application

Heart of Phoenix Adoption Application

PO BOX 81 / SHOALS, WV / 25562

Revised May/ 2015

Equinerescue@live.com

All adopters are subject to face to face interview for final approval

Facility visits may be required

A $15 Application Fee is Required to submit an Application. An application can take several weeks to complete. DO not apply until you're certain you are committed to the time and process because these take many hours of volunteer time to complete, please. The Application fee is NON-REFUNDABLE regardless of the decision on the application. Please remit this fee following the Submission of the Application via Paypal at equinerescue@live.com or mail to our address. *

The process can take several days to several weeks depending on how quickly we can touch base with your references. Feel free to check in during the process. Please call your references and explain a representative from Heart of Phoenix will be contacting them shortly. You are responsible to ask ALL references to return our calls or messages or to contact us.

Applications will be denied if their references refuse to be helpful and courteous. Applicants can also be denied if they are personally rude and unhelpful during their own interviews. The Application must be approved by our Board of Directors unanimously.

First Name *

Last Name *

Spouse or Significant Other's Name, if applicable

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

When is the best time for a volunteer to Call for Your Phone Interview? *

Email Address *

Applicants MUST be over 21 Years of Age *

Yes, I am 21 or older

No, I am not 21.

Employer, Length of Employment, Position: *

Current Yearly Income: *

Highest Level of Education Completed *

Can you afford all care costs of an adoptive horse, including feed, hay, farrier, vet care and training as needed typically running $2,000 or more a year? *

Which Hop Horse(s) Are you Seeking to Adopt, If Approved *

Will the Equine Be Boarded or on Your Property? * 🛈

Boarding

Own Property, Address Above

Own property, other than Home address

Years of Equine Experience *

Number of Horses Currently Owned? Number Owned One Year Ago? *

Have you had a horse die or euthanized in the last 5 years? *

Have your sold, leased, given away or auctioned any Equines in the Past 10 years? Please explain: *

Do you have stallions on your property? Do you breed horses? *

Please Explain Why Adoption through Heart of Phoenix is important to you: *

Explain What You are Looking for in an Equine Partner: *

Describe Your Boarding Facility or Personal Farm Layout. Acres, Type of Fence, Type of Shelter. Explain whether the equine would be stalled or on turn out. If the equine will be stalled, how often and how many hours will they be turned out daily? Note: (barbed wire is not typically accepted) *

Describe Your Feeding, Worming, Dental Health and Vet Routine. If you are a beginner, describe the boarding facility's or your planned routine: *

If a beginner owner, are you taking lessons / working with a trainer? *

Please list three attributes about YOURSELF You feel are the Your Most important Assets *

We personally contact your farrier, your vet and you (as the applicant) as part of the application process. The additional references are required, as well, but we ask, to help expediate the process of your application, you have your 3rd, 4th and 5th references please email us or text us (they can also call if preferred) directly at suzanna@wvhorserescue.org or 304-962-7761. Please let them know to simply tell us why they recommend you as an adopter and a bit about how they know you. Your application cannot be finished without all references speaking with us, so please remember to ask them to contact us asap.

Farrier Name and Number: *

Veterinarian Name and Number: *

#3 Equine Reference Name & Number *

#4 Personal Reference Name and Number: *

#5 Business or Professional Reference Name and Number: *

Do You Understand the HOP Adoption Contract Works similarly to an Equine Lease? *

Do you Agree HOP's approval or denial of this application is at the sole discretion of Heart of Phoenix, to never make negative public statements about the organization based on the approval or denial of this application and to agree to not contact HOP for detailed reasons to be provided as to the decision of the Board of Directors in the event the application is Denied? *

Have you ever taken part in controversial equine training or handling techniques or been convicted of animal neglect or abuse? *

Have You Read Over Heart of Phoenix' Contract and Policies in Detail? *

Do you disagree with Heart of Phoenix' Adoption Policy or Contract in any manner? If yes, explain. *

Do you understand that All equine activities, including those at Heart of Phoenix, are inherently dangerous and that any and all equines can be unsafe? *

How are your facility photos being submitted? *

I, the undersigned, understand I am applying to adopt a/an equine(s) from Heart of Phoenix Equine Rescue, INC (hereinafter referred to as HOP). I understand that I must complete the application procedure and potentially have the equine property or boarding facility inspected and approved before being allowed to adopt/foster an equine from HOP. I understand that I may not be able to adopt the equine I am interested in for various reasons. No reasons will be disclosed if the application is denied, and I agree to not request this information. I agree to not speak against the rescue publicly based on any denial of this application. I am welcome to submit a new application after 90 days. I agree, by signing this application, to never request HOP disclose reasons for any denial of this application at any time or speak unkindly about HOP solely because of a denial. I understand that HOP will check to verify my personal information and references. I agree to notify said references ahead of time they will be interviewed and to request those required contact HOP. The process can take several days to several weeks depending on how quickly we can touch base with your references. Feel free to check in during the process. Please call your references and explain a representative from Heart of Phoenix will be contacting them shortly. You are responsible to ask ALL references to return our calls or messages or to contact us. I understand applications will be denied if my references refuse to be helpful and courteous. I understand applicants can be denied if I am rude and unhelpful during my interview. I realize applications must be approved by the Board of Directors unanimously. I agree to hold Heart of Phoenix Equine Rescue, INC, its board, directors, fosters and all affiliates blameless and free of any liability should I be approved to adopt from this organization and visit any of the facilities where rescue horses are located and incur any injury while visiting the equines whether while riding or handling the horses in any manner. I understand HOP does not know the histories of the adoptable horses, and If I am approved, I will handle and ride the equine I'm interested in at my own risk. By signing this application, I agree that I have read and understand the Contract and Adoption Foster Policy of HOP found at www.wvhorserescue.org Type Name: *

clear

Please attach a copy of your driver's license and facility photos (fence, stalls, other equines) or email separately to equinerescue@live.com

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Thank you for taking the time to consider adoption!

We cater to an adopter base that wants to be part of a solution to the neglect horses are experiencing here. Our adopters are not JUST People looking to "get a horse," but they are people who are looking to something higher, something more. . .and for those people willing to go a little further, work a little harder. . .
We try to make the process worth your while with horses that arrive UTD on all vetting, rehabbed, with honest assessments, with 24/7/365 support for the life of that adoption and give those adopters the assurance that if they cannot ever care for that horse, they have a heck of a nice organization there to step in and make sure everything is okay for that horse.

Young, Unstarted Horses	Beginner friendly Horses	Gaited	Non-Gaited
Gelding	Mare	Over 15hh	Under 15hh
For Show	For Trail	Pasture Pet Only	Miniature