Online Application - Dogs

Please fill out the application below to the best of your ability.

The following Form is for DOG Adoption ONLY.

If renting, supply Landlord/Management Company Name and phone number
If employed, list your employer and length of employment.
(Count anyone 18 years old or older, including yourself if applicable.)
(One line per adult.)
(Count anyone 17 years old and younger, including yourself if applicable.)

Have any of the adults in your household ever been convicted of an animal-related crime (neglect, abuse, running at large) or any other criminal convictions that may cause your application to be denied?

On average, how many hours per day will the pet be left alone?
How much do you estimate you will spend annually on your new pet's health care?*
How much do you estimate you will spend annually on your new pet's food/grooming?*

Pet History

If you have pets currently, please provide the name and phone number of the veterinary clinic(s) you are using:
If the records are not under your name, please list the name they are under:
If you do not have pets currently, please provide the name and phone number of the clinic you last used. (If not applicable, just type 'n/a'.)
If you do not have any pets currently, please provide the name and phone number of the clinic you last used:

References

Please list two references NOT RELATED to you that we may contact.

Dog Obedience Section

Prior to being made available for adoption all dogs at HSMC undergo a behavior assessment which provides us with a snapshot in time of their behavior in the shelter setting. We try our best to understand their behaviors in the shelter setting but cannot match the home environment. We use this information, as well as information from previous owners, staff, finders etc in deciding what type of setting would be most successful for each dog.

(Dogs at HSMC are NOT tested prior to adoption. The non-refundable test can be done for $25.00 + tax.)

How would you plan to train/prevent/correct the following behaviors should they arise with your new dog?

ADOPTION APPLICATION DISCLAIMER: HSMC will not delay the processing of completed applications, as it is our goal to place our animals in a timely manner. Please understand that we receive applications via the internet, fax, US mail, and in person, so you may not be the first and/or only applicant on any given pet! Multiple applications for one pet can result in an extended processing time while we work to find the best fit based on the pet's individual needs or history.

HSMC reserves the right to refuse to adopt our animals to anyone. We strive to find safe, permanent placement for our pets. If, in the course of our processing your application or through observations during visitations, we are not confident that the match would be successful, we may deny adoption.

HSMC will not adopt out any pet it deems to be unadoptable due to severe illness or behavioral instability. You are adopting your pet from HSMC AS IS and assume responsibility for its health and well-being. While any pet adopted may be returned to us for any reason if no longer wanted, refunds will only be given within 30 days of adoption with a letter from your veterinarian declaring said animal unadoptable and documenting the reasons for the determination.

In order for your application to be completed, we ask that you submit the following information, along with the answers provided in this application:

  • Visits from every family member in the household
  • Proof of home ownership (tax bill) or landlord consent (signed form)
  • Proof of vaccination for current pets (via paper records or by HSMC contacting your veterinarian)

HSMC does not do adoptions as gifts.

I certify that the information I have provided is true and I recognize that any misrepresentation of fact may result in loss of adoption privileges. I authorize and understand that veterinarians, other humane societies, landlords, etc. may be contacted. This application becomes property of HSMC.