Application - Homeward Bound

*Incomplete applications can not be processed, so please be thorough when completing our application*
We are currently NOT accepting adoption applications from people outside of the Capital District (greater than 40 miles from the Albany Airport). If you are in the Pittsfield MA area we may have volunteers willing to do home visits in those areas and we may be able to help you adopt through Homeward Bound Dog Rescue.
*(please click the “SUBMIT APPLICATION” button at the bottom of the form to submit the application when complete)*


                        Adoption / Volunteer Application
            Incomplete applications cannot be processed. Fields marked * are required.

                            
                    Applicant Details
                    
                                                    First Name *
                                                    Last Name *
                                                    Email Address *
                                                    Occupation *
                                                    Are you interested in fostering? Yes No
                                                    Are you interested in volunteering? Yes No
                                                    Additional First Name
                                                    Additional Last Name
                                                    Additional Email Address
                                            
                
                            
                    Contact & Address
                    
                                                    Home Phone *
                                                    Work Phone *
                                                    Other Phone
                                                    Street Address 1 *
                                                    Street Address 2
                                                    City *
                                                    State *
                                                    ZIP Code *
                                                    County
                                                    Preferred Method Contact
                                            
                
                            
                    Home & Family
                    
                                                    Number of Adults
                                                    Name of an adult in household
                                                    Name of another adult in household
                                                    Adult Age(s)
                                                    Number of Children
                                                    Children Age(s)
                                                    Your Accommodations *
                                                    Own Rent
                                                    Landlord Name *
                                                    Landlord Phone Number *
                                            
                
                            
                    Current and Past Pets
                    
                                                    Current Pet 1
                                                    Current Pet 2
                                                    Current Pet 3
                                                    Current Pet 4
                                                    Current Pet 5
                                                    Past Pet 1
                                                    Past Pet 2
                                                    Past Pet 3
                                                    Past Pet 4
                                                    Past Pet 5
                                            
                
                            
                    Canine Experience
                    
                                                    Have you ever owned a dog? Yes No
                                                    Have you had any dogs as an adult? Yes No
                                                    Have you had dogs growing up? Yes No
                                                    If yes, how many and what kind?
                                                    Who is the dog for?
                                                    Why do you want a dog?
                                                    Dog ownership experience level
                                                    If yes, have you ever had to give away a dog? Please explain
                                                    Have you ever euthanized a dog? If so why?
                                                    Please explain your previous two answers
                                                    Are you familiar with crate training? Yes No
                                                    Are you willing to crate train the dog? Yes No
                                                    Do you have obedience training experience? Yes No
                                                    Would you hire a trainer/behaviorist if needed? Yes No
                                                    Where will the dog primarily be kept?
                                                    Where will the dog stay during the day and at night?
                                                    How will you discipline a misbehaving dog?
                                                    What dog food brand(s) do you use/intend to use?
                                                    Do you have a completely fenced yard? Yes No
                                                    If yes, how high is your fence (feet)?
                                                    Is someone home during the day? Yes No
                                                    If no, how many hours would the dog be alone?
                                            
                
                            
                    Veterinary Care
                    
                                                    Will you provide regular veterinary care? Yes No
                                                    Do you understand annual checkups and updates are required? Yes No
                                                    Do you currently use a veterinarian? Yes No
                                                    Veterinarian Name
                                                    Veterinarian Phone Number
                                                    Second Veterinarian Name
                                                    Second Veterinarian Phone Number
                                                    Third Veterinarian Name
                                                    Third Veterinarian Phone Number
                                            
                
                            
                    Dog Preferences
                    
                                                    Particular dog you are interested in
                                                    Preferred Sex
                                                    Preferred Age
                                                    Preferred Breed
                                                    Preferred Adult Size
                                                    Preferred Energy Level
                                                    Playful
                                                    Good with children
                                                    Good with dogs
                                                    Good with cats
                                                    Long hair
                                                    Does not chew
                                                    Short hair
                                                    House trained
                                                    Affectionate
                                                    Does not shed
                                                    Travels well
                                                    Good in crate
                                                    Easy to train
                                                    Other desired trait
                                                    Behaviors you want to avoid
                                                    Anything else to know about your ideal dog?
                                                    Level of commitment
                                                    Explain your level of commitment
                                            
                
                            
                    References
                    
                                                    Reference 1 Name
                                                    Reference 1 Phone
                                                    Reference 2 Name
                                                    Reference 2 Phone
                                            
                
            
            Leave this field empty