Does the applicant smoke? This includes traditional cigarettes, vaping, tobacco products, or any other forms of smoking. *

Check all that apply

Yes (In the house)

Yes (Outside the house)

No

I don't know

Does the applicant own or rent their house? *

Own

Rent

In your opinion, does the applicant give the best care to their pets? *

Yes

No

If you needed to rehome your pet for any reason, would you trust this person to take care of your pet? *

Yes

No

I hereby confirm that all the information provided above it truthful to the best of my knowledge. I understand that falsifying an answer could lead to the endangerment of an animal. *

Accept/Agree