ISPCA Dog Adoption Application Form

Our objective at the ISPCA is to responsibly rehome animals where they will be happy and well cared for, for the rest of their lives. All animals have been rescued because their owners couldn’t, or more often wouldn’t, care for them. We aim to match each animal to a suitable owner and our priority is to ensure the animals are well cared for. We ask all prospective owners to complete the following questions providing as much information as possible.

PLEASE NOTE: If you live in a council or rented property, written permission from the council or landlord/owner may be required. The animals are the property of the ISPCA and will be rehomed at the ISPCA’s discretion. The ISPCA can refuse to rehome an animal without giving a reason and cannot accept responsibility for the temperament or behaviour of any of our animals after rehoming.

ISPCA National Animal Centre, Derryglogher, Keenagh, Co. Longford, N39X 257. (T) 043 33 25035; (E) rehoming@ispca.ie (Visiting times Wednesday to Sunday 11:30 – 4pm. Closed Xmas Day & New Year’s Day). ISPCA Equine Rescue Centre, Dromsligo, Mallow, Co. Longford, P51 YF98. (T) 022 43218; (E) mallow@ispca.ie (Visits are by appointment only)

Your Details

Name of applicant*

Date: Thu, May 24, 2018 - 6:48:17

Address of applicant*

Home Phone*

Mobile*

Email*

Applicant's occupation

Partner's occupation

Have you previously applied to the ISPCA for a dog? No Yes

If 'yes' when and where

Have you ever owned a dog before? No Yes

If 'yes' what happened to it

Have you any other pets? No Yes

If 'yes' please give details

Why do you want a dog?

What type of accommodation do you live in? (State if rented)

Will you be moving shortly? No Yes

If 'yes' please give details

Does your accommodation open directly onto a busy road?

Where can you easily let your dog out to the toilet?

How securely is your garden fenced (will a dog be able to get out?

How many people live in your house?

• Adults
• Children
• Children's ages

Is there anyone in the house allergic to animals or an asthma sufferer?

Where will the dog be during the day?

Where will the dog sleep at night?

Where will the dog stay when you go away?

On average how long will the dog be left on its own and why?

Please give the name and address of your vet

What is your opinion on neutering?

How do you feel about a member of staff visiting your home?

Are there any comments you would like to make in support of your application?

Where did you hear about the National Animal Centre?

I confirm that I am over 18 years of age. If for any reason after I adopt a dog I am unable to keep it, I will return it to the NAC after prior arrangements.

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