|
|
| Firstname | Allison | |
| Lastname | Gorman | |
| Address | 5 rizzo ct | |
| City | Howell | |
| State/Province | Nj | |
| Zip/Postal Code | 07731 | |
| Home Phone | 6097221650 | |
| Work Phone | 6097221650 | |
| Cell Phone | 6097221650 | |
| Email | agorm...@gmail.com | |
| Alternate Email | agorm...@gmail.com | |
| How old are you? | 45 | |
| Why are you interested in adopting a pet at this time | We always wanted a second dog. Fostering will help us decide if a second dog would work for us. Not to mention that we also want to help rescue and live every dog possible! | |
| Have you ever had a animal before? | We rescued Hannah 9yrs ago. We think she would like a friend. | |
| what kind of animal did you have? | Terrier mix | |
| Have you ever given up a pet? If yes, please explain | No | |
| Will the animal be kept inside or outside | Inside Only | |
| How much time will the animal spend alone during the day | Hardly any | |
| Where will the animal be kept when you are home | Free range of house | |
| Where will the animal be kept when you are not home | Free range of house | |
| Where will the animal sleep | Wherever it feel safe | |
| What are the names, relationship and age of other people living with you? | 13, Michael , 18, Vanessa , 48, husband Mike | |
| Does everyone work? | No | |
| Do you own or rent your home | Own | |
| If you rent, have you received the approval of your landlord to have an animal | (no answer) | |
| If you rent, please enter your landlord's name and phone number | (no answer) | |
| In what type of home do you live | Single Family | |
| Is at least part of your yard completely fenced | Completely-fenced area | |
| What is the height of the fence | 6 feet | |
| What type of fence | Privacy | |
| Would you allow a volunteer to conduct a home visit or hold a video call with you? | Yes | |
| Who in the household will care for the pet | All of us | |
| Sometimes even housebroken animals may relapse in the housebreaking department until they adjust to their new home and schedule. Are you willing to work with this? | Yes | |
| For cats only: Are you planning to declaw | (no answer) | |
| If applying for a dog, do you understand they must be kept on leash unless they are in a secure fenced in area? | Yes | |
| Are you planning to crate this animal? | No | |
| Describe how you will train the pet | Positive reinforcement | |
| Name, type, age of your current pet(s) | Hannah, 9 | |
| About how much does your current pet(s) weigh? | 65lbs | |
| Are your current pets spayed/neutered? | Yes | |
| Are your current pets up to date on shots? | Yes | |
| Veterinarian's Name and Phone Number (your previous vet if applicable; who you plan to use if you haven't had a pet) | Dr. Baumgardner or Dr. Bosworth at Atlantic Vet in Springlake | |
| What is the phone number of your vet? | +1 (732) 444-3686 | |
| What is the last name on your vet records? (Please call your vet and let them know someone from the rescue will be calling them. If you do not tell them we will be calling, then most vets will not release any information. This will delay the screening of your application.) | Gorman | |
| What is the name of your pet/pets actively listed by your vet? Also include names of any pets previously seen by this vet. | Hannah | |
| Is there any other vet that you have used for your pet? | No | |
| What is the name and phone number of any other vets you have used? | (no answer) | |
| What is the name of your animal(s) and the last name the animal(s) would have been listed under? | Hannah Gorman | |
| List at least one reference (who is not a family member) | Marilyn Zicha | |
| Please give phone number of your reference and the best time to call | +1 (732) 766-3165 | |
| Which animal are you interested in | Lexi - Available! | |
| what energy level are you looking for? | Low key to moderate | |
| Do you mind if the animal sheds a lot? | No | |
| Up to what weight would you consider? | 65 | |
| Does anyone in your family have allergies? If yes, to what? | No | |
| What traits are you looking for in a pet | Female, Adult, Companion for Another Pet | |
| anything else you'd like to tell us? | (no answer) | |
| Have you applied with any other rescue | No | |
| How did you hear about us | I work with Ruth Kiser at Paws in Asbury | |
| I certify that the information entered on this application is true. Wag On Inn Rescue may contact my references and I give my permission for my references to release information about my ability to care for an animal to Wag On Inn Rescue. Enter your name and date | Allison Gorman 2/12/2021 | |
| Would you like Wag On Inn to notify you of future events via email? | Yes | |
|
