German Shorthaired Pointer/German Shorthaired Pointer Mix: An adopted dog in West Memphis, AR

Please copy and paste these questions into a new email and forward them to us HSEA72301@aol.com

Thanks and be patient as we have many applicaitons we receive on a daily basis. We try to get they all answered with 48 hours but sometimes it is later. Applications are reviewed by adoption committee and they are volunteers and sometimes have busy schedules. Please be patient.

Name of Pet You Are Applying For:

1. Your Name:


2. Date of Birth:


3. Spouse


4. Address/City/State/Zip


5. Home Number


6. Work Number


7. Cell Number


8. Email Address


9. Occupation


10. Spouses Occupation


11. Do you Own or Rent Your Home?

Please describe your home environment (apartment, townhouse or house, do you have a pool, do you live in a country...

Please copy and paste these questions into a new email and forward them to us HSEA72301@aol.com

Thanks and be patient as we have many applicaitons we receive on a daily basis. We try to get they all answered with 48 hours but sometimes it is later. Applications are reviewed by adoption committee and they are volunteers and sometimes have busy schedules. Please be patient.

Name of Pet You Are Applying For:

1. Your Name:


2. Date of Birth:


3. Spouse


4. Address/City/State/Zip


5. Home Number


6. Work Number


7. Cell Number


8. Email Address


9. Occupation


10. Spouses Occupation


11. Do you Own or Rent Your Home?

Please describe your home environment (apartment, townhouse or house, do you have a pool, do you live in a country setting or a suburban setting, etc.?).


If you rent, please list the name and phone number of your landlord:
Do you have a pet deposit requirement?

***Your Landlord will be called to prevent our adopting to you then having to take the animal back because you can't have one in your rental property.***


12. Do you have a completely fenced in yard?

Do you have a fenced in Dog Run?

What type of fence do you have (wood/chain)?

How tall is your fence?

If you do not have a fence, how do you plan to confine the pet to your yard?


13. Do you have children at home?
What are their ages?


14. What pets do you currently own?
Please list their names, ages, breed.


15. Please list the pets you have had in the past and explain what happened to them.


16. Who is or was your Veterinarian, including address and phone number:

******(We will be checking with your veterinarian before we call you so this information is critical)*******

Whose name will the veterinarian records be listed under.


17. Are your pets vaccinated?

If not, why?

Are your pets on heartworm prevention?

If yes, what brand?

If no, why not?


18. Have your pets been spayed or neutered?
If no, why not?


19. Are other members of your family aware that you want to adopt an animal?


20. Is anyone in your family allergic to animals?


21. Is the animal going to be a gift for someone?


22. Does your job require that you move often?

If so, what do you plan to do with the animal?


23. How many times a day do/will you feed?
What brand food do/will you feed?


24. Have you adopted an animal before?

If so, where?

Do you still have the animal?

If no, why not?


25. How did you hear about us?
(internet, newspaper, TV, Radio, etc)


26. If you are not interested in a specific animal please let us know what you are looking for so that we can help you out. (size/sex/age/breed)


27. Why are you interested in this animal?


28. Please describe what a typical day and a typical week will be for your new pet.


29. Where will the dog/cat spend most of the day?


30. Where will the dog/cat spend most of the night?


31. How many hours a day will the animal be left alone?


32. How long do you plan to keep this pet?


33. What behaviors would you consider unacceptable in your pet?


34. How would you correct these behaviors?


35. Are you a college student?

What will happen to the animal when you go off to college?


36. If you want to adopt a cat, will you de-claw the animal?


37. Will this animal be primarily a indoor or outdoor pet?


38. Are you prepared for the costs involved in properly caring for a pet (food, treats, toys, grooming, shots, heartworm and flea and tick prevention, etc)?


39. Do you understand that if you adopt a pet from us, you are required to return the pet to us at your own expense if you can no longer keep it?


40. Please list at least 2 references, including name, address, and telephone number--no family members please.


41.Please add any comments you would like to make here that will help us make a good decision for you and for your new companion.


Our adoption process is thorough. Your answers will be reviewed and your veterinarian will be called and personal references will be contacted. We will contact you by phone as quickly as we can, but remember we deal with a high volume of calls, applications and many times we are away from the office picking up new animals to be housed at the shelter.