Hope for Hannah Rescue - Hope, Help, Educate
Application Form
Adopt, Foster, Volunteer

Hope for Hannah Rescue Inc.
PO Box 663
Bartonsville, PA 18321
hopeforhannahrescue@gmail.com

Thank you for your interest in giving a pet a loving and safe home.
We are a 501(c)(3) non-profit organization.
Your donation is federally tax deductible if you are able to itemize.


The Terms and Conditions included within this application must be agreed to in order to be considered. 

APPLICATION FORM
Please fill out our Adoption, Foster, Volunteer Application below including the required fields marked with an asterisk (*).

* Required field
Are you interested in adopting, fostering, volunteering?*
Are you over 18 years old?
To help us serve you better, if known, please specify the adoptable pet's NAME AND BREED you are interested in OR what breed, age, sex, size, and color of pet you prefer.*
Your First Name:*
Your Last Name:*
Your Email:*
Retype your Email:*
Your Street Address:*
Your Street Address (Line 2):
Your City & State & Zip Code*
Provide your Daytime Phone Number with Area Code*
Provide your Evening Phone Number with Area Code*
Provide Other (if any) Phone Number with Area Code*
Best time to call:*
What type of dog are you looking for?*
Agility
Companion
Gift
Guard Dog
Herding
House Dog
Hunting
Obedience
Therapy
Working Dog
Yard Dog
Other
If Other, please explain:
What type of activities would you do with your new dog? (Select all that apply.)*
Agility
Bike Rides
Car Rides
Herding
Hunting
Jogging
Obedience
Fetch
Games
Therapy
Walks
Runs
Playing with kids
Outing in the park
Other
If Other, please explain:
List your current pets, if any. If no current pets, skip this section.
Current Pet 1 Type:
Pet 1 Breed:
Pet 1 Sex:
Pet 1 Spayed/Neutered:
Pet 1 Years Owned:
Pet 1 Inside/Outside:
Current Pet 2 Type:
Pet 2 Breed:
Pet 2 Sex:
Pet 2 Spayed/Neutered:
Pet 2 Years Owned:
Pet 2 Inside/Outside:
Current Pet 3 Type:
Pet 3 Breed:
Pet 3 Sex:
Pet 3 Spayed/Neutered:
Pet 3 Years Owned:
Pet 3 Inside/Outside:
List the pets you have owned in the past 5 years not listed above. If none, skip this section:
Past Pet 1 Type:
Past Pet 1 Breed:
Past Pet 1 Sex:
Past Pet 1 Spayed/Neutered:
Past Pet 1 Years Owned:
Past Pet 1 Inside/Outside:
Past Pet 2 Type:
Past Pet 2 Breed:
Past Pet 2 Sex:
Past Pet 2 Spayed/Neutered:
Past Pet 2 Years Owned:
Past Pet 2 Inside/Outside:
Do your current dogs/cats get along with other dogs?*
Yes
No
N/A - no pets at this time
Are you willing to carefully supervise all of your pets during this time of introduction?*
Yes
No
Have you ever obedience trained your dogs?*
Yes
No
N/A - never owned a dog
Have you ever given away a dog because of obedience problems?*
Yes
No
N/A - never owned a dog
Please provide veterinarian reference First and Last Name:*
Veterinarian's Phone Number:*
Do you rent or own your residence?*
RENT
OWN
If you rent, we will need to call your landlord to confirm that you have permission to have a dog and the size and breed.
Please provide Landlord's Name AND Phone Number:*
Have you ever given a pet away?*
Yes
No
If Yes, you have given a pet away, please explain why:*
Size of your yard: feet x feet*
Is your yard enclosed?*
Yes
No
Do you have a fence?*
Yes
No
If you have a fence, what type of fence is it?*
Board Picket
Chain Link
Wood
If you have a fenced in yard, is the gate lockable?*
Yes
No
If you do not have a fenced in yard, please explain how you will handle your dog/puppy's bathroom exercise needs:
Is anyone home during the day?*
Yes
No
How long will the dog/puppy be left alone?*
Where will the dog/puppy stay when alone? Day and Night*
What do you do with your dog(s) when you go on vacation or are away from home for long periods (business trips, etc.)?*
Do you have children who will be in contact with the dog/puppy?*
Yes
No
List the ages of the children who will be in contact with the new dog/puppy:*
Are you willing to teach your children how to interact properly with your new dog/puppy?*
Yes
No
N/A - no children
Are you willing to supervise young children around your new dog/puppy?*
Yes
No
N/A - no children
Please list 3 references including phone numbers*
Reference 1 First and Last Name:*
Reference 1 Phone Number:*
Reference 2 First and Last Name:*
Reference 2 Phone Number*
Reference 3 First and Last Name:*
Reference 3 Phone Number:*
Do all parties (if more than one adult in the household) want a pet?*
Yes
No
Does anyone in your household have allergies to dogs?*
Yes
No
Would you give up your dog(s) if someone in your household developed an allergy to dogs?*
Yes
No
Are you willing to allow someone with Hope for Hannah Rescue, Inc. visit your home with an appointment?*
Yes
No
How did you hear about us?*
Please add any information you think will be helpful for Hope for Hannah Rescue's adoption or foster decision. If you have previously adopted from us, please let us know.
Your application will not be considered if you do not agree with the Terms and Conditions.
Do you agree with the Terms and Conditions?*
Yes
No
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