Thank you for completing our Application Short Form.
Animals show up here from various sources, such as rescue groups, private individuals, or wherever this is an animal at risk of losing their home or already on death row. Your information will be evaluated and you will be informed of your next step. We do verify all information you provide on your application. We verify you are who you say you are, you live where you say you live, and verify all members of your household. We obtain information from public and information sources that gather and provide your public information. This information will be used to determine if the animal you applied for would be an appropriate match for your family. BY SUBMITTING YOUR APPLICATION YOU AGREE TO THIS BACKGROUND CHECKING.
The next step may involve a phone interview, or you may be directed to complete another application or answer additional questions.
We are only looking to make sure any animal you inquire about would be a good lifetime companion for your family. Please read and answer each question carefully and provide as much detail as possible. Each question asked and every answer you provide will assist us in matching a companion animal in your home.
Please be patient and wait to hear from us. We do work on your application immediately even if you do not hear from us. We start working on the application that is best match for animal being applied for. Sometimes an animal must be in our care longer to determine who they are so that we can know who they are.
Thank you
Hal
First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
County
Email*
Home Phone*
Work Phone x
Cell Phone
Alt Email
Text/Pager Email
Which animal are you interested in Choose an animal: Briggs Brody Foster - Apply to be a Foster Home Newton
Name of animal you are interested in meeting if animal is not listed above.
Name of the Primary caregiver.*
Name of the Secondary ADULT caregiver. Answer None if there is none
What is age of the primary caregiver? Everyone one in the household is responsible to provide care for a companion animal. The answer to this questions is the person that will ultimately be responsible to care for this animal for the rest if its life!*
What is age of the Secondary Caregiver? If there is a person that would be backup if Primary Caregiver cannot. Everyone one in the household is responsible to provide care for a companion animal. The answer to this questions is the person that will ultimately be responsible if the Primary Caregiver cannot to care for this animal for the rest if its life, the Secondary Caregiver accepts the responsibility!
Other than Primary and Secondary Caregivers, How many adults age 18 years or older?*
Other than the primary and secondary listed above. Provide the first name of every person age 18 or older living in house.
How many children live in home under the age of 18?*
What is the Name and AGE of each child?
Do you own or do you rent?* Choose one: Own Rent
Does your yard have a fenced area adequate to confine a dog?
Please describe your fence. Height & Type (four feet, Six Feet & split rail with wire, chain-link, wood, invisible? *
Please provide the following information for each animal currently living in your home. NAME, SPECIES, BREED, AGE, WEIGHT, SPAYED OR NEUTERED: This is a REQUIRED field if you have no animals type NONE.*
If you RENT a house and or live in an apartment or a condominium, are your permitted to have pets? If yes is there any limit on size, quantity, or breeds?
If you RENT a house and or live in an apartment or a condominium provide the name and phone number of your landlord or property manager
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Home At Last Sanctuary, Inc
