Career Change Dog Application

 All information must filled out in order to consider your application.

Personal Information
Applicant's Name *
Applicant's Name
Co-Applicant's Name
Co-Applicant's Name
Address *
Day Phone *
Day Phone
Evening Phone
Evening Phone
Work Phone
Work Phone
Co-Applicant's Phone *
Co-Applicant's Phone
Does anyone in the home smoke? *
Housing Information
Own, Rent, or Lease *
If you rent or lease your home, please provide your landlord's contact information.
Landlord's Name
Landlord's Name
Landlord's Phone
Landlord's Phone
Do you have a yard? *
Is it fenced in? *
Invisible or electronic fences are not acceptable due to safety reasons. If you have an invisible fence, please re-apply once you have built a fence.
Dog Information
If this dog is unavailable would you consider another? *
Are you planning on taking your dog to obedience training? *
Are you willing to buy a crate and use it?
Have you ever given or sold a pet to any other person or shelter? *
Do you have a veterinarian? *
Veterinarian's Phone
Veterinarian's Phone
Existing Animals
Do you currently have other animals? *
Breed or Description Age and Sex (spayed or neutered) Where is it now?
Please be aware before submitting this application that there will be follow up interviews if the application if approved which will include a home visit. Also, by submitting this application you understand that Mutts with a Mission may refuse your application without explanation and that Mutts with a Mission may check with your veterinarian about your animal's care as well as call references.

Questions? Email