The Dog Adoption Application
Welcome to Ark of Hope's Adoption Program. The following information is requested so that we can assist you in the selection of a new dog. This form and consultation with Ark of Hopes representative are designed to help you find the dog most compatible with your lifestyle. Please complete this form so we may begin. You may print this application then mail it, fax it or bring it with you when you come for a visit.
In order to be considered as an adopter you must:
** Be 21 years of age or older.
** Have identification showing your present address.
** Have the knowledge and consent of your landlord.
** Be able and willing to spend the time and money necessary to provide medical treatment and proper care for a pet.
Completion of this application does not guarantee adoption of a Ark of Hope dog. Please print information on both sides. Thank You!
Name of Applicant(s) _______________________________ Date _________
Street Address __________________________________________________
City, State & Zip _________________________________________________
Home Phone # ________________ Cell Phone ____________ Age(s) _____
Email ________________________________________________________
Describe which Ark of Hope dog or what kind of dog your looking for ____________________________
____________________________________________________________________________
Will this be your first dog? ____ What kind of pets have you had in the past _______________________________________________________ Which of these do you still have? (Include age, sex, breed) _____
_____________________________________________________________________________
Have they been spayed or neutered? ___ yes, ___ no, ___ Don't know
Are they current on vaccinations? ___ yes, ___ no, ___ Don't know
What happened to the pets you no longer have? _______________________
Have you ever turned your pet into a shelter? ___ yes, ___ no If yes, please explain __________________________________________________
Have you had a pet euthanized? ___ yes, ___no If yes, please explain________________________________________________
If you have pets, will they adjust to a new dog in the house? _______________
How many adults are there in the family? ______________
How many children? ___________ Children's ages ______________
Does any member of your family have an allergy to dogs? ____________
Is someone home during the day? ___ yes, ___no If yes, who ___________
How many hours a day will the dog be without human companionship? ___________ Explain________________________________ Which do you live in? ___ House, ___Apartment, ___ Condo, ___ Mobile Home, ___ Other: _______
Do you own or rent you home? ___________ If you rent, may we contact the owner to obtain permission for this dog to live in the home? ___ yes, ___ no If no, explain _______________________
Owners name and phone number ___________________________________
Will you keep the dog ___ in the house, ___ outsidechained, ___ outside in fenced area, ___ inside and outside Do you have a completely fenced yard ______ What type of fence and the height of the fence _
Do you have a doggie door ___yes, ___ no
Do you have a pool? ___ yes, ___ no If yes, is there a fence around the pool? ___ yes, ___ no
If your new dog is not house brooken, what method will you use to train it? ___________________________________________________________
If you have had a dog before, was he obedience trained? ___ yes, ___ no
Will you be able and willing to exercise the dog on a regular basis? ___ yes, ___ no If no, how will this dog get proper excerise? _____________________________________________________________________________
Where will this dog be kept during the day? _______________________
During the night? _________________________________
Will you keep this dog up to date on it's vaccinations? ___yes, ___ no
Who is your Veterinarian? ________________ Phone Number __________
If you go away for a few day or on vacation who will take care of your dog? ____________________________________________________________
If you must move, will you take the dog with you? _________________
Have you ever applied to adopt a pet from Ark of Hope before? ___ yes, ___ no If yes, when___
Have you brought animals to Ark of Hope? ___yes, ___no If yes, please explain ________________________________________________
Are you willing to have a representative from Ark of Hope come to see where the dog will be living? ___ yes, ___ no
Are you willing to take the responsibility for this dog for the next 10 to 15 years? _____________
How much are you willing to spend on medical bill for this dog? ____ up to $100.00, ____ up to $500.00,
___ up to $1000.00, ___ whatever it takes.
What provisions will you make for the dog should you become unable to care for it? _________________________________________________________
Why do you want a dog? ___ Campanion, ___ Companion for other pet, ___ House pet, ___ Watch dog,
___ Guard Dog, ___ Hunting, ___ Personal protection, ___ Other ________________
Reference names and phone numbers
*1. ___________________________________________________________________________________
*2. ___________________________________________________________________________________
Comments by applicant: (Anything that you want us to know about you and your family) ___________________ ___________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Date and time for home visit: ___________________________________________________________________
Directions:_____________________________________________________________________________________________________________________________________________________________________________
** Please ask about crate training, socialization with people and other animals, vaccinations, feeding, spaying and neutering, etc.