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Home
About Us
COVID-19
Mission Statement
Our Staff
Governance
Employment
FAQs
Meet Our Ambassador
Adopt
Application & Fees
Dogs
Cats
Small Animals
Transport Dogs
Volunteer
Volunteer Today!
Foster Program
Doggy Day Trips & Slumber Pups
Little Rescue Readers
Donate
Capital Campaign 2021
Monthly Giving
Sponsor a Cage
Sponsor a Spay
Planned Giving
Supplies
Host A Fundraiser
Unconventional Giving
Resources
Surrenders
Spay/Neuter Info
Lost Pets
List of ACOs
Area Vets
News & Events
Facebook
Upcoming Events
Press
Contact
Give Now
Search for:
Transport Dog Application
Contact
Donate
Transport Dog Application
Contact
Donate
Donate to our 2021 Capital Campaign
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Transport Dog Application
Animal Name-First Choice
Animal Name-Second Choice
Animal Name-Third Choice
Applicant's Full Name
*
Are you over 18 years of age?
*
Yes
No
Email address
*
Mailing Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Physical Address (if different from above)
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone Number
*
Alternate Phone Number
Email
Have you fostered for HSWA before?
*
Yes
No
Reason for fostering
I want to potentially adopt
I want to help the shelter
Do you:
*
Rent
Own
If you rent, do you have permission from your landlord to have a pet?
Yes
No
Landlord’s Full Name
Landlord’s Telephone Number
Does anyone in your household have pet allergies?
Yes
No
Average number of hours per day the pet will be alone?
Where will they be kept?
Do you have any other pets?
Yes
No
How many and what kind?
Are your pets spayed/neutered?
Yes
No
If no, why not?
Are all of your pets up to date on rabies and distemper vaccinations?
Yes
No
Is your dog(s) vaccinated against bordetella (kennel cough)?
Yes
No
If there are dogs in your home, please upload a copy of the most current vaccination records (for each dog)
Drop files here or
Accepted file types: jpg, gif, pdf, png.
Name of veterinarian:
Please list the names and ages of all people in the household:
Please list the names and phone numbers of at least 2 non-family member references:
*
Please keep my application on file for future transports.
Yes
No
Animal Availability Agreement
*
I understand that completing and submitting this application does not guarantee the availability of an animal for foster, nor does it guarantee that my application will be approved. HSWA is unable to "hold" animals.
I agree
Date:
MM
DD
YYYY
Email
Transport Dog Application
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