Adoption Application

Adoption Application
Basic and Housing Information
Full Name *

First Name Last Name
Birth Date *

Month Day Year
Our adoption age requirement is 23 years of age. Why? Statistically we have found most returns have come from those 18-23.

How can I get around this requirement? We encourage you to sign up as a foster or volunteer. Our team can get to know you and who you are as a person. We can see they type of care you give an animal. Those 18-23 who volunteer with our team are approved to adopt.

Address *

Phone Number *

Area Code Phone Number
Email
example@example.com
Are you or your spouse serving in the military? *

Active Duty National Guard/Reserves Retired Non Applicable

Housing Situation? *
Residence *

House Apartment Condo Townhouse Duplex Dorm or other on-campus housing
Time in Hawaii? *
Time at current residence? *
How long to you plan to stay at this residence? *
Landlord's Name *
if you own you home write N/A
Landlord's Number *
If you own you home write N/A
Do you have a yard? (Fenced, open, etc)
If you do move in the future, what are your plans for your animals? *
Occupation and Family
What is your occupation? *
Work hours: *
Who is your employer? *
Employer's contact information? *
Is there a secondary caregiver for the animals in the home? *

Yes No
Secondary Caregiver
Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Secondary caregiver's occupation? *
Secondary caregiver's work hours: *
Secondary caregiver's employer *
Employer's contact information *

List ALL people living in your home. (include yourself) *

Name

Age

Gender

Relation

Tell us about the animals you have had in the past, that you no longer own: (If you have no experience with animals, enter N/A) *

Name

Breed

Length of Ownership

Died/Rehomed/Lost

Notes:

Have you ever given a pet away before, to anyone, for any reason? If so, please tell us about that experience. *

Please tell us about your CURRENT animals: (If none, enter N/A) *

Name

Breed

Male or Female?

Fixed?

Age

Temperament

Time with you

Notes:

Basic and Housing Information