Application

Welcome to the HOPE Animal Shelter Online Application
In order to be considered for an adoption you must:
- Be 18 years of age or older
- Have the knowledge and consent of all adults living in your household
- Have a valid ID with current address
- Have landlord’s name and telephone number (or lease)
- Completely fill out and e-sign application. Incomplete applications will not be processed!
- Understand that the HOPE Animal Shelter must approve your application (based on the policies set by the HOPE Board of Directors). Please allow 24-48 hours for processing.
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Which pet are you interested in?*
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Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone*

Area CodePhone Number
Alternate Phone

Area CodePhone Number
Employer/Income Source*
Employer Phone*
How Long*
E-mail (optional)
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Check All That Apply
(1-7)
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1.) What type of pet are you looking for? (check all that apply)*

DogCatPuppyKitten
Gender?*

MaleFemaleNo Preference
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2.) Do you want a particular breed?

YesNo
*If yes, what breed?
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3.) Do you want this pet for:*

CompanionProtectionBreedingGiftOther
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4.) This pet will be without human companionship for about:
Hours per day:*
Days per week:*
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5.) Where will your pet be kept during the DAY?*

IndoorsOutdoorsDog HouseCrateBasementGarage
During the NIGHT?*

IndoorsOutdoorsDog HouseCrateBasementGarage
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6.) Do you plan to let your cat outdoors?*

YesNoNot Applicable
*If yes, how often?
Do you prefer a declawed cat?*

YesNoNot Applicable
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Household Information
(7-11)
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7.) Where do you live?*

HouseApartmentCondoTrailer
Arrangement:*

I OwnI RentWith My Parents

If you RENT, you must click here!
Renters, please fill out the following:
8.) Does your landlord allow pets?

YesNoNot Sure
Landlord's Name
Landlord's Phone
Deposit Required?

YesNoNot Sure
Monthly Rent Increase

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9.) Do you have a fenced yard?*

YesNo
*If yes, please describe height and type:
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10.) Please provide the following information about your household:
Number of Adults:*
Number of Children*:*
*Children's Ages:
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11.) Is anyone in your household allergic to animals?*
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Pet Care Questionnaire
(12-15)
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12.) What will you do with your pets if you move in the future?*
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13.) How much do you anticipate spending yearly to feed, vaccinate, license, and provide medical care for your pet?*
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14.) Would you be willing to allow a representative from the shelter, visit your home before and after the adoption is completed?*

YesNo
If NO, please explain:
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Pet History
(16-17)
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15.) Have you adopted an animal from and/or surrendered an animal to HOPE before?*

YesNo
If yes, explain:
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16.) What type(s) of pets do you own or have owned in the last 5 years? If you have had pets, you must add them here. (up to 4)

Click Here To Add A Pet
Pets Name
Type/Breed
Kept Where?
Age
Sex

MaleFemaleNeutered MaleSpayed Female
Still Own?

YesNo
If no, please explain:
Additional Information (i.e. gets along with children, cats, dogs, etc.)

Click Here To Add A Pet
Pets Name
Type/Breed
Kept Where?
Age
Sex

MaleFemaleNeutered MaleSpayed Female
Still Own?

YesNo
If no, please explain:
Additional Information (i.e. gets along with children, cats, dogs, etc.)

Click Here To Add A Pet
Pets Name
Type/Breed?
Kept Where?
Age
Sex

MaleFemaleNeutered MaleSpayed Female
Still Own?

YesNo
If no, please explain:
Additional Information (i.e. gets along with children, cats, dogs, etc.)

Click Here To Add A Pet
Pets Name
Type/Breed
Kept Where?
Age
Sex

MaleFemaleNeutered MaleSpayed Female
Still Own?

YesNo
If no, please explain:
Additional Information (i.e. gets along with children, cats, dogs, etc.)

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17.) Who was/is your veterinarian for the above animals?

Type (na) if no previous pets.
Vet's Name*
Phone*
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18.) Do you realize that a dog or cat may live 15 or more years?*

YesNo
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19.) It may take your new pet up to two weeks or more to adjust to it's new home, especially if other pets are invlolved.
Are you prepared to allow this much time?*

YesNo
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20.) How do you plan to house train your dog or cat?*
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21.) Have you, or a member of your household, ever been investigated for, or cited for, animal neglect or cruelty, or allowing your dog(s) to run at large? If no, leave blank.
If yes, please explain the circumstances if they are such that you believe they should not disqualify you from your requested adoption at this time:
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By signing below, I certify that the information I have given is true and that I recognize that any misrepresentation of the facts may result in my losing privilege of adopting a pet. I authorize investigation of all statements on this application, and agree to waive confidentiality for investigation of statements concerning previous animal law investigations or citations. I understand that this application is property of HOPE Animal Shelter and that HOPE reserves the right to accept or refuse this application at it's sole discretion.
By entering your name and the code word, you understand that this is a binding signature.
Name of Applicant*
Application Date:*

MonthDayYear
Enter Code Word Below*
Please rate this online application from 1 to 5 stars! *(optional)
Suggestions or additional comments: *(optional)
Phone Number

Area CodePhone Number
Should be Empty:

Welcome to the HOPE Animal Shelter Online Application