Adoption Application





The following questionnaire is our way to get to know you. We are excited to learn more about your family and lifestyle and encourage you to be as thorough as possible with your responses. Because we receive many applications, approximately 50-200 applications per dog, we pay the closest attention to the applications that are thoughtful and completely filled out. Unfortunately, we cannot respond to all applications, however, if you have not heard from us within a couple weeks please send a message to make sure that we have received.

We hold the information on your application in the strictest of confidence. Please plan to spend about 30 minutes to complete the questionnaire. 


Why do you want to adopt a French Bulldog?*

How did you hear about the Chicago French Bulldog Rescue?*

If you have been referred to us by a personal reference such as a friend of the Rescue, a veterinarian, etc., please list the names of those people here:

About Yourself

Your Name*

Age*

Primary Email Address*

Home phone

Mobile phone

Work phone

Home address:

Street address*

City*

State*

Zip code*

Employment information

Name of Employer*

Your occupation*

Employer’s address*

Co-applicant

Is there a co-applicant*  (spouse, fiancée, roommate or any other household member must be included here): 
YesNo

Co-applicant name

Relationship to you

Co-applicant age:

Co-applicant email address:

Co-applicant phone (if different than your phone):

During the week, from the time you leave in the morning to the time you come home at night, how many hours are you away on an average day?*   (please check the option that applies to you)

On weekends, how many hours are you away, on an average day?*  (please check the option that applies to you)

Please indicate all of the activities you participate in outside of work

Church/religious organizationGym membership/fitness activityVolunteer workSchoolSecond jobChildren’s activitiesNo activitiesOther

if ‘other’ please tell us about your other activities

What time do you typically leave your home to go to work?*

What time do you return from work in the evening?*

During the time you are away from your home on any given day, what is your plan for caring for your dog?*

In what type of residence do you live?*  (please indicate the option that applies to you)

How long have you lived at your current address?*  (please indicate the option that applies to you)

How long do you intend to stay at this location?*  (please indicate the option that applies to you)

Do you have stairs in your residence?*  (please indicate all that apply to you)

Do you have air conditioning?*

Please tell us about your home.*  (please indicate the option that applies to you)

Please choose all of the following that most closely reflect the outdoor space at your residence.*

Do you have a pool or body of water at or near your residence?*  (please indicate the option that applies to you)

How many people (humans, not dogs) in total live in your home, including yourself?

Are all household members in favor of adopting a Frenchie?* 
YesNo

Is anyone in your household allergic to pets? 
YesNo

How would you characterize your home?*  (please indicate all options that apply to you)

if ‘other’ please specify

How often do you have adult visitors?*  (please indicate the option that applies to you)

if ‘other’ please specify

How many children are in your home?* (please indicate the option that applies to you)

What are the ages of the children in your home?

Must the Frenchie get along with another dog in your home or a visiting dog? 
YesNo

If you answered yes to previous question, please tell us about your current dog(s). What are their age, sex, breed, temperament, etc.

Which of the following special needs would you be willing to accept and handle?

Are there additional details you’d like to share with us regarding special needs?

What is the age of the Frenchie you are willing to adopt? Check all that apply:

Must the Frenchie be good with children? 
Yes, definitelyNo, it doesn’t matter

Please tell us more about your experience with pets, or if this will be your first pet. Share your expectations (and fears!)

Have you ever had a dog in the past? 
YesNo

Have you ever owned a French Bulldog? 
YesNo

What other types/breeds of dogs have you had? Describe

How many dogs do you currently have?

Have you ever had to give up a pet (dog, cat, bird, etc.) to a friend, relative or rescue in the past? Please explain.

Have any of your pets been lost or stolen? 
YesNo

Have any of your current or past dogs been outdoor dogs? 
YesNo

For those dogs that are no longer with you, please indicate where they are now.

We check veterinary references. Please provide veterinarian contact information for each of the dogs you have had in the past or for your current dogs.

During which years did you take your dogs to this veterinarian or clinic?

Do you have any other types pets? 
YesNo

If so- please tell us what they are:

Are you familiar with common French Bulldog health issues? 
YesNo

Briefly tell us about the issues in which you are familiar concerning French Bulldog health issues.

How do you plan to learn about common French Bulldog health issues? (please indicate the options that apply)

Who will be the main caretaker for an adopted Frenchie?

Where will you keep your Frenchie while you are at work or out of the home?

How often are you away from your home on business or vacation travel?

Who will care for your Frenchie while you are on vacation or business trips?

Of the behaviors listed below, please indicate your feeling toward each. Please know that most all rescued bulldogs will exhibit some form of short-term behavioral issues.

Barking 
Will work on itNo Way

Leg-lifting/marking 
Will work on itNo Way

Stubbornness 
Will work on itNo Way

No obedience training 
Will work on itNo Way

Peeing in house 
Will work on itNo Way

Pooping in house 
Will work on itNo Way

Getting on furniture 
Will work on itNo Way

Jumping when excited 
Will work on itNo Way

Snorting/snoring 
Will work on itNo Way

Separation anxiety 
Will work on itNo Way

Pulling on leash 
Will work on itNo Way

Fear or timid behavior 
Will work on itNo Way

Aggression toward other dogs 
Will work on itNo Way

Chewing 
Will work on itNo Way

Gas 
Will work on itNo Way

Aggression toward cats 
Will work on itNo Way

Anxiety around children 
Will work on itNo Way

How will you correct your Frenchie’s behavior?

Please choose the statement you most agree with:*
I am concerned about the cost of pet ownership, as I will need to watch my expenses.I have mild concerns about the expenses of owning a pet, but this is not likely to have a significant impact on my budget.I have no concerns about the costs of owning a pet and these expenses will cause little or no impact on my budget.

How much do you anticipate spending on the following:

Routine veterinary care
monthly:   yearly:

Emergency veterinary care
monthly:   yearly:

Specialty veterinary care
monthly:   yearly:

Behavioral/training classes
monthly:   yearly:

Food/diet
monthly:   yearly:

Grooming
monthly:   yearly:

Boarding/pet sitting
monthly:   yearly:

Dog walking
monthly:   yearly:

Have you ever been charged with, or convicted of, a crime against an animal? 
YesNo

Have you ever sold an animal either as a breeder, broker or pet storeowner or employee? 
YesNo

Tell us about your “animal-friendly” organizations that you have been a part of either currently or in the past.

Is there a particular Frenchie you are interested in? Which one and why?

How will you exercise your Frenchie? We are active in our yard and also walks

How do you feel about crating your Frenchie?

French Bulldogs are in the top 5 breeds that are hard to housetrain- are you aware of this and realize you may have to work diligently with some of the rescue dogs to get them on your schedule! 
YesNo

Please keep in mind that once we receive your application:

  • We will review your responses
  • Check with your vet and other references
  • Will respond to you with either an acceptance or decline
  • We will then process all of the accepts and set up home visits
  • Our placement committee reviews all the info to help us decide which home would be the best for each Frenchie to be placed


Best wishes,

The Directors of the Chicago French Bulldog Rescue, Inc. NFP

Mary Scheffke, Director and President
Janie Jenkins, Treasurer
Kathy Miranda, Secretary and Director