Is there a Co-Applicant?
No Yes
Relationship to Applicant *
Co-Applicant Contact Number *
Co-Applicant Email Address *
Do you rent directly from *
The Owner A rental management company Other
Landlord or Rental Company Name *
Landlord or Rental Company Phone Number *
Is your name on the lease? *
Yes No
Whose name is on the lease? *
Is a deposit required? *
Yes No Not Sure
Is there a weight limit? *
Yes No Not Sure
What parish/county do you live in? *
Is your name on the title of the property? *
Yes No
Besides yourself, is there anyone else on the title of the property other than a spouse? *
Yes No
What name(s) is/are on the title of the property? *
What is the owner's or owners' relationship to you? *
Who shares your household? *
Do your roommates have pets? *
Yes No
Please list all of your roommates' pets *
Are there children in the home? *
No Yes
How many kids and their ages? *
Intersted in dog or cat? *
Dog Cat
Is there a specific animal you are interested in? (Please provide as much information as possible: name, breed, color, age, etc.)
What size adult dog are you looking for * (check all that apply)
My dog needs to be good with (check all that apply)
My dog will primarily be an *
Inside Dog Outside Dog
How many hours will your dog spend unsupervised outside per day?
2 hours or less 2 to 4 hours 4 to 8 hours 8 or more hours None
My dog needs to be able to be alone per day
2 hours or less 2 to 4 hours 4 to 8 hours 8 hours or more Never
When I'm home, I want my dog to be by my side...
All of the time Some of the time Little of the time
When I'm not at home, my dog will spend their time.... * (check all that apply)
I want my dog to be playful *
Not at all Somewhat Very
I want my dog to be laid back *
Not at all Somewhat Very
I am comfortable providing some training with my dog to improve manners *
No training Some training A lot of training
My Cat needs to be good with (check all that apply)
My cat will primarily be an *
Inside cat Outside cat Both inside and outside
I want my cat to be playful *
Not at all Somewhat Very Doesn't matter
I want my cat to be laid back *
Very Somewhat Not at all
I will declaw *
No Yes Maybe
If you move or evacuate due to a hurricane, what will you do with your dog/cat? *
Is this pet a gift for someone. *
No Yes
Relationship to recipient *
I have owned a pet before *
Yes No
The last time I had a pet was *
1 - 5 years ago 5 - 10 years ago Over 10 years ago
Please list all the dogs and cats you have owned *
Please provide the full name, phone number and city of any vets you have used over the past 10 years.
Have you ever sold a pet, given a pet away or surrendered a pet to a shelter? *
No Yes
Please explain what you know about Heartworms and Prevention?
Would you like to receive a quarterly newsletter from Zeus' Rescues about pets up for adoption?
I attest that I have answered these questions truthfully and to the best of my knowledge. *
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