Pet Interest Form: At-Risk Dogs
Mahalo your interest in adopting one of our at-risk dogs. We truly appreciate every person who fills out this form and is willing to open their heart to an animal in need. Our Adoptions Team will review all inquiries and respond to applicants who best fit the needs of the dogs in our care. We thank you for your patience and understanding as we work to filter through applications. Thank you for hearing our plea and opening your heart to a Maui dog in need. If you live on Maui and have a dog in mind, we encourage you to stop by the shelter to speak with our Adoptions Team directly!
Followed-Up?
Initials
Comments
Name
*
First Name
Last Name
Do you prefer to be contacted by email or by text (phone)?
*
Email
Phone
Email
*
example@example.com
Cell Phone Number (that can receive and send text messages)
*
Please enter a valid cell phone number that can receive and send text messages. We will be communicating via text message.
Format: (000) 000-0000.
Do you live on Maui?
Yes
No
Where do you live?
*
Maui County
Oahu
Big Island
Kauaʻi
The Continental US
What is the closest major airport?
What is your zip code?
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Is there a specific dog you are interested in adopting?
*
Yes, I have a dog in mind
No, I'm open to any dog that fits my home and lifestyle
Which dog(s) are you interested in?
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Life at Home: People & Pets
Do you currently have any other pets at home?
*
Yes
No
What other pets do you have in the home?
Dog
Cat
Small animal (guinea pig, rabbit, turtle)
Bird (including chickens, ducks, parrots, etc.)
Other
Please describe the animals living in your home (include species, breed if known, age, and temperament).
How do your current pets feel about new animals?
Who will be part of your new pet’s household?
*
Just me
Me and my partner or spouse
Family with children
Roommates/housemates
Other
What are the ages of the children at home?
Could you share a bit about your living situation (house, apartment, etc.) and where your new dog would spend most of their time (indoors, outdoors, etc.)?
*
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Are you able to welcome a dog into your home by Thursday, October 30? Due to their declining mental state in our care, they must leave the shelter by this date.
*
Yes
Possibly, but would need to make some arrangements first
Unfortunately, not by October 30
When do you see yourself being ready to take a dog home?
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Are you interested in learning about other adoptable pets in the future?
*
Yes
No
How did you hear about our at-risk dogs?
MHS social media post
MHS email communication
News outlet social media post
On the news
Coconut wireless (word of mouth)
Other
Submit
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