Adoption Application | Hope For Cleo Inc

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Adoption Application

Without Volunteers Hope For Cleo Inc., Animal Rescue Would Be Impossible.
Thank You For Wanting To Join In And Be A Voice For The Many Animals

That Need Our Help.
Please fill out our application and we will be in touch.

Are you employed?

Full time

Part time

Work from home

Contract/Gig worker

Homemaker

Other

Type of Residence:

Single-Family Home

Apartment

Townhouse

Other

About how much does your household make in a year?

<$75000

$75000-$125000

$125000-$175000

$175000-$250000

>$250000

Have you ever had a pet before?

Yes

No

Please list all of the people who live in your household and will care for the pet, their age and relationship to you.

Is the entire family in favor of adopting this animal?

Yes

No

Will the entire household share in the care of this animal?

Yes

No

What kind of fence do you have?

Are any members of your household allergic to animals? If yes, please explain what they will do to ensure a successful adoption

Are any members of your household afraid of animals? If so, please explain what they will do to ensure a successful adoption.

Please list any other animals currently living in your household. For each one, list species, name, breed, age, whether they are spayed/neutered, vaccines up to date, and good with other animals

Please list any other animals that you have had and why they are no longer with you.

Have you ever returned, surrendered, or given away a pet? If so, why?

Do you have a regular veterinarian?

Yes

No

What is the name, practice name, and number of your veterinarian

How often do you feel your pet should see a veterinarian?

In case of a medical emergency with your pet, where will you take them?

How often will you feed your pet? What will you feed them?

Where will this animal be kept mostly?

Indoor

Outdoor

How many hours a day will the pet be at home without a human?

What will happen to the pet in the event you need a hospital stay (planned or unplanned)?

What will happen to the pet in the event of your death?

Please check all that apply. I want to adopt this pet...

As a family pet/companion

As a companion for my child/children

As a companion for my current pets

As a gift for a family member/friend

To interact with lots of friends/family

To train/use for agility

To train/use as a therapy dog

Other

Are you willing to work on crate training?

Yes

No

Are you willing to work on house-training?

Yes

No

What behavior would be considered unacceptable and lead to a returned adoption, in your opinion?

What activities do you like to do with your pet (hiking, therapy, watch Netflix):

What activity level do you prefer?

High energy

Leash trained daily jogging partner would be excellent (dogs)

Medium energy

Low energy

A total couch potato

When will you be

Wild and crazy is cool

Leash trained daily jogging partner would be excellent

Medium energy

Low energy

A total couch potato

What would your dream pet be like?

Please list three references, all of them must not be living with you. Please provide name, email address, phone number, and relation.

Your Signature

Thanks for submitting! We will review your application and be in touch

Hope For Cleo Inc. Animal Rescue Is A Non Profit Organization that Operates On Long Island, N.Y.

A Non Profit 501(c)(3) cHARITY oRGANIZATION

EIN 88-1696932

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