Adoption/Foster Form | Second Chance Rescue

~~~ ADOPTION/FOSTER APPLICATION~~~

As proud members of The Mayor’s Alliance for NY City’s animals, our goal is to place our homeless rescues in permanent loving homes, as their former owners have already abandoned them at least once before. As we strive to place the appropriate dog in the appropriate home, this application helps us to learn more about you, your home and your level of experience, if any, with dogs.

ALL OUR RESCUES ARE SPAYED/NEUTERED PRIOR TO ADOPTION.

Please fill out ALL questions. If any question does not apply, write “N/A”.

Today's Date
Which dog are you interested in?(required)
Animal ID #
Which shelter is dog located at?
Are you interested in fostering or adopting a dog permanently?(required)
If fostering, are you looking to foster now or in future?
How did you hear about our rescue group?(required)
PERSONAL INFORMATION
First Name(required)
Last Name(required)
Birthday
Email(valid email required)
Street(required)
City, State, Zip Code(required)
Day/Work Phone (required)
Evening/Home Phone(required)
Best time to call
REFERENCES
Please provide the contact information of a veterinarian you have used before. VET REFERENCES ARE CHECKED. If you plan to use a different vet please list this vet also.
Vet Name and Phone Number(required)
Vet records under the name of(required)
New vet you plan to use
Please provide the names of two personal references we may call. (Neighbor, friend or co-worker)(required)
Please list place of employment for yourself and your spouse. We do not call employers - this is simply for our records.
SELF - Name/Address of Employer/Phone
SPOUSE - Name/Address of Employer/Phone
HOUSEHOLD INFORMATION
Residence (pick one)
Rent Apartment Own Apartment Own Home Other (specify below)
Other residence
How long have you lived here?
What floor do you live on?
Do you have a terrace?
Are you moving in the near future? Please explain.
If you rent, please provide your landlord's contact information so that I may verify that you are alalowed to have a pet. Landlord name, address & phone number.
Is everyone in the household aware of and agreeable to your interest in fostering or adopting?
Does anyone in the household have asthma or any known allergies to dogs or cats?
Please list below all people who currently live at this residence (including yourself). Please include name, relationship to you, and age.
Please list below any cats, dogs, etc. who currently live in your household. Please include name, type/breed, age, sex, altered or not altered, how long owned, kept where, cats declawed?
HISTORY
Please complete this regarding any other pet you have owned in the past. Include name, type/breed, age, how long owned, what happened to pet.
Have you ever taken one of your pets to a shelter or given an animal away? If so, please describe circumstances.
CARE OF DOG
Do you have a completely fenced in area of your property?
Approximately how large is the fenced in area?
Height and type of fencing?
Can strangers gain access to your yard?
Does this gate have a lock on it?
Are there regular visitors to your home (human or animal) with which your new dog must get along? If yes, whom?
If you have no fence, how do you plan to have your new dog relieve and exercise itself?
What outdoor activities would include your dog?
Who will be responsible for the care of this dog?
Do all adults work full time?
How many hours each day will your new dog be alone?
How many hours each day will you spend time with your dog?
Where will your new dog be kept when it is alone?
Where will your new dog be kept during the day?
Where will your new dog sleep?
Will the new dog be allowed on the furniture? If not, how do you plan to get the dog off the furniture if she/he does jump up there?
Do you plan to rough-house (play rough) with this dog?
Are you familiar with positive methods (no hitting) of dog training?
Do you want a trainer recommendation?
Who will care for your pets when you are on vacation?
What is the name of your local animal shelter?
DONATIONS
We are an individual, private rescue. We do not receive funds from any outside sources; we pay all expenses. Our adoption fee is $300 (puppies) $225 (dogs over 6 months) $175 (dogs over 3 years). Any donation or foster home is always welcome, and very much needed. All donations and adoption fees are applied toward caring for the dogs, vet bills, medications, follow-up visits, rechecks and boarding expenses we incur.
The foster/adoption proceduring including filling out this application, a phone interview, meet the dog/dogs, in-person interview, contract signing (which stipulates the animal MUST be returned to us if you can no longer care for him/her), and home visit prior to fostering/adopting. This is all to ensure the safety of the dog since we don't know you. Is this acceptable?
Accept:
Yes No
If no, why?
Please realize that dogs will need vet care while being fostered/adopted, including checkups, boosters or titer tests, heartworm and flea/tick preventative med, etc. Fostering/adopting a pet may be a long-term commitment - please consider this before fostering/adopting. Are these terms acceptable to you? If so, please indicate by signing below.
(PRINT NAME)(required)
Today's Date(required)

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