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Please refer to our website at www.brooklinelabrescue.org to review our adoption requirements before completing this form. For
questions, please email adoption@brooklinelabrescue.org for more information.
This application is for (please complete all appropriate sections of application):
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Junior Volunteer
(16 and under)
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Fostering
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Adopting
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Volunteering
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Date (MM/DD/YYYY):
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Name
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Age
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Spouses Name
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Age
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Street Address
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City
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State
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Zip Code
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County
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Home Phone (with area code)
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Cell Phone (with area code)
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Work Phone (with area code)
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Brookline Coverage Area*
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*If you are not in our coverage area we cannot handle an adoption for you. Out of area applications will not be returned. Our coverage
areas can be found on our website at www.brooklinelabrescue.org or email us at info@brooklinelabrescue.org to find out if a volunteer
covers your area. If you aren't in our area you may be able to find a group near you by going to www.petfinder.org and searching by your
zip code.
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Email Address**
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**For convenience and to save money we will contact you by email if you have one so please check your email regularly a week after you
mail your application.
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Do we have your permission to add you to our announcement e-mail list? .
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Yes
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No
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GENERAL INFORMATION
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Yes
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No
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1. Do you presently own any pets?
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If yes, what kind and how old are they?
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Yes
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No
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Are your pets used to being around other animals?
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Yes
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No
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2. If you own dog(s) are they spayed/neutered?
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If not, why not?
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3. List most recent four or five animals you have owned and where they are now. If they are no longer with you list where they are and why
they are no longer with you, if they have passed on please give cause. Also include approximate dates and ages:
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Yes
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No
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4. Are there children presently living in your home?
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If yes, please list name and age of each child:
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Have they been around dogs before and if so, how are they with dogs?
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Yes
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No
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If no, do you plan on having children in the future?
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COMPLETE ONLY IF WANTING TO VOLUNTEER:
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Yes
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No
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1. Have you ever volunteered for a rescue/shelter organization in the past/present?
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If yes, list what organizations and duties:
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2. Do you have any experience in the following dog-related areas (check all that apply):
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Dog Breeding
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Kennel Assistant
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Dog Grooming
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Animal Rescue
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Dog Training
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Pet Store
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Vet Assistant
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Veterinarian
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If any of the above are checked, briefly describe your experience with each:
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3. Do you have any experience with any of the following volunteer-related areas?
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Fundraising
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Web Design
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Newsletters
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Public Relations
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Event Planning
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Administrative
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4. What areas of volunteering are you interested in doing with Brookline?
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Administrative (assist with mailings, email or fax communications, etc.)
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Answer phone inquiries
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Public relations (newsletters, help at events, distribute brochures and information, etc.)
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Transport help (transport dogs, transport event supplies)
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Train to do home visits for potential adopters
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Train to do owner surrender dog evaluations
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Train to do shelter dog evaluations
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Other
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5. Briefly describe why you are interested in volunteering with Brookline:
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COMPLETE FOR ADOPTING OR FOSTERING
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1. Do you own your home?
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Yes
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No
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If no, does your lease allow pets?
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Yes
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No
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Please provide us with a copy of your lease (or have your landlord sign a written statement with contact information allowing you to adopt
or foster a dog).
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Yes
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No
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2. Do you have a fenced yard?
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How high is the fence?
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If yes, what type of fence?
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Chain Link
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Wood
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Vinyl
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Other
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3. How many hours will the dog be alone during the day?
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4. Where will the dog be kept while you are away?
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5. Why do you want to foster or adopt a dog from us?
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6. Are there any dogs on our website that you are interested in?
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7. What are the characteristics you are looking for in a dog?
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8. Are you prepared to commit to the lifelong needs of your lab, including illnesses and health issues
that arise with the natural aging process?
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Yes
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No
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9. Would you consider adopting a dog with special needs – one that is required to have medication or
special training?
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Yes
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No
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10. How far are you willing to travel to see a dog you are considering to adopt?
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COMPLETE ONLY IF WANTING TO FOSTER
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1. Have you ever fostered a dog before?
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Yes
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No
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If yes, when did you foster a dog, for how long and what was its breed?
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2. Is there a limit to the length of time you can keep the dog until it gets adopted?
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Yes
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No
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If so, how long can you keep the dog? Why is there a limit?
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3. Do you have any experience with special needs dogs or dogs that require medication on a regular
basis? (Those with chronic health or behavior issues, such as allergies or separation anxiety) If
yes, please explain:
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Yes
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No
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4. If you foster, you may have the first choice to permanently adopt this dog. However, you would be
required to go through the adoption process (including fees) that any other adopter goes through.
Would you be willing to do this?
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Yes
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No
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5. Are you willing to bring the dog to the adoption days at Brookline events?
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Yes
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No
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REFERENCES (EVERYONE COMPLETE)
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1. Veterinarian Information: Please call your vet and give consent to release medical information to Brookline Lab Rescue
Representative. Your Veterinarian must indicate that any animals now owned or previously owned by the applicant are up-to-date on
their shots and receive medical treatment on an as-needed basis but at least annually. If resident dogs are not on heartworm prevention
or tested yearly per the advice of their vet, that is acceptable to the rescue. However, it is expected that an adoptive dog be placed on
monthly heartworm prevention.
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2. Other references (please provide two personal references or three if you do not have a vet reference):
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Additional reference required only if no vet reference.
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3. How did you learn about Brookline Lab Rescue?
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Brookline Table
Event
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Friend or Relative
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Petfinder.com
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Brookline Adopter
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Animal Shelter
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Internet Search
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Other
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Brookline Lab Rescue Web Site
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4. Please list any other questions or comments that you would like us to know about your application:
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I (we) attest that the information provided is true and accurate to the best of my (our) knowledge. I (We) understand that completion and
submission of this application does not guarantee adoption of a dog from Brookline Lab Rescue. I (We) have read over the
requirements for adoption on the Brookline web site (www.brooklinelabrescue.org) and agree to their stated terms of adoption (including
the home visit prior to approval). I (We) permit Brookline to contact our veterinarian and personal references.
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I(We) do not agree
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I(We) Agree
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