Height of Hope, Inc. Dog Adoption and Fostering Application

Height of Hope, Inc. Dog Adoption and Fostering Application

Please fill out this form to apply to adopt or foster a senior dog.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Home Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
AdoptingFostering
Are you interested in a specific dog? If so, who?*
Please provide the name, address, and phone number of your veterinarian. If you don't have one, please provide a VET reference:*
Who else lives in your household? Please list name, age, and relation to you. (If over 18 please include phone number, occupation, and employer).*
When would you be able to welcome the dog into your home?
House with unfenced yardHouse with fenced yardCondo/Apartment/TownhouseOther
Do you rent or own your home? If renting, please send rental agreement with pet section.
YesNo
Please list name, age, and breed of current pet, gender, spayed/neutered, vaccine status.
YesNoNot sure
Do you have any specific preferences or requirements for the dog?
Which of the following supplies are you willing/able to provide if any?
Please describe for us your IDEAL dog (age, size, gender, breed, temperament, personality, etc).
Typically, how many hours a day will your dog be alone?
Does anyone in your household have allergies or asthma?
Are any major changes occurring in your household over the next year?
Have you ever returned an animal to a shelter or rescue?
Have you ever had an animal euthanized for any reason other than old age or terminal illness?
Please provide the name, relation, address and phone number of one PERSONAL and PROFESSIONAL reference:
Do you have experience with senior dogs?
Are you willing to provide structure and boundaries?
Are you willing to transport your foster to and from vet appointments?
If fostering, are you willing to transport your dog to and from adoption events?
Electronic Signature
Date

MonthDayYear
Date
Should be Empty: