A New York non-profit rescue and adoption organization
Stray from the Heart dog New York non-profit rescue and adoption organization
adopt foster forms faqs events about us you can help blog
all forms adoption app foster app volunteer app donation pdf signup for updates
Adoption Application

We understand that this application can seem long, but please be assured that all the below information is completely neccessary to completing the adoption process. If you have trouble with this online form, please complete, print, sign and mail it to: Stray from the Heart
PO Box 11
New York City, New York 10024-0011
Attn: Fosters
Who You're Looking For

Name of dog you're interested in (from web site, flyer or newspaper ad):
If you're not sure, what age of dog would you like to foster?
Male or female?
Size?
What are you looking for in a dog?
What do you most like about dogs?
What do you like least about having a dog?
Who are you adopting the dog for?
Who will be the primary caregiver of the dog?
How soon were you looking to foster?
General Information

Email:
First Name:
Last Name:
Home Address:
City:
State:
Zip:
Home Phone:
Work Address:
City:
State:
Zip:
Work Phone:
Occupation:
Employer:
Are you over 21 years old?
About Your Home

Type of Residence:
How long have you lived here?
If Apt/Condo, what floor?
Do you have window guards/screens?
Rent or Own?
Please list your last previous address and length of time living there.
Please list all those living in residence (name, relation, age)
Name Relation Age

Please list any companion animals currently living in this household.
Name Cat or Dog Breed Sex Age Spayed/
Neutered
Does anyone have animal allergies?
Do you have a backyard or terrace?
If yes, is it enclosed?
If a fenced yard, how high is the fence, how large an area, and what type of fencing was used?
If you have no fence, how will your dog relieve/exercise himself?
Have you ever had a dog previously? (Please provide a brief history. If deceased, state name and date of death)
Have you ever taken a pet to a shelter? Please explain.
What is your household activity level?
Please explain
How many hours are you gone a day?
Do you travel often?
Who will care for your pet when you travel?
Do all adults work full time?
How many hours a day will your new dog be alone?
Where will your new dog be kept when he is alone?
Where will your new dog be kept during the day?
Where will your new dog be kept during the night?
What sort of training do you plan on providing?
If we could help with training, would you be interested?
Who will walk your new dog? And how often?
Who else will be spending time with your new dog?
Is a home visit OK?
Can you financially afford to care for this dog?
If you became ill, disabled or deceased, who will care for your dog?
Name:
Phone:
Address:
The following information is required so we can verify that you are allowed pets.
If you rent, are you allowed pets?
Does your rental agreement specify a size restriction?
Landlord's Name:
Landlord's Phone:
Landlord's Address:
References

Please provide names, relationship and phone numbers of 2 people not related to you.
Reference 1:
Reference 2:
Do you have a local veterinarian?
Vet's Name:
Vet's Phone:
Vet records are under the name of:
How did you find out about Stray from the Heart?
Please provide any other information that may be helpful for us to know when reviewing your application
DONATION - Stray from the Heart requests a donation ranging between $200-250. Is this acceptable to you?


I certify that the above information is true and accurate to the best of my knowledge, and I understand that completion of this form in no way guarantees my ability to foster a dog. I further understand that completion of this form is only the first step in the foster process and that, should I wish to further this process, and in-home screening will follow.


..................................................
signature 		..................................................
date

dog adoptions ~ dog foster care ~ forms ~ faqs ~ dog rescue events ~ about us ~ contact us ~ you can help ~ SHOP SFTH ~ blog ~ privacy policy

CALL 212.726.DOGS | www.StrayfromtheHeart.org | PO Box 11 NYC, NY 10024-0011

Help Stray from the Heart by donating online NOW! Quick and Secure
Stray from the Heart / copyright 2010 / A 501(c)(3) nonprofit rescue organization

Mayor's Alliance for NYC's Animals 		Official PayPal Seal