Date:

List Name of Dog(s) you are interested in and provide at least one alternate:
Dog 1: Dog 2: Dog 3:

Name:
Add:
City: St: Zip:
E-Mail Add:
Home Phone: Business Phone:
Occupation(s): Employer:
Occupation(s): Employer:

Number of Adults in Household: Number of Children in Household:

Please list sex and ages of children:

Explain why you think a Malinois is the best choice to be adopted by your family:

Explain what experience you have with Malinois and dogs in general.

What activities do you expect your Malinois to take part in with you and/or with your family?

Who will be responsible for the care and training of the new Malinois?

Approximately how long would you expect your Malinois to be alone each day?

Do you live in a:
Mobile Home Apartment Condominium Single Family Home

If you rent or lease, you must have written permission from your landlord. Please list Landlords information:
Name:
Add:
City: St: Zip:
Phone:

Is your yard fenced?
My yard is not fenced My yard is fenced

If yes, note the approximate size of the fenced area, and height and type of fencing material.

Would you fence all or part of your yard as a condition of adoption?
No I can't won't fence Yes I will fence

Are you willing and able to modify your daily schedule to accommodate a Malinois' needs, such as going outdoors into a fenced area or walking on a leash to perform bodily functions at least four times daily?
No I can't won't modify my schedule Yes I can modify my schedule

Are you aware of the importance of keeping a Malinois on leash or in a fenced area?
No I wasn't aware of the Malinois fencing need Yes I am aware of the Malinois fencing need

Malinois are social, pack animals that need to live in close companionship with their family and pack. While moderate time may be spent in an adequate outdoor kennel and dog house they cannot be kept outside exclusively and never chained. Do you agree to these conditions?
No I do not agree Yes I do agree

Is there a local ordinance in your area pertaining to owning/housing an animal (i.e. leash laws, required vaccinations, dog licenses, etc.)
Yes local ordinances apply No local ordinances do not apply

Are you willing to keep a collar with a tag bearing your name, address, phone number, etc. on your Malinois at all times?
No I will not keep a collar with tags on my Malinois at all times Yes I will keep a collar with tags on my Malinois at all times

If for any reason, you are unable to keep your Malinois, will you agree to return it to this adoption center?
No I would not return the Malinois to Rescue Yes I would return the Malinois to Rescue

Are you willing and able to accept full care, costs, and necessary burdens and responsibility of owning a pet?
No I am not willing and able to accept full care, costs, and necessary burdens and responsibility of owning a pet Yes I am willing and able to accept full care, costs, and necessary burdens and responsibility of owning a pet

How many dogs have you owned in the past ten years?

Please list each dogs' breed, sex, name and age. (If you no longer own the dog, please note what became of it)

What other pets do you have?

Have you ever bred or raised dogs?
Yes I have bred or raised dogs No I have not bred or raised dogs

Have you ever participated in dog shows?
Yes I have participated in dog shows No I have not participated in dog shows

Have you ever trained a dog before?
No I have never trained a dog before Yes I have trained a dog before

If yes, what commands were taught?

Are you familiar with crate training?
No I am not familiar with crate training Yes I am familiar with crate training

If no, would you be willing to learn more about it and consider the use of a crate (portable cage) as a training and transitional aid?
No I am not willing to learn about crate training Yes I am willing to learn about crate training

How would you describe your household activity level:
My household activity level is very quiet My household activity level is rather easygoing My household activity level there is usually something going on My household activity level there is lots of activity

Estimate number of times per month that adults visit your home?

Estimate number of times per month that children visit your home?

In addition to a regular life at home, would your Malinois:
Walk routinely with a family member? No will not walk routinely Yes will walk routinely
Compete in obedience trials? No Obedience Competition Yes Obedience Competition
Go to obedience classes? No Obedience Classes Yes Obedience Classes
Go to your place of business with you? No will not go to my business Yes will go to my business
Travel with you? No will not travel with me Yes will travel with me
Be a playmate or pet for your children? No will not play with children Yes will play with children

Would you prefer a male or a female Malinois?
I have no Preference regarding sex I prefer a Female I prefer a Male

Occasionally, a Malinois with special needs (physical restrictions or an unusual personality or preferences) is available for adoption. Would you be interested in being considered for such a "special" dog?
I might be interested in a Special Needs Malinois Yes, I would be interest in a Special Needs Malinois No I am not interested in a Special Needs Malinois

Please add any additional information or thoughts that you feel would help us to understand you and your home as potential Malinois owners?

Do you currently have a veterinarian? Applications without a vet will not be processed. You can use the box above to explain if there are extenuating circumstances.
No current vet Yes I have a vet

If yes, please list your veterinarian's name, address, and phone number:
Name:
Add:
City: St: Zip:
Phone:

Please list two personal references that you have known for more than two years that are not relatives:

Reference 1.
Name:
Add:
City: State: Zip:
Phone:

Reference 2.
Name:
Add:
City: State: Zip:
Phone:

Adoption Process: We do not adopt out Malinois on a first come first served basis. The final adoption of an ABMC Rescued Malinois is the result of the collaboration of many people. The dog's original rescuer, the coordinator, the person that performs the home check and the foster who knows the dog the best. All provide information that is used to insure the Malinois is adopted by the best home for that particular dog. Our final objective is to make good matches between dogs and families to ensure life long adoptions.

Applicant's Name:
Date Submitted:

Co-Applicant's Name:
Date Submitted:

Before clicking Send please make sure you replied to all the questions.

Please check to see that you have provided a valid email address. You will NOT receive your copy of the application if you have failed to provide a valid email address.

Please allow 3-5 days for an acknowledgement. It's very possible you will be contacted sooner but, each person working with rescue is a volunteer and sometimes real life matters take precedence to rescue matters.

Click Submit only One time.