| Shelterluv

What is your household's general noise and activity level?

Housing Type

Housing

Name and ages of all people in your household

Employer

If you rent your home and/or the property on which your home is located, please provide your Landlord's contact information (include name & telephone #)

Veterinarian must be called and given permission to speak to a H.O.P.E. Representative prior to submitting. Please list vet contacted with phone number.

If no current vet, choose who you would use.

Do you have a yard? Yes No

Do you have fencing? Yes No

If yes, type and height:

How important is it that the dog be reliable loose outside? Very Somewhat Not at all

What characteristics are important to you?

calm, playful, travels well, etc

In the past 5 years, how many dogs have you owned?

What were the breeds?

For how long did you have the dogs?

If you currently have pets, please list species, names and ages

How do you plan to exercise the H.O.P.E. pet?

Where will the H.O.P.E. pet be primarily living? Inside Home Inside Garage Inside the Basement Inside Barn Outside Other

What age do you prefer

Would you consider a senior dog? Yes No

How many hours per day will the pet be left alone?

How many hours per day would the dog be crated?

Are you willing to take the dog to obedience training? Yes No

Is this your first experience with a dog? Yes No

What do you consider to be a reasonable time to allow the dog to adjust to your home?

Please explain how you have disciplined previous pets, and how you plan to discipline a H.O.P.E. pet

Tell us about your perfect Pet

Does the applicant(s) understand that by signing this application, applicant(s) are providing authorization to the applicant's veterinarian(s) and/or landlord to release any and all information requested to H.O.P.E. Yes No

*I have read and agree to the Terms and Conditions