Adoption "Matchmaking" Application

Congratulations on starting your journey to bring a wonderful new member of the family home! We applaud you for being part of the rescue community, and our trained adoption coordinators will help you find the perfect dog for your lifestyle.

We also have this application in PDF form, which you may download and fill out on your computer and email to claudia@hope4animals.org: Download Adoption Application

Please note: This application is only for our foster dogs or cats. If the animal you are interested in is located at the shelter, please contact the adoption coordinator listed on the posting for adoption information.

This Application is for a
Dog
Cat
Name of Dog/Cat you are Interested in:
Applicant Information
Your Name:*
FirstLast
Age*
Name of Spouse or Partner:
FirstLast
Name of Roomate(s) (if applicable)
FirstLast
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Primary Phone*
Alternate Phone
Email
Occupation
Spouse or Partner Occupation
Work Schedule
Spouse or Partner Work Schedule
Names of all Persons Living in Your Household, Their Relationship to You, and their ages:
Please tell is a little bit about yourself and why you want to adopt
Does EVERYONE in your family want to adopt?
Yes
No
Please name a personal reference and his/her relationship to you:
Relationship
Phone
Home
Type of Dwelling
Home
Condo
Apartment
Rent or Own
I own my home
I rent my home/apt
I live in Military housing
If you live in a condo or apartment, what are the association's rules about pets?
Do you have the landlord's permission to have a pet?
yes
no
Landlord's name and phone number
Your home has
1 story
2 stories
3 stories
If adopting a dog, do you have a pool?
yes
no
If you have a pool, is it fenced?
yes
no
How do you introduce a dog to a pool?
Would you object to an inspection of your home by a rescue volunteer?
yes
no
Your Companion Animals
Do you have the financial means to spend hundreds or even a few thousands of dollars on veterinary care for your pet should the need arise?
yes
no
Do you currently have a cat?
yes
no
Name and Breed of Current Cat(s)
Age of Current Cat
How long have you had the cat?
Do you presently have a dog?
yes
no
Name & Breed of Current Dog
Age of Current Dog
How long have you had a dog?
Sex Altered?
Yes
No
How and Why Obtained?
Have you had dogs prior to your current dog?
yes
no
Have you had cats previously?
yes
no
Breed of Previous Cat
Sex Altered on Previous Cat?
yes
no
History of Previous Cat
Additional Details for Previous Cat
Breed of Previous Dog
Age of Previous Dog
Sex Altered on previous dog?
yes
no
History of Previous Dog
Additional Details for previous dog(s)
Have any of you dogs/cats every had puppies/kittens?
yes
no
If yes, bred for (check all that apply)
fun
profit
show
accident
Has any member of your family every experienced animal-related allergies?
yes
no
Have you ever trained a dog in obedience class?
yes
no
Do you have other pets?
yes
no
How many other pets do you have?
What species?
Where do you keep these other pet(s)?
How long have you had these pets?
If you have a cat, is it declawed?
yes
no
Please include the name and contact details for your veterinarian
Who would be responsible for your pet's care?
What is your primary reason for adopting?
Where will your new dog or cat sleep?
How many hours/day will your new dog or cat be left alone?
Where will the dog/cat be left when you are away from home?
indoors
outdoors
other
If outdoors:
in the yard
on the patio
in a kennel
in the garage
if other, where?
Do you have a pet door?
yes
no
If a yard, is it fenced and how high is the fence?
Please indicate if the fence if wood, chainlink or another material:
Have/would you use a pet-sitter or pet daycare center?
yes
no
When home, pet will be:
always indoors
mostly Indoors
always outdoors
mostly outdoors
Please upload a photograph of the area where your pet would sleep (jpeg or gif files only)
This can also be emailed to us later if you don't have a photo right now. Please keep file sizes under 1MB if possible.
If pet will be outside at all, what outside space if available?
garage
dog run
fenced yard
unfenced yard
patio
balcony
other
if other, please describe:
Please upload a photo of your yard (jpeg or gif only please)
This may be emailed to us at a later date and is not required to complete this application. Please keep file sizes under 1MB if possible.
How do you plan to handle the pet's exercise needs?
Do you travel a great deal?
yes
no
If yes, how often and how long at a time?
When you travel, how do you intend to provide for the pet while you are gone?
If a pet became destructive to your home, what would you do?
Do you have any "musts" for a pet to be able to fit into your life?
Do you feel obedience training makes a dog a better companion?
yes
no
If necessary, are you willing to attend obedience classes at your expense?
yes
no
Under what circumstances would you not keep the dog or cat? (check all that apply)
divorce
family illness
moving
new baby
pet grew too big
new job
chewing
kids ignore
digging
biting
pets don't get along
barking
shedding
medical bills
allergy
not obedient
housetraining problem
other
please explain:
What provisions would you make for your pet if you had to move?
What would you do if the dog grew bigger than expected?
return to the rescue
take to the shelter
keep outside
be glad there is more to love!
Is there anything else you would like to tell us about yourself or your home environment?
Digital Signature*
To sign with your digital signature, please enter your birth month in the box above.
Phone
This field is for validation purposes and should be left unchanged.