Paws of War Dog/Cat Adoption Application

THIS APPLICATION IS FOR VETERANS, FIRST RESPONDERS AND GOLD STAR FAMILY'S ONLY.

INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED

Is there a specific dog you interested in? Please list their name. *

Are you a United States military veteran, active military, or a first responder? *

First Name *

Last Name *

Mobile Phone Number *

Home Phone Number *

Email Address *

I reside in: *

Landlord First Name

Landlord Last Name

Landlord Phone Number

Your address:

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Marital Status *

Single

Married

Widowed

Divorced

Sex *

Male

Female

Age *

Children *

If yes, please list their names and ages:

Place of employment *

Annual Household Income *

Will you be moving or relocating in the near future? If so, when and where? *

If First Responder - First Responder Type, ie. paramedic *

Please Upload your First Responder I.D.

Branch of Service *

Years Served (If still serving, enter start date) *

Campaign *

Have you ever been convicted of a NJP, Court-Martial, Or Felony? *

Yes NJP

Yes Court-Martial

Yes Felony

None Of The Above

Please Upload Your DD214 if applicable

If you dont have access to your file electronically, please mail a copy to Paws of War, 127-6 Smithtown Blvd.
Nesconset, New York 11767