Adoption Application

 

This is an online form version best viewed and complete using Microsoft Internet Explorer

 


Please read ALL the information below before completing the application. Dogs often live longer than 15 years and are a lifelong commitment and not just a passing whim. Will you take responsibility for his/her entire life? If you are not totally 100% committed to the lifetime of a pug if approved to adopt from us, please do not apply un you are 100% certain. It is not fair to the pug to be bounced from home to home and be homeless.

 

We are guardian's of the pugs we rescue and must put their well-being first, we hope you understand. NOTICE: Due to the number of applications received: Applications will be kept on file for 30 days only. PRONC's adoption process begins with filling out the adoption application. Once that is done, we take the applications of those most suitable for the available Pug and begin email communication with them. This could be any where from two applicant to 10 applicants, no one is guaranteed adopting a pug by filling out this adoption.

 

We begin reducing the number through email communications, vet reference checks, phone interviews and home checks. We want to be certain that we place the right Pug with the right Forever home! This way we can rest assured it will be a good experience for the pug and human.

 

We cover many different states. We are a volunteer organization and do not have a shelter or paid employees. All of our rescues are in private foster homes and require scheduled appointments with those who help us by fostering our rescued dogs.

 

We are a certified non-profit in the state of North Carolina, and are a publicly supported 501 3 c organization and operate solely on donations and volunteers.

 

We require the approved applicants to travel to the location in which the dog is being fostered with any current dog (s) to meet the potential new family member.

 

We do not ship. The following guidelines have been established to speed up the placement process. To submit an application you need to either request one to be US Postal mailed to you or fill it below (fastest). It is essential that we have a name and phone number of your veterinarian that can verify that your current and/or past pets meet our policy requirements. In order to be considered for one of the animals in our program; it is our policy that your other animals be spayed or neutered, current on all vaccines including rabies, parvo, distemper, and are on heartworm preventative.

 

We do not require fenced in yards in our program unless a certain pug requires it. For your convenience include all questions and comments at the end of the application. The foster parent will contact you after they have reviewed your application. Please remember that we are a volunteer organization. All of our volunteers have full time jobs, families, etc. and use their free time to check emails and get your application processed.

 

If you haven't heard from us within 2 weeks, please check our web site to see if the pug in question has already been adopted or contact us through email admin@pugrescuenc.org

 

 Please contact 336-312-2983 (North Carolina) or 757-240-0815 (Virginia) We appreciate your patience and understanding.

 

Remember: WE rescue pugs regardless of age or health, many come from shelters and pounds that are sick and in bad need of medical attention, some are owner surrenders and strays as well. We provide medical attention to the best of our ability, up date all vaccines, micro chip, spay and neuter each pug, and address any other medical needs which deem necessary to save their life within our budget ""BEFORE" they are ready for adoption. We rarely know any background history about the pugs we rescue or if they are house trained or not.

 

 

Contact Information

First Name

Last Name

Middle Initial

Street Address

Address (cont.)

City

State

Zip/Postal Code

Cell Phone

Home Phone

FAX

E-mail

Are you interested in a particular Pug you saw on our Available Adoptions page? If so, tell us the pugs name. "Please" only list (1) name to begin with. If that pug is no longer available please check back on our website for new updates.?


Do you understand that often times complete history of a rescued pug may not be known, and you may encounter some initial adjustment problems? ?


How far are you willing to travel to adopt? Please note the city and state in which the pug is in foster care.?


Are you and your household including current pets willing to travel to meet your prospective adoptive Pug where it is currently being fostered? NOTE: This must be done to adopt from us. ... ?


Are you willing to house train ... ?


Do you own a pool? If yes, please describe safety precautions taken. ... ?


Are you planning to move within the next 6 months... ?


What do you plan to do with your pug while on vacation ... ?


Do you have a fenced in yard? If not, how will your Pug get exercise and potty time ... ?


Please list all members living in your household, including ages. Number of Adults. Names and Ages of Children.:

Adults     Children
 

Does anyone in your household have allergies?... ?


How much time will you allow your new pet to adjust to it's new home, and environment ... ?


Do you rent or own your home? Describe the type of home you live in. e.i. Brick, Mobile home, etc ... ?


Landlord name, address and phone number and email if available.. Is there a pet deposit? Are dogs allowed  within your lease? ... ?


What veterinarian do you use? list name, address and phone number including area code.... ?


Who will care for your new pet ... ?


Do you breed animals? If so please describe... ?


How many hours per day will your pug be left alone... ?


Have you had previous experience with any social or health issues in a canine? Would you be willing to  work with an adoptive Pug who had any of these issues? ... ?


Please describe characteristics of the Pug you would like: Activity level, age range, male, female, etc. ... ?


Would you require compatibility with: Dogs? Cats? Children? ... ?


Do you mind snores or dog hair? ... ?


Have you ever taken an animal to the shelter? ... ?


Are you willing to adopt a pug with special needs? NOTE:  Special needs range from needing monthly eye drops, medications, physical, or mental handicaps etc Please describe. . . ... ?


Why do you wish to adopt a rescued pug?... ?


What do you know about the Pug breed... ?


What type of pets and how many are in your household currently? Please include a brief description of their temperament. ... ?


Are all current pets vaccinated in accordance with your local animal law requirements ... ?


Are all current pets currently on heartworm prevention? If so, what brand do you use... ?


Are your pets currently spayed or neutered... ?


Where will your pet be housed ... ?


Please provide: name,  postal address, email address and phone number of three references not related or living within your household ... ?


Dogs often live longer than 15 years and are a lifelong commitment. Not just a passing whim. Will you take responsibility for his/her entire life? ... ?


Are you aware of the adoption fee and will that be a problem? Will you be financially able to provide canine maintenance such as monthly Heart worm prevention,

Check-ups, Flea Prevention, Teeth Cleanings, etc. ... ?


Are you currently being considered as a forever home with any other Rescue Organizations ... ?


If chosen to adopt a Pug from PRONC will you be willing to postal mail/email periodic updates on how he/she is doing in your new home? This can even include delightful stories to share with our newsletter readers! ... ?


Note other comments here you would like to share with us... ?

 

Please keep answers short and to the point, too many words in a box with cause this form

to NOT submit.

 

By signing below I certify I am at least 21 years of age.  I understand that adopting a

"Rescue/Shelter" dog there is no guarantee.  I understand and agree that Pug

Rescue of NC has my permission to contact and verify any of the information I provided.


Please identify and describe yourself with year of birth:

Name

Age


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Revised: 12/10/11