Adoption Application HUMANE SOCIETY OF UNION COUNTY ADOPTION APPLICATION This Questionnaire will help you think about how a rescued pet might impact your life. A pet is a commitment of 10-20+ years; please give pet ownership serious consideration before deciding to welcome any animal into your home. Incomplete applications will not be considered.I have read the above statement *YesToday's Date *ADOPTION PET INFORMATIONAre you interested in a cat or dog?CatDogName of cat or dog?YOUR INFORMATIONYour Name *Street Address *Apartment, suite, etcCityStateZIP / Postal Code(No PO Boxes)Contact Phone *Email *Age *Are you a Veteran?YesEmployment *Employed Full TimeEmployed Part TimeSelf-EmployedNon EmployedHomemakerRetiredStudentName of EmployerMarital StatusMarriedSingleDivorced/WidowedSPOUSE OR SIGNIFICANT OTHER'S INFORMATIONName of Spouse or Significant OtherAge of spouse/significant other (if applicable)Employment status of spouse/significant otherEmployed Full TimeEmployed Part TimeSelf-EmployedNon EmployedHomemakerRetiredStudentName of EmployerLIVING SITUATIONPlease list any children who live in your home and their ages(if applicable)Does anyone else live in your home? *YesNoNames and ages of anyone else living in your homeDoes anyone in your home suffer from allergies/asthma *YesNoWhat best describes your living situationOwn your homeOwn condo/townhomeRent your homeRent condo/townhomeHow long have you lived at this addressIf less than 2 years, list previous addresses and landlordsDo you have a fully fenced yard *YesNoOn a typical day, how long will your pet be alone *Fewer than 4 hours4 - 6 hoursMore than 8 hoursWhat do you expect the monthly expenses will be for your new pet *$50 or less$50 - $100More than $100Who will be the pet's primary caretaker *Where will you keep your pet during the day *Where will your pet sleep at night *What is your plan for training your pet *HISTORY OF PET OWNERSHIPHave you ever taken a pet to a shelter, sold a pet, or found a new home for a pet *YesNoIf yes, please explainHave you ever owned a pet *YesNoDo you currently own any pets *YesNoIf yes, please provide us with the following information for each dog/cat: Breed/Size, Age, Male or Female, Indoor/Outdoor/Both, Spayed or Neutered? Current on heartworm prevention? Friendly to other dogs, cats, people?Please list any pets that have died in the last 5 years and cause of deathVETERINARY INFORMATION If you do not currently see a veterinarian, please give us the practice you plan to use when you adopt. Please notify your veterinarian's office that the Humane Society of Union County will be in contact with them to release information.Clinic Name *Clinic Phone *Veterinarian's NamePERSONAL REFERENCES Name and contact numbers for personal references not related to youName (reference #1) *Phone (reference #1) *Name (reference #2) *Phone (reference #2) *OTHERAny additional comments or questions you would like to share with our adoption teamPlease upload your current vet records.Drag and Drop (or) Choose FilesSend Message THE HUMANE SOCIETY OF UNION COUNTY 704-283-9126 HSUCinfo@gmail.com Mail: PO BOX 101, Monroe NC 28111 FollowFollowFollow MONROE LOW COST SPAY/NEUTER CLINIC 704-292-7729 Monroespayneuter@gmail.com FAX: 704-292-1007 Hours & Appointments - Click Here 4015 Waxhaw Hwy (Hwy 75), Monroe, NC 28112 Join Our Newsletter