Dog Adoption Application | New Hope Animal Rescue WV

New Hope Animal Rescue is a non-profit, all volunteer organization established to provide for the the rescue, care, and placement of animals that have been abandoned, neglected, abused, or cannot be kept by their previous owner(s). This application will be reviewed by a member of NHAR and we reserve the right to request additional information; to require certain conditions be met before approving an application; and to conduct a pre- or post-adoption home visit. NHAR also reserves the right to reject any application if it is not in the best interest of the animal.

APPLICATIONS REQUIRE APPROXIMATELY 48 HOURS TO PROCESS

Date of Application

Name

Date of Birth

Address

Phone Number

Employment Information

Are you currently employed?

Place of Employment

Work Phone Number

If you are not employed full time, what is your main source of income?

Dog and Pet Information

What dog(s) are you interested in adopting?

Name(s)
Sex
Age
Breed
Description
What is the primary reason for wanting to adopt this dog/puppy?

What size dog would best fit your needs?
Have you adopted from NHAR in the past?
If yes, when?
If yes, where is the animal now?

Please describe the pet(s) you currently have or have had in the past 10 years. Include what has happened to these pets.

Who is your Veterinarian?

Veterinarian's Phone Number

Are your current pets spayed/neutered?

Are they current on vaccinations?

Household Information

How many adults live in your home?

How many children live in your home?

What are their ages?

Have you trained your children in the handling of pets?

Do all of the adults in the household know you plan to adopt this animal?

Is anyone in your house allergic to animals?

How long have you lived at your current address?

Do you

What type of home do you live in?

If you rent, do you have your landlord's permission to have a pet?

If you rent, what is your landlord's name and phone number?

If you move, what will you do with your pet?

Pet Care Information

Who will be primarily responsible for this animal?

Are you familiar with house training procedures?

How many hours will this pet be alone per day?

Where will this pet be kept?

Do you have a fenced yard?

If kept outside, do you have a house or shelter for your pet?

If you go away on vacation, or in case of emergency, who will care for this pet?

New Pet Specifics

What is your estimated monthly cost for the pet you wish to adopt?

How many years do you expect to take responsibility for this pet?

How much time will you allow your new pet to adjust to your family and/or current pets?

How will you go about introducing this new animal to your other pets?

Do you plan to dock the tail, crop the ears or debark your dog?

Have you been convicted of a violent crime or ever had a "Protection from Abuse" Order entered against you?
If yes, please explain

Please provide two personal references and phone numbers. (Not family members or people living in your home.)

What is the best time to contact you for a telephone interview?

May we make a pre-adoption visit to your home?

By checking this box, you are certifying that all information on this form is true and correct to the best of your knowledge. You are also giving New Hope Animal Rescue and its representative(s) permission to contact the veterinarian, landlord (if applicable) and personal references listed.

Any additional comments or information?