HOHR Adoption Application
Please remember to hit "SUBMIT" at the end or your information will not be saved and sent to us. YOU WILL RECEIVE A CONFIRMATION AT THE END.  IF YOU DO NOT, YOUR APP HAS NOT BEEN SUBMITTED.  Contact us at handsofhopegb@gmail.com with any questions regarding this form. It can take 1-2 weeks for your application to be processed(although typical processing time is 1 week).  Dogs are expected to be picked up from their foster home within 1 week of approval. Thank you!
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Email *
Adoption Application
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DD
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FULL NAMES *
AGE *
EMAIL *
STREET ADDRESS *
CITY *
STATE AND ZIP CODE *
All of our dogs are in foster homes across Kansas and Missouri, we do not have a facility, but we DO allow out of state adoptions.  If you are chosen to adopt, are you prepared to travel to the foster to pick up your new family member? If multiple good applications are received, preference will be given to in state applications.   *
HOME PHONE NUMBER *
CELL PHONE NUMBER *
EMPLOYER/COMPANY *
EMPLOYER ADDRESS *
DAYTIME PHONE NUMBER *
CAN HOHR CONTACT YOU BY EMAIL? *
BEST TIME TO BE CONTACTED *
NAME OF DOG(S) APPLYING FOR *
IF NO SPECIFIC DOG/PREF DOG BREED/SIZE/SEX *
A NON SHEDDING DOG CANNOT BE GUARANTEED. WOULD YOU RETURN A DOG FOR SHEDDING? *
WHY DO YOU LIKE TO ADOPT A DOG? *
DO YOU CONSIDER YOURSELF/FAMILY TO BE ACTIVE IN SUCH A WAY TO INCLUDE A DOG? PLEASE EXPLAIN
 *
CURRENT PETS (Please list breed, age, s
payed/neutered, & Indoor/Outdoor) 
 *
WHAT PETS HAVE YOU HAD IN YOUR ENTIRE ADULT LIFE (excluding current pet listed above)
 *
HOW DO YOUR CURRENT ANIMALS GET ALONG WITH OTHERS? *
EVER TRAIN IN OBEDIENCE? *
WHAT DISCIPLINE METHOD DO YOU USE OR PLAN TO USE TO CORRECT YOUR DOGS? *
ARE YOU WILLING TO TRAIN IN OBEDIENCE? *
DO YOU USE HEART WORM PREVENTATIVE ? Please note heart worm preventative is not always in the same medication as flea/tick preventative. Most are separate. Heart worms are caused by mosquitoes that flea/tick meds do not prevent. *
IF YOUR ANSWER IS NO, PLEASE EXPLAIN WHY YOU DO NOT:
HAVE YOU EVER ADOPTED/RESCUED A DOG/CAT BEFORE? *
IF YES, PLEASE LIST WHO YOU ADOPTED YOUR RESCUE PET THROUGH AND LOCATION.
HAVE YOU EVER RETURNED/RE-HOMED/SOLD A DOG BEFORE?   IF YES :  PLEASE LIST CIRCUMSTANCES AND WHERE THE DOG(S) WENT:

 *
NAME OF VETERINARIAN/BUSINESS
 *
ADDRESS OF VETERINARIAN *
PHONE NUMBER OF VETERINARIAN *
I understand that I need to contact my veterinarian and let them know that they have my permission to give Hands of Hope Rescue any needed information relative to the adoption process.  And that by not doing so will slow down the process. *
Required
NAME OF PERSONAL REFERENCE #1 (NO Family Members Please!) *
ADDRESS OF PERSONAL REFERENCE #1
PHONE NUMBER OF PERSONAL REFERENCE #1 *
NAME OF PERSONAL REFERENCE #2 (NO Family Members Please!) *
ADDRESS OF PERSONAL REFERENCE #2
PHONE NUMBER OF PERSONAL REFERENCE #2 *
SIZE OF YARD
 *
COMPLETELY FENCED?
