (   )  Yes (   )  No

     

     

    (   )  Yes (   )  No

    If there are pets living with you, have they been vaccinated?

    (   ) Yes   (   ) No          If yes, when?

    Veterinarian’s Name

    Address

    Phone

    (          )

     

    PHONE REFERENCES (Not living with you, but can be reached by telephone during interview)

    Reference Name

    Address

    City, State, Zip code

    Phone

     

     

     

    (          )

     

     

     

    (          )

     

     

     

    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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