Please copy and paste the following into an email Subject: "Adoption Application" and send to: HelpTheAnimalsINC (at) comcast (dot) net. We are sorry for any inconvenience this has caused.
All questions with an asteric NEED to be answered to process the application, but please fill this out as completely as possible. If there are multiple applications for an individual animal, your app might be overlooked if you do not complete the application.

ANIMAL INFORMATION
Animal Type: Cat, Dog, Rabbit, Ferret?
Animal Name: (it is OK if you don’t know yet)
Breed Type:
Age: Baby, Young, Adult, Senior, No preference, No babies?
Sex: Male, Female, No preference?
Dog size: Toy (Under 10lbs.), Small (10-25lbs.), Medium (25-50lbs.), Large (50-75lbs.), Extra Large (Over 75lbs.)?
 
ADOPTER INFORMATION
Name: *
Phone Number 1: *
Phone Number 2:
E-Mail: *
Street Address: *
City: *
State: *
Zip Code: *

May we share your contact information with Hill's Pet Food Products? *
Are you married?
Do you have children? *
If so, please list their ages:
If so, have they been exposed to animals?
Does everyone in the household want this animal?
Does anyone in the household have an allergy to animals?
Have you had animals in the past? *
If so, were they spayed or neutered?
If No, please explain why:

HOUSING
Do you rent, own your home or live with relatives? *
If you do not own your home, provide the owner’s or your landlord's information. *
Name:
Phone:
Housing Type: apartment, mobile home, condo, house, other? *
How long have you been at your current residence? *
How much property do you have? none, City Lot, .25 acres, .5 acres, 1 acre, more than an acre? *
How much of that is fenced? none, all, .25, .5 acres, 1 acre, acre +? *
Type of fence: none, farm, chain link, wood slat, privacy, invisible fence, electric fence? *
Height of fence: 3ft, 4ft, 5ft, 6ft? *

HOUSEHOLD INCOME
Are you on government subsidy?
Employer:
Phone:
Time with this employer:
Hours per week:
Spouse's Employer:
Phone:
Time with this employer:
Hours per week:

RECENT OR CURRENT PETS & VET INFORMATION
Do you have now, or have had in the last 5 years, any pets under your ownership and name?
If so, please list their information below. *

YOUR PET 1
(please copy, paste and fill out the questions for each additional animal that you own for this section)
Name:
Species:
Is this animal still in your care?
If No, please explain why:
Age:
Are or were they spayed or neutered?
If No, please explain why:
Veterinarian Information:
Required to process your application. *
Name:
Phone:

GENERAL QUESTIONS
Why do you want to adopt this animal? *
Are you planning on any physical alterations? no, declawing, ear cropping, tail cropping? *
Will the animal sleep inside the home? *
If not, where will the animal sleep?
How much time will you spend with the animal daily? *
How much time will the animal spend alone daily? *
What type of food do you plan to feed this animal? *
If you are adopting a cat, do you plan to feed canned food as well as dry food?
If you are adopting a dog, how do you plan to housebreak the dog?
What would you do with this animal if you had to move from your present home?
How long do you plan to keep this animal?
Comments:

APPLICANT'S SIGNATURE
I acknowledge that the information I have provided is true? *
Drivers license number *
State: *