 *
FENCE HEIGHT *
TYPE OF FENCE (i.e. wood, wrought iron, etc.) *
IF YOU DO NOT HAVE A FENCE NOW, HOW DO YOU PLAN TO LET THE DOG OUT/IN?
DO YOU HAVE A DOG KENNEL? *
WHAT TYPE? *
WHAT KIND OF ACCOMMODATIONS DO YOU HAVEWILL HAVE FOR YOUR DOG IN HOT/COLD WEATHER? *
IS THERE ANYONE HOME DURING THE DAY? *
HOW MANY HOURS WILL THE DOG BE LEFT ALONE? *
WHERE WILL THE DOG STAY?
 *
IF YOU CURRENTLY DO NOT HAVE CHILDREN, DO YOU PLAN TO IN THE FUTURE?
 *
IF YOU ANSWERED YES, PLEASE ANSWER THE FOLLOWING QUESTION (Failure to answer if it applies can delay the processing of your application).  Are you willing to devote the time needed for your new dog to adjust and work through issues that might arise from the addition of a child?   Please explain in detail below how you would introduce the dog to the new child and how you would address the issues?
WHAT AGES ARE THE CHILDREN WHO WILL BE IN REGULAR CONTACT WITH YOUR DOG?
 *
IF SOMETHING HAPPENED TO YOU AND YOU ARE NO LONGER ABLE TO CARE FOR YOUR PET, WHAT ARRANGEMENTS HAVE BEEN MADE FOR THEIR CARE? *
WHAT IS THE NAME AND PHONE NUMBER OF THE PERSON WHO HAS AGREED TO CARE FOR YOUR PET IN THAT EVENT? *
IS THERE ALLERGIES/ASTHMA IN THE HOME *
IF YES, HOW SEVERE?
OWN OR RENT YOUR HOME? *
TYPE OF HOME? *
HOW LONG AT CURRENT ADDRESS?
ARE THERE ANY PET RESTRICTIONS? *
ARE YOU WILLING TO HAVE A REPRESENTATIVE VISIT YOUR HOME? *
IF YOU RENT:  THE FOLLOWING QUESTIONS ARE REQUIRED, AND A LETTER OF PERMISSION FROM YOUR LANDLORD WILL BE REQUIRED PRIOR TO ADOPTION. (Incomplete information will delay the process.
Please put "N/A" in field if questions do not pertain to your circumstance)
NAME OF LANDLORD/COMPANY *
ADDRESS AND PHONE NUMBER OF LANDLORD: *
DO ALL PARTIES IN THE HOUSEHOLD WANT TO GET A DOG? *
ADOPTED PET NEED ADJUSTMENT TIME. DO YOU AGREE TO GIVE AN ADOPTED PET AT LEAST ONE MONTH TO ENSURE PROPER ADJUSTMENT? *
IN YOUR OPINION, WHAT WOULD CONSTITUTE A REASON FOR NOT KEEPING THE DOG? *
WE ARE ALWAYS IN NEED OF FOSTER HOMES! These questions are OPTIONAL but please answer honestly. We do not base adoptions off of these answers!
WOULD YOU BE WILLING TO FOSTER A HOMELESS PET IF IT IS COMPATIBLE WITH YOUR LIFESTYLE AND OTHER PETS?
Clear selection
FOR HOW LONG?
ARE YOU WILLING TO FOSTER UNTIL PLACED?
Clear selection
DATE OF APPLICATION *
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PRIMARY ADOPTER NAME:
 *
SECONDARY ADOPTER NAME:
PLEASE REMEMBER TO HIT "SUBMIT" AT THE END OF THE FORM OR YOUR INFORMATION WILL NOT BE SAVED AND SENT TO US!! IF YOU DO NOT RECEIVE A CONFIRMATION, YOUR APP WAS NOT SUBMITTED!

PLEASE be patient with us. We are all volunteer and there are more dogs than there are of us. We will get back to you as soon as possible. If you do not hear back within a week, please visit our website and "CONTACT US!" Your support means the world of us!
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