Our Dogs “An animal’s eyes have the power to speak a great language.” ― Martin Buber Open your home to one of our pups... Scroll up/down to view more images Simply download and print the application or fill it out online below Download the Adoption Application SEVHS Adoption Application Personal Information Date Name Email Phone Number Alternate Number Address City State Zip Code Employer Information Employer Employer Phone Number Current Living Information Do you Own or Rent your home? OwnRent Are all your current pets licensed? YesNo Up-to-date on Vaccinations? YesNo Heartworm and flea/tick prevention? YesNo Landlord Information Landlord Name Landlord Phone Veterinarian Name Veterinarian Phone List of Current Pets Cat/Dog CatDog Cat/Dog Name Breed Age Spayed/Neutered Cat/Dog CatDog Cat/Dog Name Breed Age Spayed/Neutered Cat/Dog CatDog Cat/Dog Name Breed Age Spayed/Neutered By my signature below, I affirm that all statements contained in this document are truthful. I further affirm that I have read and understand this document in its entirety. Signature Date Drivers License Send