Adoption Application

Instructions

Please Note:
The volunteers with Hanover Humane Society are committed to finding permanent, responsible, and loving homes for the animals in its Adoptions Program.

Applications are animal-specific. Multiple applications will be accepted for the same animal, and the Committee will work to determine the best fit for the animal based on the animal’s needs and activity level, resident pets, etc. Adoption decisions are based on (1) the pet’s temperament and needs as well as (2) the applicant’s experience, family, lifestyle, personal references, yard, housing situation, employment, veterinary history and additional factors.

Hanover Humane’s Goal is to place the animal in a permanent home where it will be safe and well maintained.

The application process may take up to 7 days once the application has been submitted and a formal application acknowledgment has been sent by the Committee to the applicant. During this time, all references will be reviewed, a home visit may be requested, and follow-up communication may be required. Throughout the application review process, communication with the application will occur by email.

Please complete all data fields below and respond to all questions on the application. Failure to provide a response to any question may be deemed an incomplete submission, and the Adoptions Committee may not continue with the review of your application.

While the Hanover Humane Society has tried to make the on-line application compatible with mobile platforms there may be submission issues when using smart phones or tablet computers. We recommend using a desktop computer for the submission of the application to avoid communication issues

* Denotes a required field
Verification Authorization *
I confirm that all the information I will provide on this application is true and complete. I authorize verification of all information entered on this application with veterinarians, personal references, landlords and other sources as applicable. I also understand that veterinary history will be reviewed to determine an overall pattern of care and pet maintenance for current (and prior) pets including, but not limited to, routine vaccinations, heartworm testing, usage of heartworm preventative, treatment of illnesses, overall annual pattern of veterinary care, etc.
I Agree
You must be at least 18 years old to adopt *
Yes, I am at least 18 years old.

Animal of Interest

Name of Animal: *
Have you met and handled this animal? *
YesNo
If yes, please specify where you met/handed this animal. *

Contact Information

Applicant's First Name: *
Applicant's Last Name: *
Driver's License # : *
Primary Contact Phone Number: *
Primary Phone Type: *
Please enter in ###-###-#### formatHomeCellWork
Secondary Contact Phone Number:
Secondary Phone Type:
HomeCellWork
Email Address: *
Note: This will be the Committee’s primary means of communicating with you.
Physical Address: *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
City/County of Residence: *
How long have you lived at this address? *

Veterinarian:

Do you have a regular veterinarian? *
YesNo
Name of Primary Veterinarian/Hospital: *
Phone of Primary Veterinarian/Hospital: *
Do any of the animals listed above have records at a different veterinary facility? *
YesNo
Name of An Additional Veterinarian/Hospital: *
Phone of An Additional Veterinarian/Hospital: *

Adoption History:

Have you ever adopted from any rescue organization, shelter or humane society? *
YesNo
If yes, please list which one: *
Where is the pet now? *
Have you ever surrendered any animals to an animal shelter, humane society or rescue organization? *
YesNo
If yes, why was the animal turned in? *
Have you ever been reported to an animal shelter, humane society or animal rescue organization before? *
YesNo
If yes, why were you reported? *
Have you ever been charged with and/or convicted of animal cruelty, neglect, or animal abandonment? *
YesNo
If yes, please explain when this occurred and the circumstances of the situation: *

Verification & Signature

Please read before Signing:
By signing below, I confirm that all the information provided on this application is complete, truthful, and correct to the best of my knowledge. I authorize verification of all information shown on this application with veterinarians, personal references, landlords and other sources as applicable. I understand that my veterinary history, as applicable, will be reviewed to determine an overall pattern of care and pet maintenance for current (and prior) pets.

I understand that once this application is submitted, I will receive a formal application acknowledgment from Hanover Humane’s Adoption Committee sent to the email address entered on the application. I will be notified within 7 days from the issuance of the application acknowledgment should the Adoptions Committee decide to adopt this animal to me. I understand that, if I do not hear from the Adoptions Committee within the 7 day period, I should assume that an alternate placement was chosen for the animal.

Should the placement not occur, to protect the integrity of the application review process and to assure truthful responses on applications from other parties, I understand that the Adoptions Committee will not share with me the reason(s) for not placing the animal in my home with me.
By checking this box below, I attest that I have read this application in its entirety and fully agree to the terms of the Hanover Humane Society application process. In addition, I confirm that I have never *
Yes, I Agree
Name of Prospective Adopter: *
Date (mm/dd/yy): *
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Submit

Please enter any two digits *Example: 12
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Adoption Application

Instructions

Animal of Interest

Contact Information

Personal and Residential Information

Employment:

Size of Household:

1st Individual:

2nd Individual:

3rd Individual:

4th Individual

5th Individual:

6th Individual:

7th Individual:

8th Individual

Residence:

Lifestyle and Pet Preferences:

Pet Care:

Allergies:

Compatibility:

Other Pets

1st Pet

2nd Pet

3rd Pet

4th Pet

5th Pet

6th Pet

7th Pet

8th Pet

Additional Pets:

Veterinarian:

Adoption History:

References:

Verification & Signature

Submit