Second Hand Dog Rescue Adoption/Foster Application

Application to Adopt or Foster

Second Hand Dog Rescue
Thank you for your interest in adopting one of SHDR's many rescue animals. Please plan on the application taking roughly 15-20 minutes, depending on the length of your answers. It's designed for us to get to know you better, as well as find the best match for you and your household. Also, please have your vet and landlord contact info ready before you start, as well as name and number of 3 personal references, so you don't have to leave the application to get those. Incomplete applications will not be processed.

If you are filling this out for a specific animal in our foster system, we ask that you still fill out all of the answers that are relevant to you. Often, we find that our rescue's transition from foster home to your home can be made easier for everyone involved by knowing small details that may not come up in initial conversations.

All information shared in this application will remain confidential within SHDR, but may be relayed to our foster volunteers during the matching or adoption process. Should you have any questions, please feel free to email us at secondhanddogrescue@gmail.com.
CONTACT INFORMATION
Name *

First Name Last Name
Email *
example@example.com
Full Address *

Street Address

Street Address Line 2

City State

Zip Code
Cell Number *

Area Code Phone Number
Home Number (if applicable)

Area Code Phone Number
Best Time to Call *
How did you hear about SHDR? *
If you know someone who has fostered or adopted from SHDR, enter their name here

YOUR DOG'S LIFE
Where will your newly adopted dog spend its day? *
Where will s/he spend the night? *
How many (average) hours per day will s/he spend alone? *
Who will have the primary responsibility for his/her daily care? *
Do you agree to provide regular health care from a Licensed Veterinarian? *

Yes No
Do you agree to keep him/her as an indoor dog? *

Yes No
When the dog does go out, how do you plan to supervise it? *
Can you describe the outside areas that it would normally visit? *
Is your yard fenced in? *

Yes No
If your yard is fenced in, please describe the height and type of fence, and approximate size of the fenced in area.

RENTAL INFORMATION (if applicable)
What rules does your landlord or management company have for owning pets?
LANDLORD or Management Company:
Landlord Name

First Name Last Name
Landlord Phone Number

Area Code Phone Number
Can you provide written permission from your landlord or management company stating that you are allowed to adopt a dog?

Yes No
Are there other dogs that live in the building?

Yes No
If so, how often do you interact with them?

VETERINARIAN INFORMATION

By providing Second Hand Dog Rescue with this information, you are allowing us to contact your veterinarian's office, to act as a referral for your adoption application. Please call your vet and ask them to authorize the release of information to Second Hand Dog Rescue. This will save time in the processing of your application!
Do you have a regular veterinarian? *

Yes No
Veterinarian's Name
Clinic or Animal Hospital Name
Clinic's Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Clinic's Phone Number

Area Code Phone Number

PERSONAL REFERENCES
Please list 3 people that are familiar with you and your current (or past) pets *
First reference's name, phone number, and relation? *
Second reference's name, phone number, and relation? *
Third reference's name, phone number, and relation? *
By submitting the below, you are affirming that all of the information provided in this application is true and complete. You are also affirming that the dog will reside in your home as a pet or service animal. You agree to provide it with quality dog food, plenty of fresh water, indoor shelter, affection, and annual physical examination and required vaccinations under the supervision of a Licensed Veterinarian.
Is there anything else that you would like to share with us today?
I agree to receive SHDR's occasional Newsletter with local pet resources and SHDR news and can unsubscribe at any time.
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Application to Adopt or Foster