Preliminary Adoption Form

Thank you for your desire to adopt a rescue animal. Please understand that filling out this application does not guarantee you will receive an animal and that placement of an animal within your home is at the complete discretion of Always Hope Animal Rescue.
Thank you for considering a rescue.

Name of the animal(s) if known: Type:
Gender of animal: Male Female No preference


*Full Name:

Address: Apt/Suite:

City: State: Zip:

Home Phone: Cell Phone: Work Phone:

*Email Address:

*Year of birth: Must be over 21 to apply and adopt.


1. Please tell us what you would consider to be the perfect pet:

What kind of personality traits are you looking for?


2. What kind of pet are you looking for? (mark all that apply)
 Companion Family pet Child's pet Friend for other pet Gift Barn/Mouser


3. What activity level are you looking for in a pet? What is your lifestyle?
 High activity (jogging, hiking, agility) Somewhat (long walks, play) Couch potato (short walks, belly rubs) Other Explain:


4. Please list all animals you currently own:
Name: Animal: Age: Gender: Spayed/Neutered
Name: Animal: Age: Gender: Spayed/Neutered
Name: Animal: Age: Gender: Spayed/Neutered


Are all animals in the home up-to-date on vaccines, including rabies, heartworm and flea preventative? If no, explain:


5. Please list all the pets you have owned in the past 10 years that you no longer have:
Name: Animal: Age: What happened to it?
Name: Animal: Age: What happened to it?
Name: Animal: Age: What happened to it?


6. Current Veterinarian:
Name of Vet Clinic: Phone #:

Address: City:


7. Please describe how you feel about the following?
Declawing (cat only):

Spaying/Neutering:

Regular vaccinations (rabies, distemper):

Outdoor cats/dogs:

Euthanization:


8. Do you live in a

9. Do you own your own home or rent?
If rent, does your landlord or lease allow pets?  Yes No (If rent must provide proof at time of adoption)


10. How many people in household?

Ages of children under 18:


11. How do you plan on keeping the animal contained outside (dog only)?
 Fenced in yard Underground fence Tie out/Cable Training Other
Explain:


12. Is everyone in your household in favor of adopting a pet?  Yes No


13. How much time will your pet be outside each day?
 Less than one hour 1-3 hours 3-5 hours 6+ hours

14. How much time per day are you able to provide your animal with attention and exercise?
 Less than one hour 1-3 hours 3-5 hours 6+ hours


15.Where will the animal sleep?


16. When I am home my pet will be:  crated where it wants in the house in yard confined to room in home in garage in basement other Explain:

17. When I am not at home my pet will be:  crated where it wants in the house in yard confined to room in home in garage in basement other Explain:


18. How many hours per day would the animal be left alone?


19. How do you handle unwanted behavior? (check all that apply)
 Yell Put pet outside Obedience training Clicker Remove the problem Hit/spank/swat Redirect Return Put in crate Put in another room Squirt bottle Positive reinforcement


20. How would you handle a cat that is litter box trained but suddenly starts urinating outside the litter box?


21. What will you do with the animal when you go on vacation?

22. What would you do with your animal if you had to move?


23. Pets can live as long as 15-20 years. Select all of the following that may cause you to give up an animal:  Birth of a child New roommate Marriage Divorce Biting Spraying Needs regular medicine Allergies None


24. What kind of personality traits in a pet are you NOT willing to live with? Select all that apply.
 Excessive barking/meowing Aggressive Unfriendly towards other pets Shy, skittish or hides Urinates outside litter box Jumps on kitchen counters or tables Other Explain:


25. Have you ever had to return a pet to a breeder or take one to a pound, shelter or rescue?
 Yes No If yes, please explain:


26. Pets can cost on average $200 a year for non-emergency bills. Are you prepared for that expense?  Yes No


I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. By checking this box I am authorizing Always Hope Animal Rescue permission to contact landlords, associations and veterinarians.

I accept *Date: