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Adoption Application
1
Terms & Conditions
2
Basic Info
3
Household
4
Pet Care
5
Additional Info
Adoption Process Agreement
*
Please be sure to read through
AMA's Adoption Process outlined here
before filling out your application. You must agree to the terms in our process before you can begin filling out the adoption application.
I agree to the terms & conditions outlined in AMA's adoption process.
*
Adoption Location Limitation Agreement
*
At this time we’re only able to accommodate adoptions in the NY tri-state area.
I understand.
*
Name of the pet you're interested in
What type of pet are you interested in?
*
Cat
Dog
Basic Information
Name
*
First
Last
Email
*
Primary Phone
*
Alternate Phone
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Date of birth
*
MM slash DD slash YYYY
Household Information
What is the type of residence you currently live in?
*
Apartment
Condo
House
Other
How long have you lived here?
*
At your current residence, you currently:
*
Own
Rent
Since you are not the property owner, AMA Animal Rescue will verify your residences current pet policy. Please tell us about your landlord below.
Landlord Name/Business
Landlord Phone
Number of adults living in your household
*
Please enter a number greater than or equal to
0
.
Number of children living in your household
*
Please enter a number greater than or equal to
0
.
Does anyone in your household have allergies?
*
Yes
No
Who will be primarily responsible for the care of this pet?
*
Total annual household income
*
Is this pet a gift?
*
Yes
No
Pet Care Information
How many hours will your pet be alone each day?
*
Where will your pet be kept when you are not home?
*
Where will your pet be kept at night?
*
Do you have a yard?
*
Yes
No
Is your yard fenced?
*
Yes
No
Do you have any other pets?
*
Yes
No
What other pets do you have?
*
Are your other pet's vaccinations current?
*
Yes
No
Do you have a primary veterinarian?
Yes
No
What is your primary veterinarian's name?
*
Under what circumstances would you NOT keep your pet?
*
I like pets that are
*
Small
Medium
Large
No preference
I am looking for a pet that is:
*
Highly Energetic
Outdoorsy
A Lap Pet
Mellow
Affectionate
Quiet
Guard Dog
I prefer a pet that:
*
Loves children and strangers
Can tolerate children and strangers
Loves all other animals
Can tolerate all other animals
Don't care if he/she gets along well with other animals
Is there anything else you'd like us to know? Or do you have any questions? Feel free to write them here:
Confirm Your ID
Help us to confirm your identity by uploading the different proofs of identification outlined below. Please make sure all documents are uploaded where we can clearly identify your name, address, and place of employment. NOTE: These documents are confidential and will not be viewed by anyone other than the adoption team.
Proof of employment
*
Drop files here or
Select files
Accepted file types: pdf, jpg, png, doc, docx, Max. file size: 256 MB, Max. files: 2.
W2, two recent paystubs, or Human Resource Letter on Company letterhead
Two forms of ID (1)
*
Accepted file types: pdf, jpg, png, doc, docx, Max. file size: 256 MB.
Acceptable forms of ID are: passport, license/permit, birth certificate, military ID, non-drivers ID
Two forms of ID (2)
*
Accepted file types: pdf, jpg, png, doc, docx, Max. file size: 256 MB.
Acceptable forms of ID are: passport, license/permit, birth certificate, military ID, non-drivers ID
Two forms of proof of address (1)
*
Accepted file types: pdf, jpg, png, doc, docx, Max. file size: 256 MB.
Acceptable forms of proofs of address include: utility bill, cell phone bill, credit card, bank statement, medical bill
Two forms of proof of address (2)
*
Accepted file types: pdf, jpg, png, doc, docx, Max. file size: 256 MB.
Acceptable forms of proofs of address include: utility bill, cell phone bill, credit card, bank statement, medical bill
Non-Related References
Please enter two (2) non-related references (friend, colleague, neighbor, veterinarian, etc).
Reference (1)
*
Name
Phone Number
Relation
Reference (2)
*
Name
Phone Number
Relation
Application Review Timeframe
*
We will review your application as soon as possible. We often have multiple applications for different animals simultaneously, so while we do our best to get back to everyone as promptly as we can, it may take a bit of time for us to respond. We want to assure you that we answer every application in the order they are received.
I Understand
*
Comments
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