ACT | Dog Adoption Application
Thank you for wanting to open your home to a rescued dog or puppy.
Please complete and submit this form and one of our rehoming team will be in touch shortly.
Dog you are interested in adopting
A-Shan (Dog - D2022060)
Beauty (Dog - D2021071)
Bella (Dog - D2021103)
Birthday (Cat - C2019052)
Champagne (Dog - D2021021)
Christina (Dog - D2020122)
Clyde (Dog - D2009022)
Coke (Dog - D2022033)
Cory (Cat - C2021077)
Cutie (Cat - C2021079)
Fido (Dog - D2020045)
Flower (Cat - C2019061)
Hans (Dog - D2020099)
Hayward (Dog - D2021080)
Hearty (Dog - D2021044)
Hei Xiong (Dog - D2020050)
Hildegard (Dog - D2021074)
Honey (Dog - D2020040)
Indie (Dog - D2022038)
Jimmy (Dog - D2021060)
Jones (Dog - D2020101)
Koko (Cat - C2019059)
Layla (Dog - D2021085)
Lincoln (Dog - D2017078)
Macy (Dog - D2021108)
Mao Mao (Dog - D2022035)
Matty (Dog - D2020019)
Mojito (Dog - D2021031)
Molly (Dog - D2012010)
Nisa (Dog - D2020055)
Nugget (Dog - D2021084)
Penny (Dog - D2017097)
Piper (Dog - D2022039)
Sparrow (Dog - D2020128)
TaiLi (Dog - D2021064)
Wolfie (Dog - D2021095)
Woodstock (Dog - D2020024)
Xiao Huang (Dog - D2020033)
Xiao Yi (Dog - D2022062)
If you haven't chosen a dog yet, or if you have but can't remember his or her name, tell us what you're looking for
What characteristics are important to you?
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Please indicate your main reason for wanting to adopt a dog
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Companion
Family Pet
Child's pet
Guard dog
Companion for another pet
To help the dog
Other
If you answered 'Other' above, please explain here
Have you ever adopted or fostered an animal from us (or any other rescue organization in Taiwan) before?
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No
Yes
Your given name
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Your family name
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Date of birth
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ID number
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Full address, including postcode
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What is your occupation?
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Are you financially stable, e.g. by a stable income?
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Email address
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Phone number
Cell phone number
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The instant messenger app that we could reach you
Line
Facebook
WhatsApp
None
Your instant messenger ID
Facebook URL or personal website
How would you prefer we contact you?
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Line
Facebook Messenger
WhatsApp
Email
Cellphone
Home phone
How many companion animals have you had in the last 5–10 years?
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What happened to them?
Are dogs allowed in your building?
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Yes
No
Unsure
N/A
Please list the ages of those who live in your home, and their relationship to you
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Does everyone in your household agree to adopt a dog?
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Yes
No
n/a
Who will be the main person to care for this dog?
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Myself
Someone else
Do you have other companion animals at the moment?
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No
Yes
If yes, please list their names, breeds, and ages.
Are all of your companion animals neutered?
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Yes
No
N/A
Are your companion animals up to date on their vaccinations?
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Yes
No
n/a
Your vet's name, full address, and phone number
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Name, full address, and phone number of nearest 24-hour vet
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Are you familiar with heartworm and heartworm prevention?
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No
Yes
On average, how many hours per day would the dog be left alone?
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Will the dog be mostly living inside, outside, or both?
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Inside
Outside
Both
Where will the dog be kept when you are not around?
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Are there times when the dog will be tied/chained up?
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Yes
No
N/A
Where will the animal sleep?
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In bed with me
In bed with my child
In a dog/cat bed
In a kennel / In a crate or cage
Wherever he or she likes
Outside
Other
If you answered 'Other' above, please explain
How would you depict a typical day of your dog(s)? Please describe!
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Do you have a pool?
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No
Yes
If yes, is there a fence around the pool?
No
Yes
How will you handle housebreaking?
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How will you handle destructive behavior?
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Are you able to transport the dog when needed—for example, to the vet?
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No
Yes
Will you keep the dog up to date on vaccinations and heartworm preventive?
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No
Yes
If no, please explain
If adopting a puppy: I understand that puppies require a series of booster vaccinations before they can walk outdoors safely. A basic immunity is reached based on this vaccination schedule given in the first year: 3 x 8-in-1 vaccination, 1x rabies. I understand that vaccinations are the adopter’s responsibility and I will forward proof to the assigned adoption staff member of ACT after every given vaccination shot.
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No
Yes
If not already done, I will have the dog spayed/neutered by 6 months of age (around the age of 5.5 months). I will take the dog to a proper vet for neutering and I will immediately forward proof to the assigned adoption staff member of ACT. I understand that failure to comply with this requirement (even after being reminded several times by ACT's adoption staff) will result in the immediate return of the dog to ACT.
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No
Yes
Judy and Sean are dedicated to improving the health, happiness, and longevity of companion animals by promoting a natural, healthy diet consisting of raw meat, bones, organ meat, and optional supplements. Studies now show that pets live longer and are far less likely to suffer from cancer if fed a raw diet. Are you prepared to feed your dog a healthy, raw diet?
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Yes
No
n/a
When will you walk the dog, and for how long?
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What will you do with the dog if you go away (e.g. on vacation or in an emergency)?
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Leave with a friend or family member
Pet boarding
Pet sitter
Take him or her with me
Other
If you selected 'Other' above, please explain
Have you ever been convicted of animal or child abuse or neglect?
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No
Yes
What will happen to the dog if you have to move?
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Take with me
Rehome him or her
Return him or her to you
Other
If you selected 'Other' above, please explain
Will you allow a representative to visit your home with proper notice?
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No
Yes
If no, please explain!
Are you willing and able to take good care of this dog for the rest of his or her life (up to twenty years)?
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No
Yes
Are you willing and able to donate NT$4,000 as adoption fee (to cover some of the costs of neutering, vaccination, microchip, etc.)?
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N/A
Yes
No
What might cause you to return the dog to us?
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How did you find out about us?
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Family/Friend
YouTube
Facebook
Instagram
Patreon
Other
If there's anything else you would like to tell or ask us, please do so here!
I hereby certify that the answers I have given are correct and not misleading in any way.
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Clear
ACT for Animals is a registered Taiwan nonprofit, association no. 1080024445.
We work under the support and guidance of Animal Care Trust, registered UK charity no. 1163828.
Transforming the lives of suffering animals in northern Taiwan since 1999