Please fill in all the mandatory fields (marked by *)

NOTE: THIS PAGE MUST BE FILLED OUT BY ALL THOSE 18+ IN THE HOUSEHOLD
HOPING TO ADOPT A DOG
1.
2.
3.
 Yes    No
4.
5.
6.
 Yes    No
7.
8.
 Yes    No
9.
10.
 Yes    No
11.
12.
 Yes    No
13.
14.
 Yes    No
15.
*Answers to these questions will only be used by Network Ten Pty Limited and Animal Welfare League to assess suitability to participate in the program and in animal re-homing.
By submitting this form you:
- acknowledge that it forms part of an Application as defined in the Application Terms and Conditions available at https://networkten.shortaudition.tv/data/company_289/jobs/job13676/Terms_of_Use.pdf
- acknowledge that Network Ten Pty Ltd is collecting your information to record your application, administer the assessment and casting process and, if applicable, to produce the Program;
- agree to the Application Terms and Conditions, and acknowledge the Privacy Policy and Collection Statement - each of which is available at:

 - https://networkten.shortaudition.tv/data/company_289/jobs/job13676/renamed.64a5175a1550f.pdf
 - 
https://networkten.shortaudition.tv/data/company_289/jobs/job13676/renamed.64a5177360590.pdf

We want to get to know you better so that we can find you the perfect dog.

Be yourself. No need for a flashy video submission.

Tell us your story, why you would like to adopt a dog and why now is the right time for you. Please be sure to put your personality into it, we appreciate you for who you truly are. Please keep your video to less than 3 minutes.