HOPE2K9 ADOPTION APPLICATION Web Site Are You Applying For a Specific Dog Currently In Our Program? * Yes No 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 May Take Weeks To Find the Right Fit. * YES - I am willing to wait to be matched with the right dog from Hope2K9 Foundation NO - I'm going to keep looking elsewhere I'm 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 * Co-Applicant (if Applicable) Date of Birth * Co-Applicant Date of Birth Home Street Address * City * State * Zip Code * Cell Phone * Best Email Address * Employer (1) * Employer (2) Occupation (1) * Occupation (2) Do You Own or Rent? * Own Rent Residence Type * House Apartment / Condo / Townhouse How Long at This Residence? * If Renting, Landlord Name If Renting, Landlord Phone REFERENCE 1: Name of Nearest Relative * Relationship * Relative Phone * REFERENCE 1: Relative's Address * REFERENCE 2: Name of Friend/Co-Worker * REFERENCE 2 Relationship * REFERENCE 2 Phone * REFERENCE 2: Address * REFERENCE 3: Name of Friend/Co-Worker * REFERENCE 3 Relationship * REFERENCE 3 Phone * REFERENCE 3: Address * HOUSEHOLD MEMBERS: Are All Household Members Aware and Approving of the Adoption Process? * Yes No Household Member #1: Name Member #1: Age Household Member #2: Name Member #2: Age Household Member #3: Name Member #3: Age Household Member #4: Name Member #4: Age Other Pets in Household #1 None Dog Cat Other Male or Female? Male Female Spayed / Neutered? Yes No Pet's Age Other Pets in Household #2 None Dog Cat Other Male or Female? Male Female Spayed / Neutered? Yes No Pet's Age Please List and Describe Any Additional Pets on the Premises Veterinarian Info: Clinic Name Name of Doctor Vet Phone Veterinary Clinic Full Address Housing/Yard/Living Style: Fenced Back Yard? Yes No You Agree That if Your Yard is Not Securely Fenced, the Dog MUST Be Supervised and On-Leash at ALL Times When Outside. * I AGREE How Will You Exercise the Dog? * How Many Hours a Day Will the Dog Be Left Alone? * How Many Days a 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? * Yes No Additional Comments or Information You Would Like to Provide: Why Do You Want to Adopt? * What's the Youngest Age of Dog You Would Consider? Oldest Age? * Would You Be Willing to Adopt a Special-Needs or Medical-Needs Dog? * Yes No Have You Ever Had to Give a Pet Away? * Yes No 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? * Yes No 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? * Yes No Please Confirm That You’ve Viewed the Video, * Yes, I Confirm Are You Prepared to Bring a Dog Home Immediately? * Yes No 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. * Yes, I Acknowledge 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: * (Signature 1) Signing 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: (Signature 2) Signing Date SUBMIT ADOPTION APPLICATION
