First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone*
Work Phone x
Cell Phone
Alt Email
Text/Pager Email
Please read the following before proceeding with the application, and initial that you understand the process. This first step in adopting a Diamond Sweetheart is to fill out this application. Once you submit your application, we have dedicated volunteers who will screen your application and more than likely reach out to you. The second step is a home visit. A volunteer will come to your home and verify that we can rest assured it will be a safe place for one of our Diamonds to call forever. This step is crucial in ensuring the safety of our dogs or cats and helps us to learn a little more about you so we know we are placing the right dog to your home environment. The third step is for you to meet our Diamond. This will not happen during the home visit. This comes after the home visit has occurred. The foster who has the Diamond you are interested in will reach out to you and schedule a meet & greet. If you have any questions, please let the adoption volunteer know when they call you. Any concerns specific to the Diamond you are interested in can more than likely be addressed by the foster, who knows the Diamond you are interested in best. *
Why are you interested in adopting a pet at this time*
Which animal are you interested in Choose an animal: AĆfe Blu Bruno Buddy 2 Bugsy Buzz Charlie Cole Desiree Hailey Josie Maddie Maggie (Meg) Milo Oscar Penny Perry Rocky (the Brindle) Scooby Selena Tiny Wally Zena
What diamond dog are you interested in if not listed in the drop down menu?
Please list the number of people residing in your household, along with their ages. Who in the home will mostly be responsible for the pet? If children reside in the home, at what age do you feel they are responsible to take care of a dog without assistance (ie, walk, feed)?*
Type of Dwelling you reside in? (ie, home, apartment, mobile home, manufactured home, etc)*
Do you rent or own your home?*
If you rent, does your landlord allow a dog? Is there a weight limit? Is there a breed restriction?*
Your landlords name, and telephone number (we will contact your landlord to ensure said animal will be allowed and as a reference)*
Do you work full time (8 hours) or part time? Please list the name of your employer?*
Is anyone in your home allergic to cats/dogs?*
How much time will your dog spend outside?*
Is your yard fenced in? Type of fence (ie, invisible, chain link, stockade)? Height of fence?*
Where will your pet sleep at night? (be specific)*
When you are not at home, where will your pet remain during that time?*
When you are home, where will your pet be?*
How many hours during the day will your pet be alone?*
Do you have a pool? Is there a fence around it? If not, what will you do to ensure your dog's safety around the pool?*
Do you share your yard with other neighbors/tenants?*
If your pet "got loose" what actions would you take to get them back? *
What kind of food would you feed your pet (canned, dry, mix) and how often? What brand?*
How many times a day will you feed your dog?*
Do you plan to use preventatives, such as for flea, and heartworm? If yes, what brand(s)?*
Under what circumstances would you feel the need to return the pet to DITR?*
Have you given up a pet in the past? If so, why? (be specfic) Where did the animal go? (be specific)*
Do you understand that not all dogs are housebroken?*
What methods would you use to housebreak your dog?*
If your pet needed acute medical attention for an illness or emergency care, are you prepared to handle the unexpected expenses?*
If your pet becomes destructive, what would you to correct this behavior?*
Do you have other animals in the house? Please list type of pet, breed, age, sex and how long you have had said animal(s). Are your current animals up to date on vaccinations and routine care? Are they spayed/neutered? If no, why not?*
I understand that by accepting this dog, I will, in a reasonable time period, license this dog in the town where I reside. (please write YES if you accept)*
What traits are you looking for in a pet
Are your current animals up to date on vaccinations and routine vet care? If no, Why not?*
How did you hear about us*
List at least two personal references. One reference may be a family member or DITR member. The other reference may be anyone but a family member or DITR member. Please be sure to include address and phone number. *
Veterinarian's Name and Phone Number (Please call your vet asap and let them know you are giving permission for us to call and obtain a vet reference.)*
Are you a Veteran? If so, what branch? DITR is partnering up with Dog Tags of New York - our mission is to provide a rescued dog or cat to a Veteran as a faithful and loyal companion. *
I certify that the information entered on this applicant is true. Enter your name and date*