Friends of SCAC Rescue Adoption Application

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This is the adoption form for dogs in the Friends of SCAC Rescue Program - not for dogs in residence at SCAC/AC.

Adoption Requirements for Friends of SCAC Rescue:

Adopters must be at least 21 years old; no children under 8 years old.
All pets in home must be current on vaccinations, spayed/neutered, and on routine preventatives (heartworm, flea & tick preventatives).
A meet and greet between existing dog(s) in the home and Friends of SCAC Rescue dog is required.
Friends of SCAC requires a home visit prior to approval of adoption.
Friends of SCAC adopts dogs out to residents of Sangamon County (in Central Illinois) and the counties bordering Sangamon County(Cass, Menard, Christian, Logan, Montgomery).
We do not facilitate adoptions outside of the area mentioned above.
Friends of SCAC reserves the right to decline applicants at any point in the adoption process.

Friends of SCAC is a small, all-volunteer non-profit organization. Please be patient as we work through applications. Please allow about a week for processing applications. Thank you!

Email *

I am interested in adopting (please choose dog's name).

Bethany

Chonkers (cat)

Ghandi (cat)

Quincy

Raven

Slash

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Name: Last, First: *

Phone Number: *

Applicant age: *

Home Address (mailing address) *

Home Address (City & State) [Must live in the Central Illinois Region - Sangamon County and bordering counties)] *

Own Home or Rent Home *

Own home

Rent Home

If you rent your home, please list landlord's name & contact information; we will need to contact property owner to make sure pets are allowed.

Please list all people who currently live in your home and their ages: *

Is someone from your household at home during the day (regularly - not just due to the current COVID situation)? *

Please list all pets that currently live in your home (please include breed, age, and sex for all current pets) please also list information for any pets that regularly visit the home or that might regularly interact with the adopted dog): *

My pets are current on their vaccinations *

Yes

My pets currently and regularly receive preventative treatments (heartworm, flea & tick) *

Yes

Please list the name of your current veterinary clinic, and the phone number for their office: *

Please list your current employer. *

Please list two personal references (not family members) and contact information for these references: *

Are you a Veteran?

Yes

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A copy of your responses will be emailed to the address you provided.

Submit

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