Adoption Application
Thank you for your interest in adopting from Helping Outside Animals (HOA)! To adopt, you must be 21 or older. If you rent, a current lease confirming pet allowance is required. A photo ID with your current address must also be provided at the time of adoption. To ensure we can process your application, please complete all fields—incomplete applications will not be considered. We appreciate your commitment to giving an animal a loving home!
Adopter Details:
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
Employment Information
Work Status (Retired, unemployed, part-time, full-time, etc.)
*
Occupation
Name of Employer
Work Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Address
City
State
Zip Code
Work Phone
Work Hours
How long have you worked here?
Does your work require travel?
Yes
No
If you are not currently employed, please explain.
HOA Pet Information
If applicable, what is the name of the HOA animal you are interested in adopting?
What type of pet are you looking for?
Dog
Puppy
Cat
Kitten
What type of pet are you looking for?
*
Dog
Puppy
Cat
Kitten
Other
Dog size, if applicable
Toy (under 15 lbs)
Small (15-25 lbs)
Medium (25-50 lbs)
Large (50 lbs and up)
Age range (Any age, Senior Pet, etc.)
ex. as young as _____, no older than ______.
Other specific requirements (example: color, breed, hair length, temperament, already declawed, housebroken, wee-wee pad trained...). Please provide us with detailed information to describe what you are looking for.
References
Personal Reference 1: First and Last Name
*
Personal Reference 1: Relationship
*
Not in household
Personal Reference 1: Phone Number
*
Personal Reference 2: First and Last Name
*
Personal Reference 2: Relationship
*
Not in household
Personal Reference 2: Phone Number
*
Veterinarian Reference
What is/was your veterinarian's information:
Veterinarian Name:
*
Veterinary Practice:
Ex: Primary, dentistry, etc,
Street Address
*
City
*
State
*
Zip Code
Phone
*
000-000-0000
If you do not currently have a veterinarian, where do you anticipate taking your pet for care? Please Explain:
Pets in Household
Please list your pet(s) and/or other animals that currently live in your home, regardless if the animal belongs to you or someone else.
Name * Type of Animal & Breed * Age * Spayed/Neutered? * How long with you?
*
Write N/A if no pets are currently in your home.
Previous Pets
If you previously have had pets, please complete the pet history for each animal.
1. Name of pet(s)
2. What type of animal
3. Where did you get this pet?
4. If the pet was adopted, what organization did you adopt from?
5. Was this pet spayed or neutered?
6. What is/was the name(s) and phone number(s) of the pet's veterinarian?
7. How often did this pet go to the veterinarian?
8. What happened to this pet?
Household Information
Unless you live alone, list the people in your household. Please note all members of the household must be in agreement concerning the adoption of an animal.
First and Last Name * Relationship * Age (if under 21) * Phone Number
Do you, or any members of your household, have allergies to animals? If yes, please elaborate.
*
Have you considered budgeting for your pet's expenses such as: food, bedding, grooming, outerwear, pet sitters/walkers, annual veterinary care, emergency or urgent care and other unexpected health expenses that can incur?
*
Yes
No
Are you familiar with humane procedures for housebreaking?
*
Yes
No
If a behavior problem arises, are you prepared to invest the time and expense for professional training?
*
Yes
No
If you have to travel, who will care for your pet while you're away? Please explain:
Housing Information
We require documentation your building allows animals. Does your residence permit pets?
*
Yes
No
Do you own or rent?
*
Own
Rent
What option best describes your living situation?
*
Apartment
Condo/Co-op
House
Do you have screens on all of your windows?
*
Yes
No
Describe your yard
No yard
Unfenced
Partly fenced
Completely fenced
Do you have a balcony or terrace?
Yes
No
If yes, is your balcony/terrace pet secured? Please explain.
Does your building have stairs?
Yes
No
Does your building have an elevator?
Yes
No
Do you agree to have an adoption specialist visit your home or visit virtually to ensure the environment is safe for a pet?
Yes
No
How did you hear about Helping Outside Animals?
Have you adopted from Helping Outside Animals before?
*
Yes
No
If yes, where is that animal now?
Signature
Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: