Help Us

Need help? Send us a message: allspeciesk@gmail.com

Everything we accomplish is thanks to generous individuals; we can’t be in the streets without your help! A.S.K. is a 501(c)(3) nonprofit and donations are tax-deductible. Find our rating on Charity Navigator: Click Here

Easy Ways to Give

Donate monthly or one-time:

Donate via Venmo: @AllSpeciesKinship

P.O. Box 4055, Battle Creek, MI 49016

www.allspecieskinship.org ∙ 877-596-7776

allspeciesk@gmail.com

Dog Adoption Survey

Dog adoption rates in 2020 are $200. This donation will benefit other dogs in the community that A.S.K. provides free relief supplies and spay/neuter services to. We do not profit off of animals.

Primary Adopter Information

Full Name

Driver’s License #/State

Address:

City

Zipcode

Length of Time Living at This Address:

Home #

Cell#

Work#

Your Age

18 or under 19-20 21-54 55+

# Of People in Household:

Children in Household? List ages:

List the names of all adults (over 18yrs) in your home:

Allergic to Pets? Describe

Employer Name, Occupation and #:

You Are

Not employed? Retired? Student? Disability?

Co-Adopter Information

Full Name:

Home #:

Cell#

Work#:

The quality of the adoption process and future success with the adopted animal, depends largely on you. Please answer questions honestly and ask any questions. There is no bad question, or wrong answer! –All Species Kinship (A.S.K.)

Allergic to Pets?

Employer Name/#:

Your Age

18 or under 19-20 21-54 55+

You Are

Not employed? Retired? Student? Disability?

Personal Reference #1(include full name, contact #):

Personal Reference #2 (include full name, contact #):

A Few More Questions for Both Adopters….

Do You

Own Rent Living with someone

How long have you been at your current address?

If you do not own, provide landlord’s name and phone #:

Are you planning on moving in the next 12 months?

Yes No

If you have a fenced yard with a gate, what is used to secure the gate?

Latch Lock Deadbolt Padlock

I am currently a dog parent?

Yes No

I was formerly a dog parent?

Where did you obtain your dog from?

List all current companions (including farm animals/caged animals etc), and any other animals your new dog would be sharing the house with (regular visitors to your home)

Name

Species/Breed

Age

Sex

Altered? (Y/N)

Yes No

Indoor/Outdoor?

Behavior/Personality Traits

If you run out of space, list others on back of this page please!
Excluding current companions listed above, please describe all pets you have had in the last 5 years:

Are your companions up-to-date on vaccinations?

Yes No

List your current OR former veterinarian’s name, address, phone #:

Have you ever adopted an animal from a shelter or rescue?

Yes No

Have you ever given an animal to a shelter or rescue?

Yes No

My dog will primarily live:

outside inside

My dog will spend how many hours (approx.) outside per day?

My dog will be alone how many hours (approx.) per day?

Are you? Circle all that apply

What’s Your Home Like? Circle the one that most fits:

Quiet and low key Moderate noise level and visitors Busy! Lots of visitors coming/going, noise

Have you ever had to find a different home for a former companion? Share what led you to this decision and where the animal went:

Where will your companion go while you are on vacation?

What will be the hardest part about adopting this new companion?

Can you afford for your dog to be on heartworm preventative? If you don’t know what this is, ask us.

How much time will you give your new companion to adjust to the new surroundings?

How will you exercise your dog?

I want a guard dog?

Yes No

I want my dog to herd/hunt for me?

Yes No

I want my dog to be playful with me?

Yes No

I want my dog to be playful with me?

Yes No

I want my dog to be laid-back?

Yes No

I would like my dog to be in a training class to address leash manners, jumping, etc.

Yes No

I want my dog to be in competitions?

Yes No

I am interested in a dog with special needs? “Special needs” includes behavioral issues, senior age, or health issues.

Yes No

Bad Habits I will not tolerate:

How will you handle destructive behavior?

What will you do with the dog if/when you move?

If you have other companions, how do you think they will adjust to a new animal?

Who will be responsible for feeding/watering the dog?

Methods you will use to discipline your dog:

If you become ill, or die, do you have plans for this animal’s care?

Yes No

Are you willing to have an A.S.K. representative come to your home to see where this companion will be living?

Yes No

Any final comments that you would like A.S.K. to know?

I have seriously considered all aspects of adopting a companion animal. I am aware of the time and money required. I am prepared to make a lifelong commitment to this animal. I understand that A.S.K. seeks the best fit for this animal, not the first person to complete this survey. A.S.K. has the right to deny an adoption or make an alternative recommendation to you, not because you aren’t a qualified home, but because the animal you are interested in may not be a good fit for your lifestyle.

Signature Adopter

Signature Co-Adopter

Date

Bird & Reptile Adoption Application

Bird/Reptile Adoption Survey

Dog adoption rates in 2020 are $200. This donation will benefit other dogs in the community that A.S.K. provides free relief supplies and spay/neuter services to. We do not profit off of animals.

First Name

Last Name

Email Address

Street Address

City

State

Zipcode

Property Address Where Animals Will Be Kept (if different from above)

Home Phone

Cell Phone

Occupation

Names and ages of others who live with you

List of pets living with you:

Name and phone number of veterinarian who cares for your pets (you will be required to consent to information release to A.S.K. prior to adoption):

Do you

own rent

Professional Reference (NOT family or friend) 1

Name

Phone

Professional Reference (NOT family or friend) 2

Name

Phone

Reference 3

Name

Phone

Please tell us about any previous pets you have owned, if you still have them, and if not, what happened to them.

Are you adopting an animal for yourself to be kept on your property?

Do you have experience with the type of animal you are looking to adopt? Please explain.

What type of housing do you have for the animal you plan to adopt (we will request photos prior to adoption and home-visits are routinely required)?

What type of food are you planning to provide for the animal you are looking to adopt?

Have you previously bred or sold any animal(s) or plan to breed or sell the animal you intend on adopting?

Do you raise any animals for food, plan to raise any animal(s) your adopting for food, or their offspring?

Please explain the signs of illness in the animal(s) you intend on adopting:

Will your vet treat the animal(s) you plan to adopt, if not do you have a vet who will see them when they need medical care?

How to contact us:

Find us here:

A.S.K., P.O. Box 4055
Battle Creek, MI 49016

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Dog Adoption Survey

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Bird/Reptile Adoption Survey

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