Bright Hope Animal Rescue Adoption Application

Applicant name *

Applicant age *

Applicant occupation *

Co-applicant name

Co-applicant age

Co-applicant occupation

Relationship to applicant

How many in your household? *

Address *

City, State *

Home/cell phone number *

Email address *

How long have you lived at this address? *

Do you own or rent? *

If you rent, please provide landlords name and phone number

Type of residence *

Do you have a fenced in yard? *

If so, please explain the type, height, and size

Do you currently have any children living at home? *

If yes, please list their ages and if they have been exposed to dogs in the past?

Do you currently own a dog? *

If yes, please list ages, breeds, and genders

Is your pet spayed/neutered?

Aside from current dogs, have you ever owned dogs in the past? *

If yes, please explain what happened to the dog

Do you have cats? *

Do you have any other animals? *

Are all of your pets up to date on their vaccinations? *

If no, please explain

When were your pets last at the vet and why?

Do you use flea/heartworm prevention? If yes, what kind? *

Vet reference (clinic name) *

Vet address *

Vet phone number *

Name of pets seen at this clinic *

Are you looking for a pet to live indoors or outdoors? *

Why do you want to own a rescue dog? *

How soon would you like to adopt? *

How many hours will the dog be alone each day? *

Where will the dog be kept when you are not at home? *

When you are at home, where will the dog be kept? *

Where will the dog sleep? *

Will the dog be allowed on the furniture (couch, bed, etc)? *

How often do you travel? *

Where will the dog stay when you do travel? *

What type of exercise do you plan on providing (please be specific)? *

Are you willing to crate train? *

Are you willing to bring the dog to obedience class? *

Are you willing to have a home interview? *

Have you ever applied to other rescues? *

If yes, what is the name of the rescue?

Did you adopt from them?

If no, why not?

Describe your ideal dog (color, gender, age, temperament, etc) *

How did you hear of us? *

If a referral, please list their name and phone number

Personal reference #1 (please list name and phone number), cannot be a relative *

Personal reference #2 (please list name and phone number), cannot be a relative *

Name of dogs you are interested in from the website *

Are you open to other dogs if the dog you applied for is not available? *

Additional comments