HOPE2K9 ADOPTION APPLICATION

Are You Applying For a Specific Dog Currently In Our Program? * YesNo

If Yes, Which Dog Are You Interested In?

If a particular dog you’re interested in is no longer available, are you willing to wait for Hope2K9 Foundation to match you with the right trained dog? Our program is in high demand, and it make take weeks to find the right fit. * YES - I am willing to wait to be matched with the right dog from Hope2K9 FoundationNo - I’m going to keep looking elsewhereI am not inquiring about any particular dog

If You Are Applying to Be On Our Waitlist for a Proper Dog Match, What Are You Looking for In a Potential Dog? Example: Age, Sex, Breed/Mix, Size/Weight, Temperament, or Personality Traits:

Your Name *

Date of Birth *

Co-Applicant Name (If Applicable)

Co-Applicant DOB

Home Street Address *

City *

State *

Zip Code *

Cell Phone *

Best Email Address *

Employer (1) *

Occupation (1) *

Employer (2)

Occupation (2)

Do You Own or Rent? * OwnRent

Residence Type * HouseCondo/Apartment

How Long at Residence? *

If Renting, Landlord Name

If Renting, Landlord Phone

REFERENCE 1: Name of Nearest Relative *

Relationship *

Relative Address *

Relative Phone *

REFERENCE 2: Name of Friend/Co-Worker *

Relationship *

REFERENCE 2 Phone *

REFERENCE 2 Address *

REFERENCE 3: Name of Friend/Co-Worker *

Relationship *

REFERENCE 3 Phone *

REFERENCE 3 Address *

HOUSEHOLD MEMBERS: Are All Household Members Aware and Approving of the Adoption Process? * YesNo

Household Member #1: Name

Age

Household Member #2: Name

Age

Household Member #3: Name

Age

Household Member #4: Name

Age

Other Pets in Household #1 NoneDogCatOther

Male or Female? MaleFemale

Spayed / Neutered? YesNo

Age

Other Pets in Household #2 NoneDogCatOther

Male or Female? MaleFemale

Spayed / Neutered? YesNo

Age

Please List and Describe Any Additional Pets on the Premises

Veterinarian Information: Clinic Name

Name of Doctor

Phone

Veterinarian Address

Housing/Yard/Living Style: Fenced Back Yard? YesNo

Fence Height

Fence Material

You agree that if your yard is not securely fenced, the dog MUST be supervised and on-leash at ALL times when outside. *

How Will You Exercise the Dog? *

How Many Hours a Day Will the Dog Be Left Alone? *

How Many Days Per Week? *

Where Will the Dog Be Kept When No Human is Home?

Where Will the Dog Be Kept When You Are at Home? *

Where Will the Dog Sleep at Night? *

What Type of Activities Do You/Your Family Enjoy? *

Will the Dog Be Part of Those Activities? * YesNo

If No, Why?

Additional Comments or Information You Would Like to Provide:

Why Do You Want to Adopt? *

What is the Youngest Age of Dog You Would Consider? *

Oldest Age? *

Would You Be Willing to Adopt a Special-Needs or Medical-Needs Dog? * YesNoDepends on the Situation

Have You Ever Had to Give a Pet Away? * YesNo

If Yes, Why?

What Type of Discipline Do You Use on a Pet? *

Training Tools Such as Prong Collars and Remote Collars Go With the Dog to the Adoptive Home. Do You Agree to Keep Using the Tools as Part of Maintaining the Dog’s Training? * YesNo

What Experience Do You Have With These Training Tools? *

Continued Crate Usage is an Expectation for All of Our Dogs. Do You Need a Crate? YesNo

Please Confirm That You’ve Viewed the Video, "What to Expect," On Our Adoptions Page. *

Are You Prepared to Bring a Dog Home Immediately? * YesNo

If Not, Please Explain:

Check to Acknowledge That You, the Applicant Adopter, Agrees That, Under NO Circumstances Will the Dog Be SOLD, TRADED, or GIVEN AWAY, Regardless of Any Situation(s) That May Arise or Circumstance(s) That Occur(s) That Prohibits Them From Keeping the Dog. The Dog MUST Be Returned to Hope2K9 Foundation in the Event That You Are No Longer Able to Care and Provide for the Dog. *

SIGNATURES, NAME (1): By digitally signing below, I authorize representatives of Hope2K9 Foundation to conduct a home inspection as part of the application approval process. Additionally, I state that all of the information provided in this application is true and accurate, to the best of my knowledge. I authorize all personal and veterinary references to disclose information to representatives of Hope2K9 Rescue. Signed: *

Date *

SIGNATURES, NAME (2): By digitally signing below, I authorize representatives of Hope2K9 Foundation to conduct a home inspection as part of the application approval process. Additionally, I state that all of the information provided in this application is true and accurate, to the best of my knowledge. I authorize all personal and veterinary references to disclose information to representatives of Hope2K9 Rescue. Signed:

Date

3 + 1 = ? Please prove that you are human by solving the equation *