Contact Information

All fields marked with an * under "Applicant" are required. If you have a Co-Applicant, all fields under "Co-Applicant" are required as well.
 
  Applicant Co-Applicant
First Name*: 
Last Name*: 
Age*: 
(must be over 21)
Street*: 
Apartment Number: 
City*: 
State*: 
Zipcode*: 
Home Phone*: 
Employer*: 
Position*: 
Work/Alternate Phone*: 
Primary Email Address*: 
Relationship to Applicant:   
 
How many adults live in your household?* 
How many children in your household?* 
Ages of children in household*: 

Dog Preferences

All fields marked with an * are required

Have you previously owned a dog?* 
What energy level are you looking for in a greyhound?* 
Do you prefer a male or female?* 
Is shedding a concern?* 
Is noise a concern?* 
Does anyone in your family have allergies?* 

Note: Please come to an event to interact with dogs if you are unsure

Please describe your ideal dog*: 
Do you currently have any other pets?*

Select all that apply
Cats
Dogs (under 30 lbs)
Dogs (30-50 lbs)
Dogs (over 50 lbs)
Other Small Animals
Other

 If Other, please describe:
 

General Information

All fields marked with an * are required

How will your daily life change by adopting a dog?* 
Do you live in*: 
Do you rent or own?* 

Note: If you rent, please verify that your lease allows dogs over 50 lbs. Please be prepared to fax us your lease or a letter of verification from your landlord
Do you have a fenced yard?* 

Note: A fenced yard is not a requirement
Type of fence: 
Height of fence: 
Do you or will you have a dog door?* 
Where would this dog be kept during the day?* 
Where would this dog be kept during the night?* 
Is anyone home during the day?* 
Who is home during day?* 
Who will be responsible for caring for this animal?*
Under what circumstances would you have to give up this animal?* 

Select all that apply 
None
Moving
New Baby
Divorce
Animal Becomes Ill
Behavior
Other

 If Other, please describe
 
Who will care for this animal when you go on vacation?* 
Every dog requires some ongoing training. Are you willing to train a dog to deal with problems such as jumping up, barking, pulling on the leash?* 
How do you feel about Crate Training?* 

Please explain

Would you be interested in taking an obedience class with the dog?* 
Have you ever had a pet die at an early age or due to an accident?* 

If Yes, please explain
How and where will you exercise the animal?* 
How much time is available daily for exercising the dog?* 
Name of your Vet*: 

If you do not yet have a Vet, please enter "None Yet"
Phone # of your Vet: 

Note: We may contact your vet to ensure that your other pets are well cared for.

Pet History

Please enter your current/previous pet history

Pet 1 Breed/Type:
Gender: 
Age: 
Spayed/Neutered?
Status: 
Pet 2 Breed/Type:
Gender: 
Age: 
Spayed/Neutered?
Status: 
Pet 3 Breed/Type:
Gender: 
Age: 
Spayed/Neutered?
Status: 
Pet 4 Breed/Type:
Gender: 
Age: 
Spayed/Neutered?
Status: 
Pet 5 Breed/Type:
Gender: 
Age: 
Spayed/Neutered?
Status: 
Pet 6 Breed/Type:
Gender: 
Age: 
Spayed/Neutered?
Status: 
Is there anything else we should know about you, your pets, or your preferences?

References

Please list the names and telephone numbers of 3 references not living with you.

 
Reference 1*
Reference 2*
Reference 3*
Name*: 
Phone*: 
Can be reached*: 
How did you hear about Richmond GPA?*

If Other, please describe

Are you interested in volunteering with Richmond GPA in the future?*