HEAVENLY ANGELS ANIMAL RESCUE

Dog & Puppy Adoption/Foster Application

Ozone Park, NY

www.harescue.petfinder.com

Our goal is to place our homeless rescues in permanent loving homes, as their former owners have already abandoned them at least once before. As we strive to place the appropriate pet in the right home, this application helps us to learn more about you, your home and your level of experience, if any, with dogs and cats. ALL OUR RESCUES ARE SPAYED/NEUTERED PRIOR TO ADOPTION.

Dog/Puppy Name *

Is this application to: *

Adopt

Foster

I Don't Know

Date * +

First Name *

Last Name *

Birthdate * +

Address 1 *

Address 2

City *

State *

Postal Code *

Phone *

Email Address *

Best Time to Contact *

Have you previously adopted from a rescue organization? *

Yes

No

If yes please list rescue (s) and city.

Is this pet a gift? *

No

Yes (explain) Yes (explain)

References

Vet Reference

(If you have used more than one vet or plan on using a different vet, add to comments section at the end)

Do you currently have a vet? *

Yes

No

Have you selected a vet? *

Yes

No

Vet's office *

Vet Name

Street Address *

City *

State *

Phone Number *

Email Address

Current Pet's on file and name account is under/additional vet related comments

Two Personal References (coworker, neighbor, friend, etc (as long as not related)).

Reference 1

First Name *

Last Name *

Relationship *

Phone Number *

Email Address

Reference 2

First Name *

Last Name *

Relationship *

Phone Number *

Email Address

Employment

(Please list place of employment for yourself (and your spouse if applicable). We do not call employers – this is simply for our records, if necessary, N/A can be put)

Your employer *

Employer Contact Information *

Spouse's Employer *

Spouse's Employer Contact Information *

Household Information

Do you *

Rent

Own

Rent From Family

Other Other

What floor do you live on? *

Do you live in a: *

About how long have you lived here? *

Do you plan on moving in the near future? *

Landlord Information

Name(s) *

Street Address *

City *

State *

Zip Code

Phone Number *

Email Address

Are there any pet restrictions in your building? *

No

Yes (explain) Yes (explain)

Is everyone in the household aware/in agreement of fostering or adopting? *

Yes

No (explain) No (explain)

Does anyone in your household have pet allergies or asthma? *

No

Yes (explain) Yes (explain)

Are there any other individuals living in your home? *

Yes

No

All Current Residents In Home (Please Include name, relationship and age) *

Additional Information On Home

Are there any other pets that live in the home or that visit the home frequently? *

Yes

No

Please list all current pets in the home/that visit the home. Please include if the dog resides with you or visits, breed, age, how long you have owned the dog, and sex. *

Are all dogs/cats in the home currently spayed/neutered? *

Yes

No (explain) No (explain)

Are all dogs/cats in the home currently vetted and up to date on vaccinations and other vetting (heart worm preventative, flea and tick treatment, etc)? *

Yes

No (explain) No (explain)

Where are current pets primarily kept (where do they sleep, eat and spend most time)? *

Inside the home

Other Other

Please list any past pets. Include: name, breed, age, sex, how long you owned the animal, what happened/where is the animal now. (If not applicable, put N/A) *

Have you ever rehomed, given up or surrendered any animal to the shelter? *

No

Yes (explain) Yes (explain)

Care Of The Dog

Who will care for the dog when you are on vacation? *

Do you have a fenced in yard? *

Yes, a full fenced in yard

A partial fenced in yard

no

How do you plan to take the dog to go to the bathroom/get exercise? *

Are there any regular visitors (people or animals) to your home that the dog would have to get along with? *

No

Yes (who) Yes (who)

What outdoor activities would include your dog? *

Who will be primarily responsible for the dog? *

Do all adults work full-time? *

About how many hours a day will the dog be home alone? *

About how many hours a day will you spend with the dog? *

Where will the dog be kept when he/she is home alone? *

Where will the dog be kept during the day? *

Where will the dog be kept at night when he/she sleeps? *

Will the dog be allowed on the furniture? *

Yes

No

Sometimes Sometimes

If the dog is not allowed on the furniture or only sometimes allowed, how do you plan do get the dog off the furniture/train the dog not to jump on furniture? *

Do you plan to rough house with the dog (play rough)? *

No

Yes Yes

Are you familiar with positive methods of training (no hitting)? *

Yes

No

Are you planning on using positive methods of training? *

Yes

No/I don't know (explain) No/I don't know (explain)

If we know of a trainer in your area would you like a recommendation? *

Yes

No