Adoption Application
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PLEASE READ THE FOLLOWING BEFORE SUBMITTING
You MUST be 18 years or older to apply for adoption or fostering and live within our adoption area. Due to our adoption procedures (home visit required) G.R.I.N. can only accept applications from residents of NE Ohio, Columbus OH and Northwestern PA. Foster applications can only be considered for the NE Ohio area. Please check to see if your county is included in our area; Microsoft Word Doc or PDF File Format. If you live in Northwestern Ohio, please visit Golden Retriever Rescue Resource. If you live in Southern Ohio, please contact GRRAND. If you live in Southwestern PA, please contact WAGS. If you live outside of these areas, please visit Golden Retriever Club of America, Rescue by State for a golden rescue in your area.
G.R.I.N. is staffed with volunteers dedicated to finding the perfect forever home for displaced golden retrievers. Because we do not offer compensation, we must rely on volunteers with limited availability to help us place these dogs. Nearly all of our volunteers have full-time jobs, families, and other interests outside of G.R.I.N. Therefore, the adoption process can take 3-4 weeks to complete. This includes a veterinary reference (if applicable), a phone interview, home visit and finally, meeting the golden that matches your preferences. Some adoptions can take longer, some are processed more quickly. We appreciate your patience and understanding during the approval process.
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Once your application has been approved, please do not ask to meet a specific dog. The website description of our dogs is only a brief synopsis of the golden; it is not meant to provide detailed information about its personality. Many times the dog in which you have a specific interest in may already be meeting another family. G.R.I.N. requires all adopters to have a meet and greet with the dog you have been matched with before allowing a meet and greet with another golden. Trust us in knowing that we will match you with the right golden for your family.
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Please place your initials here indicating that you have read our Adoption Policies and are in our Adoption Area.
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About You
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When filling out this form you must either use the tab key or your mouse to move to the next field. Using the enter key will submit the form incompletely.
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Please specify if this application is for Adoption or Fostering:
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First and Last Name
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Street Address
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City
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State
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Zip
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Age
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Occupation
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Work Hours (indicate days and times)
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Co-Applicant
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Co-Applicant's Occupation
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Work Hours (indicate days and times)
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Co-Applicant's Relationship to You
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Applicant's phone numbers
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Co-Applicant's phone numbers
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Best time to contact
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Email Address - If this is not filled out correctly, your email confirmation may not be delivered to you.
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Is anyone home during the day? If so, who?
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Have you applied to GRIN before? If so, when? And what was your outcome (Adoption, Rejection, Other)
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Approximate Annual Household Income
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Are you a GRIN member?
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Who referred you to GRIN?
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Have you currently applied to another rescue (golden retriever or otherwise)? If so, when and what is the status of your application?
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When will you be ready for adoption?
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About Your Perfect Match
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Please indicate what age you will consider:
Puppy up to 4 years
4 years up to 8 years
8 years or older (senior)
Any age
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Do you have a gender preference? (Male/Female/No Preference)
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Do you have a color preference? (Red/Gold/Blonde)
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Please Note: requesting specific traits may delay your adoption.
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Will you consider a special needs golden? (Yes/No)
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Will you consider a mix? (Yes/No)
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Will you consider a pair? (Yes/No)
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What activity level are you looking for?
Use a scale of 1-5 (5 being a highly energetic dog and 1 being a very quiet dog)
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What type of activities are you planning on doing with your dog? (walking, running, hiking, agility, therapy, etc.)
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About Your Family and Household
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Please state the names, relation and ages of all individuals in your household (excluding yourself and your co-applicant)
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Does anyone in your family have a physical or mental disability? If so, please describe.
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Have your children been raised with a dog? Taught to respect a dog? Please describe your children's behavior around dogs (are they afraid of jumping, do they play rough, etc.)
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Does anyone in your family have allergies? If so, please describe.
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Do you run an in-home child day care? If so, how many children?
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Do you run an in-home dog daycare? If so, how many dogs?
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Please state the names, ages and types of pets that are currently in your home, as well as their personality and activity level.
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Please explain if any of your current pets are not spayed/neutered.
