First & Last Name (required)

Email (required)

Street Address (Required)

City (Required)

State (Required)
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Phone 2 (Required)

Occupation (Required)

If you have applied with another rescue/shelter/humane society, please list them

How many TOTAL HOURS are you away from home, on an average week?

NAMES, AGE, SEX and RELATIONSHIP of other adults in your household:

NAMES, AGE, SEX and RELATIONSHIP of children who live in your household -OR- who visit often:

Have you ever owned a dog before?
 Yes No

If you answered yes above, what breed(s) and where are they now?

Have you ever owned a Cane Corso?
 Yes No

How many dogs are currently living with you?

Please list their NAMES, AGE, SEX and BREED.

What other types of animals do you own?

Please list their NAMES, AGE, SEX and TYPE:

Are ALL of your animals spayed and/or neutered?
 Yes No

If not, please list the animals that are NOT spayed/neutered and explain WHY.

Do you agree to enroll the rescue dog in -AND- complete a basic obedience course?
 Yes No

If yes, please provide the name & phone number of the obedience school/trainer you intend to use.

If no, why not?

Do you own or rent?
 Own Rent

If you rent, please provide your landlord's name & phone number.

Describe the type of dwelling you live in.
 Single-family home Townhouse Apartment/Condo

How long have you lived at your current address?

Where will the rescue dog stay when you are away from home (crate, room, doggie day care, backyard, outdoor kennel)?

Where will the rescue dog spend most of its time?
 Inside Outside

If the rescue dog is outside, please describe the shelter it will have.

Type of backyard:
 Completely fenced Not completely fenced No backyard

Describe the SIZE of your backyard and the TYPE of fencing (chain link, wood, etc.)

Do ALL adult household members work outside of the home?
 Yes No

Sex of rescue dog you prefer:
 Male Female No preference

What age do you prefer to adopt/foster a rescue dog?
 Under 2 years (puppy) 2-4 years (adult) 4+ years (mature)

If there is a specific rescue dog you're interested in, what is his/her name?

How far are you willing to travel to meet a rescue dog?

Are there any circumstances that might complicate your commitment of owning a Cane Corso that may live 8-10+ years? (e.g. pet restrictions by Landlord/HOA, BSL, children's allergies, new baby, family issues, etc.)

Are you a current member of the CCAA?
 Yes No

What is your current vet's name and phone number? (PLEASE CALL YOUR VET and authorize them to release your records to Cane Corso Rescue.)

Name of person your vet info is under:

If your vet info is NOT under your name, please explain why.

List ALL VETS (names & phone numbers) you've used in the last 5 years, even if you do not own a pet currently.

List 3 PERSONAL REFERENCES (names & phone numbers) who are familiar with your care of animals.

Why do you want to adopt/foster a rescue dog?

Sometimes the complete history of a rescue dog may not be known and you may encounter some behavioral problems. Are you willing to work on correcting these problems?
 Yes No

How did you find out about Cane Corso Rescue?

Best days & times to schedule a home visit (ALL HOUSEHOLD MEMBERS AND PETS MUST BE PRESENT)

Any other information you feel is important in helping us determine if a rescue dog is the best match for you and your household:

Do you agree to foster the rescue dog for a minimum of 3 weeks to ensure compatibility before the final adoption?
 Yes No

I understand that if ANY information is found to be FALSE or INCOMPLETE, my application will be DENIED without notification.
 I agree I disagree

I agree to allow the Cane Corso Rescue Committee to obtain any pertinent information regarding my home situation and care of animals.
 I agree I disagree

I understand that while the Cane Corso Rescue Committee may contact me via phone or e-mail, further contact is NOT guaranteed, nor is placement of requested dog.
 I agree I disagree

I accept that the Cane Corso Rescue Committee has the right to REFUSE my application for ANY REASON and WITHOUT notification.
 I agree I disagree

If my adoption application is approved, I agree to a mandatory 3-week foster period to determine suitability for both the dog, myself and/or household.
 I agree I disagree

If it is found by myself or the Cane Corso Rescue Committee this is not the best environment for all parties, the rescue dog will be returned and any adoption fees refunded. Ownership of said animal will not be obtained until after this foster period. I also agree to enroll in obedience training if required.
 I agree I disagree

I agree to pay a $250-$450 adoption fee (fully refundable during initial foster period) should I be approved for adoption. Costs incurred during transport are not the responsibility of the Cane Corso Rescue Committee.
 I agree I disagree

Do you agree with our Privacy Policy?
 I agree I disagree