A Welcome Home Animal Rescue (“AWHAR”)
Adoption Application/Foster Application
Thank you for considering a rescue animal from AWHAR! AWHAR is a 501 (c)(3) fully tax exempt charity.
Please fill out all of the following information. Your personal information will only be used by us for contact and your consideration as a home for a rescued dog. Please note N/A for non applicable questions.
Which animal are you interested in? ______
Name: ______Age: ______
Address: ______City: ______State: _____ Zip: ______
Home Phone: ______Work Phone: ______
Email: ______Occupation: ______
Spouse/Partner’s Name: ______Age: ______
How did you hear about AWHAR? Website ______Petfinder ______Ansley Animal Clinic Flyer ______
_____Word of mouth ______At an Adoption Day ______Other, please specify ______
General Questions About Applicant
1. Do you live in: _____house ______apartment ______condo/townhome ______mobile home
2. Do you own or rent your home? ______
3. If you rent, name and address of landlord: ______
4. Do you have landlord’s approval to have pets? ______What’s the pet deposit? ______
5. How long at current address? ______
6. Are you planning on moving within the next two years? ______
If yes, explain: ______\
7. Is your yard fenced in securely for a dog (if interested in a dog)? _____How tall and what kind? ______
8. Do you have a doggie door? ______
9. How many adults in your house? ______
10. How many children: ______Ages: ______
11. Is there anyone in your home with pet allergies or other serious health conditions? ______
12. Would you allow a representative of AWHAR to come visit your home prior to adoption? ______
13. Do all adults in your house know you’re looking for a pet? ______
14. Do you travel for work? ______
15. Do you have a second home? _____ Where?______
General Questions About Pets
16. Please list breed, age and sex of all pets in your household: ______
______
17. Are current pets spayed/neutered? ______Were your past pets spayed/neutered? ______
18. How many pets have you owned in the past? ______
19. Where are they now? ______
20. Are current pets or past pets current on vaccines? ______
21. Do you know about heartworm disease and how to prevent it? ______
22. What heartworm prevention do you currently use or have you used in the past? ______
23. Have you used flea prevention? ______What kind? ______
24. What would you consider a realistic cost to properly care for a cat or dog for one year? ______
25. What is your vet’s name and number? ______Or past vet? ______
26. Have you ever tried to adopt from another humane society, shelter or rescue group? ______
27. Have you ever had a situation where you had to find your pet another home because of a move, new baby or behavior problems? Please explain: ______
______
28. Have you ever had a serious behavioral problem with a pet? ______
29. Do you think a dog should be allowed or trusted off leash in an unfenced area? ______
If so, explain:______
30. What circumstances are acceptable to find a dog/cat another home? Check all that apply:
____ Moving ____ New baby ____Not getting along with other pets
____ Divorce ____ Getting out of fence ____Behavior problems
____ Shedding ____ Children are helping to care for dog ____Increased work hours
____ Allergies ____ Not housebroken ____Medical problems
____ Barking ____ Gets too big ____Not getting along with children
____ Aggressive ____ None ____Other ______
31. What if your pet develops a frequent urination problem when he/she gets older, what would you do? ______
______
32. What if your pet comes down with a serious medical problem that’s very expensive, what would you do?
_____ Find him a new home _____ Put him to sleep since he’s older
_____ Give him to a humane society or rescue group ______Pay whatever it takes
______Call AWHAR Other ______
33. If you decide to move to a place that doesn’t allow pets, what would you do? ______
Cat Applicant Questionnaire
34. Does your current cat(s) have their claws? If not explain. ______
35. Will you declaw the new cat? ______
36. If you are considering a long-haired breed, how often would the pet be groomed? ______
37. Do you have any outside cats? Will this cat be allowed outside?______
38. Where will your cat sleep and where will your cat stay during the day? ______
39. How many hours will the cat be alone each day? ______
40. Where will the cat stay when you travel? ______
Please provide three personal references (not relatives).
Name ______Phone no. ______
Name ______Phone no. ______
Name ______Phone no. ______
When you sign below, you are in agreement and compliance to our application process. You also agree that in the event you are unable to keep your pet you adopt from AWHAR you will return the pet to Janet Hart and AWHAR only.
Signed ______Date ______
_____ Checking this box indicates that this is a valid and legal signature on this legal document titled A Welcome Home
Animal Rescue Adoption Application.
_____ Checking this box indicates that you are financially and physically able to care for this dog and understand that proper
food and vet care can be costly and you are able to meet these requirements.
_____ Checking this box indicates that you understand that if the information contained herein is found to be false, this
application can be refused.