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Are your pets up to date on their vaccinations? (Yes/No)
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Are your current pets up to date on their heartworm testing? (Yes/No)
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Are your current pets up to date on their heartworm preventative regimen? (Yes/No)
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If you answered “NO” to any of the previous 3 questions, please explain.
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Are any of your pets a special needs pet? (Yes/No)
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Are any of your current pets ‘rescued’? If so, how? (Self, Rescue Organization, Shelter)
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If this pet is in addition to others in your home, why do you want another pet?
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About Your Home
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Describe your residence (single family, condo, duplex, etc)
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Do you rent or own?
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Note: If you are currently renting your home, your application will not be processed without a letter from your landlord stating that you have permission to have a golden retriever. Please fax letter to (330) 908-3804. Without it, your application will not be considered.
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How long have you lived in your current home?
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Do you have a completely fenced-in back yard? (Yes/No)
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Do you have a completely fenced-in front yard? (Yes/No)
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Describe the fence type and height:
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If you do not have a fence, how will the dog be managed when outside? Are you willing to install a fence?
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Note: In some circumstances you may be asked to install a fence in order for your application to be approved.
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Approximate yard size
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About Your Pet History
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Please state the names and types of pets you have previously owned. Indicate the dates you owned the pets (years are fine) and what happened to the pet (ran way, put to sleep, hit by car, etc.)
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If any of your previous pets were not spayed/neutered, please explain why.
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Were your previous pets up to date on their vaccinations? (Yes/No)
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Were your previous pets up to date on their heartworm testing? (Yes/No)
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Were your previous pets up to date on their heartworm preventative regimen? (Yes/No)
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If you answered “NO” to any of the previous 3 questions, please explain
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Were your previous pets a special needs pet? (Yes/No)
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Were your previous pets ‘rescued’? If so, please explain how - Shelter, Rescue Organization, Self.
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Have you ever sold, given away, or put a pet into a shelter?
* This field is required.
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Have you ever bred a dog? If so, please explain (include breed and dates)
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If this is your first golden, why did you choose the breed?
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After Your Adoption
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Will you keep a collar on your dog? If so, please describe what kind. If not, please explain.
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Where will the dog be kept when you are away from home?
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Where will the dog sleep at night?
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Will your dog be allowed on the furniture? (Yes/No)
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Will your dog be allowed on the bed? (Yes/No)
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Will your dog have the run of the house? (Yes/No/When Trustworthy)
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Will you use a crate? (Yes/No/Until Trustworthy/Only if the dog likes a crate)
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Where will the crate be placed?
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How much grooming will you do? (None/Daily/Weekly/Monthly)
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Who will do your grooming?
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How will you provide the exercise that this dog requires?
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How do you plan to train your pet? (i.e., school, self) If school, which one?
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Note: All dogs ages 4 and under, and any others at G.R.I.N.'s discretion, will be required to enroll in formal obedience training within 30 days of adoption. You will need to decide on a training facility before meeting a dog.
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What will you do with your dog when you are on vacation?
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Is there any additional information you would like to add?
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Your Veterinary Information
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Please note: without complete veterinarian information,
your application will not be complete and will not, therefore, be considered.
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Please list your current veterinarian, including name, address, phone number. * This field is required. If you do not have a current vet, please type in n/a.
You MUST call your vet and authorize them to release your history. If this is not done, it will cause delays in the processing of your application!
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How long have you been a client of your current vet?
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Is your vet history under a different last name? If so, please provide.
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Please list your pervious veterinarian, including name, address, phone number.
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Indicate the years you were a client of your previous vet and why you no longer use them.
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May these individuals be contacted regarding past or present pets? (Yes/No)
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May these individuals be contacted regarding any dog you may obtain through G.R.I.N.? (Yes/No)
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To avoid delays in the processing of your application, please take a few moments to look over what you have filled out. Make sure you have included the phone numbers of your current and previous vet history.
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We will be in touch with you periodically to answer any questions that you might have and to insure that both you and the pet are getting along well.
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By clicking the 'Save' button, I hereby attach my signature to this document. I attest that I have read and completed the above to the best of my knowledge and agree to the conditions contained therein.
To avoid sending multiple applications, please click the save button only once as it takes a few moments to compile and send the above information. Thank you.
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