Name of dog(s) that interest you
Home Phone #
Work Phone #
Mailing Address (if different from street address)
Daily Work Hours
Names and Ages of All Household Members
Who Will be the Primary Care Giver?
What Type of Residence Do You Live In? (house, trailer, etc.)
Does Your Landlord Permit Pets?
If you live in a condo or townhouse have you determined what kind or size of dog that your association will allow in your home?
Approximate Size of Your Yard
Is Your Yard Completely Fenced?
If it is fenced, what type of fencing and how high?
If you have no fence, how will you deal with the dogs toilet and exercise needs?
List the type, age and gender of all household pets
Are they spayed / neutered?
If not, please explain
Describe how you think your pets will react to a new dog:
Have your pets been vaccinated in the last 3 years?
Where will the dog spend the day?
Where will the dog spend the night?
How many hours on average will you have to spend with the dog daily?
How many hours will the dog spend alone daily?
What activities will this dog have to do on a daily basis?
What are your plans for the dog? (Agility, Flyball, Obedience, Hunting, Guard work, Search & Rescue, etc)
Have you ever taken an obedience class?
Are you prepared for shedding, hair, nose prints, and paw tracks throughout your home?
Will you be able to groom the dog?
Describe your idea of a great dog
What will happen to the dog when you go on vacation?
What are your reasons for applying to adopt a dog?
Do you have any other concerns?
Have you adopted companion animals from shelters or rescue groups before?
How many dogs have you owned in the last five years?
What happened to these dogs?
If you have pets, who is your veterinarian?
If you have not had a pet recently, have you chosen a veterinarian for this dog?
Do you agree to license and give regular health care to the dog?
Are you willing to pay the adoption fee for this dog as determined by New Hope Dog Rescue?
Would you be willing to take an obedience class?
Are all members of the household in agreement in adopting a dog?
Reference 1 (include contact info):
Reference 2 (include contact info):
Reference 3 (include contact info):
Are you prepared for up to a 14 year commitment with this dog?
Do you have a person who could look after the dog in the event of a marital breakup or death?
Where did you hear about us?
In submitting this application, you attest to the truthfulness of your answers. Falsification of any of the above information will be grounds to disallow your adoption of a rescue dog. New Hope Dog Rescue reserves the right to refuse any application.
Incomplete applications will not be considered. Please be thorough and make sure you provide your full legal name.
Thank you for considering rescue of a dog that is searching for new hope in a loving home!