United Hope for Animals Adoption Application

Adoption Application for Animals in UHA Foster

Congratulations on starting your journey to bring a wonderful new member of the family home! We applaud you for being part of the rescue community, and our trained adoption coordinators will help you find the perfect dog for your lifestyle.

We also have this application in PDF form, which you may download and fill out on your computer and email to adoptions@hope4animals.org: Download Adoption Application

PLEASE NOTE: This application is for our foster dogs or cats only. If the animal you are interested in is located at the shelter, please contact the adoption coordinator listed on the posting for adoption information or call or visit the shelter directly at 4275 Elton St, Baldwin Park, CA 91706, (626) 962-3577.

Acknowledgement (required)*
- I have checked that this animal is in foster with UHA
- This animal is at the shelter
- I don't know the status of this animal
If your animal is at the shelter
UHA does not house any animals except those in foster. Please call the shelter at (626) 962-3577 or visit in person at 4275 Elton St, Baldwin Park, CA 91706 to ensure your animal is available.
This Application is for a
- Dog
- Cat
Name of Dog/Cat you are Interested in:
Applicant Information
Your Name:*
First Last
Age*
Name of Spouse or Partner:
First Last
Name of Roomate(s) (if applicable)
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Primary Phone*
Alternate Phone
Email
Occupation
Spouse or Partner Occupation
Work Schedule
Spouse or Partner Work Schedule
Names of all Persons Living in Your Household, Their Relationship to You, and their ages:
Please tell is a little bit about yourself and why you want to adopt
Does EVERYONE in your family want to adopt?
- Yes
- No
Please name a personal reference and his/her relationship to you:
Relationship
Phone
Home
Type of Dwelling
- Home
- Condo
- Apartment
Rent or Own
- I own my home
- I rent my home/apt
- I live in Military housing
If you live in a condo or apartment, what are the association's rules about pets?
Do you have the landlord's permission to have a pet?
- yes
- no
Landlord's name and phone number
Your home has
- 1 story
- 2 stories
- 3 stories
If adopting a dog, do you have a pool?
- yes
- no
If you have a pool, is it fenced?
- yes
- no
How do you introduce a dog to a pool?
Would you object to an inspection of your home by a rescue volunteer?
- yes
- no
Your Companion Animals
Do you have the financial means to spend hundreds or even a few thousands of dollars on veterinary care for your pet should the need arise?
- yes
- no
Do you currently have a cat?
- yes
- no
Name and Breed of Current Cat(s)
Age of Current Cat
How long have you had the cat?
Do you presently have a dog?
- yes
- no
Name & Breed of Current Dog
Age of Current Dog
How long have you had a dog?
Sex Altered?
- Yes
- No
How and Why Obtained?
Have you had dogs prior to your current dog?
- yes
- no
Have you had cats previously?
- yes
- no
Breed of Previous Cat
Sex Altered on Previous Cat?
- yes
- no
History of Previous Cat
Additional Details for Previous Cat
Breed of Previous Dog
Age of Previous Dog
Sex Altered on previous dog?
- yes
- no
History of Previous Dog
Additional Details for previous dog(s)
Have any of you dogs/cats every had puppies/kittens?
- yes
- no
If yes, bred for (check all that apply)
- fun
- profit
- show
- accident
Has any member of your family every experienced animal-related allergies?
- yes
- no
Have you ever trained a dog in obedience class?
- yes
- no
Do you have other pets?
- yes
- no
How many other pets do you have?
What species?
Where do you keep these other pet(s)?
How long have you had these pets?
If you have a cat, is it declawed?
- yes
- no
Please include the name and contact details for your veterinarian
Who would be responsible for your pet's care?
What is your primary reason for adopting?
Where will your new dog or cat sleep?
How many hours/day will your new dog or cat be left alone?
Where will the dog/cat be left when you are away from home?
- indoors
- outdoors
- other
If outdoors:
- in the yard
- on the patio
- in a kennel
- in the garage
if other, where?
Do you have a pet door?
- yes
- no
If a yard, is it fenced and how high is the fence?
Please indicate if the fence if wood, chainlink or another material:
Have/would you use a pet-sitter or pet daycare center?
- yes
- no
When home, pet will be:
- always indoors
- mostly Indoors
- always outdoors
- mostly outdoors
Please upload a photograph of the area where your pet would sleep (jpeg or gif files only)
Accepted file types: jpg, jpeg, gif, Max. file size: 512 MB.
This can also be emailed to us later if you don't have a photo right now. Please keep file sizes under 1MB if possible.
If pet will be outside at all, what outside space if available?
- garage
- dog run
- fenced yard
- unfenced yard
- patio
- balcony
- other
if other, please describe:
Please upload a photo of your yard (jpeg or gif only please)
Accepted file types: jpg, jpeg, gif, Max. file size: 512 MB.
This may be emailed to us at a later date and is not required to complete this application. Please keep file sizes under 1MB if possible.
How do you plan to handle the pet's exercise needs?
Do you travel a great deal?
- yes
- no
If yes, how often and how long at a time?
When you travel, how do you intend to provide for the pet while you are gone?
If a pet became destructive to your home, what would you do?
Do you have any "musts" for a pet to be able to fit into your life?
Do you feel obedience training makes a dog a better companion?
- yes
- no
If necessary, are you willing to attend obedience classes at your expense?
- yes
- no
Under what circumstances would you not keep the dog or cat? (check all that apply)
- divorce
- family illness
- moving
- new baby
- pet grew too big
- new job
- chewing
- kids ignore
- digging
- biting
- pets don't get along
- barking
- shedding
- medical bills
- allergy
- not obedient
- housetraining problem
- other
please explain:
What provisions would you make for your pet if you had to move?
What would you do if the dog grew bigger than expected?
- return to the rescue
- take to the shelter
- keep outside
- be glad there is more to love!
Is there anything else you would like to tell us about yourself or your home environment?
Digital Signature*

To sign with your digital signature, please enter your birth month in the box above.
Email
This field is for validation purposes and should be left unchanged.

Adoption Application

Adoption Application for Animals in UHA Foster

If your animal is at the shelter

Applicant Information

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Your Companion Animals