Application

PET INFORMATION

Pet Information *Which pet are you interested in adopting? (Please include name, gender and brief description of the cat/dog.)

Type of Pet *CatDog

Date *

Name — First *

Last *

Occupation *

Spouse/Partner's Name — First

Last

Street Address *

Address Line 2

City *

State / Province *

ZIP / Postal Code *

Country *

Home Phone *

Daytime Phone *

Email *

RESIDENCE INFORMATION

2. Do you rent or own the place in which you reside? *

3. If you rent, does your landlord allow pets on the premises? (Please provide landlord’s name and phone number.)

4. How many people reside in your household? *

5. Is anyone in your household allergic to cats/dogs? Please specify. *

6. Are there any children in your household? If yes, please provide number and ages of all children. *

7. Have your children been around pets before? If yes, please specify type of pet and circumstance.

8. Are there any other pets currently living in your household? (Please specify type and age.) *

PLEASE ANSWER THE FOLLOWING QUESTIONS IF YOU ARE INTERESTED IN ADOPTING A CAT

3. Do yu have a cat door? *YesNo

4. Where would the cat’s litter box be located? *

5. Have you owned a cat before? If yes, what happened to it? *

6. Was your previous cat declawed? *

7. Would you like to declaw this cat? *

PLEASE ANSWER THE FOLLOWING QUESTIONS IF YOU ARE INTERESTED IN ADOPTING A DOG

3. Do you have a dog door? *YesNo

4. Where would the dog be allowed to go to the bathroom? *

5. How often would you take your dog out on walks? *

6. How often would you take your dog to the dog park? *

7. If your dog showed behavorial problems, what would you do? *

8. Have you owned a dog before? If yes, what happened to it? *

OTHER

1. Where would your pet sleep at night? *

2. What type of food will you feed your pet? (Please check all that apply) *Dry FoodWet FoodHuman FoodOther

3. What will happen to your pet when you go out of town? *

4. What would you do if you had to move and had difficulty finding a place that allowed pets? *

5. What would happen to your pet if you had to move out of state or out of the country? *

6. What would you do if your pet got sick or injured? *Try home remediesTake it to the vetWait for the illness to passOther

7. Can you afford regular veterinary care for this pet in order to maintain its health? *

8. Can you afford higher veterinary costs in case of serious illness or injury? *

9. Do you have a veterinarian? If yes, please provide veterinarians name and phone. *

11. If for some reason you had to give up your pet, what would you do? *Find a good home for itLet it out so that it could find a home for itselfTake it to the shelterSeek assistance from There is HopeOther

12. Would you be open to allowing There is Hope to conduct a home inspection prior to finalizing adoption? *

13. Would you mind if There is Hope occasionally contacts you to check on your new pet? *

PET INFORMATION

RESIDENCE INFORMATION

PLEASE ANSWER THE FOLLOWING QUESTIONS IF YOU ARE INTERESTED IN ADOPTING A CAT

PLEASE ANSWER THE FOLLOWING QUESTIONS IF YOU ARE INTERESTED IN ADOPTING A DOG

OTHER

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