We appreciate your interest in adopting a HALT graduate. We will start dog selection for our fall 2021  class in mid-August. Once the dogs that will be participating have been chosen, we will start accepting applications. In order to provide our HALT dogs the best possible home environment, we ask you to complete this adoption application.

HALT’s Adoption Committee will review the application and complete veterinary and reference checks, home visits, and interviews. Please note, while applications and home visits will be conducted prior to graduation, dogs are not able to go to their new homes until the completion of the HALT classes. Please fill out all fields and submit the application below.

H.A.L.T. serves Knoxville, TN, and immediate surrounding counties. Because of our home visit policy, we are unable to have adoptions outside of our area at this time.

    All Fields are required

    Your Name

    Address

    City

    State

    Phone Number

    Your Email (required)

    Would you like to receive email updates about HALT?

    What is your preferred method of contact for the adoption process?

    PhoneEmail

    Which dog(s) are you interested in?

    Please list two personal references, their relation to you (family, friend, co-worker, etc) and their phone numbers:
    Reference One Name:
    Reference One Relation:
    Reference One Phone:
    Reference Two Name:
    Reference Two Relation:
    Reference Two Phone:

    Do you live in a:
    houseapartmentother
    If other:

    Do you:
    ownrent

    If renting, does your rental agreement allow pets?
    yesnonot applicable

    Landlord/rental agent name:

    Landlord/rental agent phone:

    Do you have a fenced yard?
    chainlinkwoodinvisible fenceotherno fence

    Do you have a pool?
    yesno

    Would you agree to a home visit conducted by HALT?

    Why do you want a dog?

    What kinds of activities do you plan to participate in with your pet?
    obedienceagilityhikingcampingwalkstravelsnugglingcompanion to current petplaying with kidsother

    Would you consider a special-needs dog such as one who requires medication for a permanent but controlled condition?
    yesno

    Have you had a pet previously?
    yesno

    If so, what happened to your pet?

    Are there any pets living in your home now, belonging to you or another person in your home?
    yesno

    If so, please tell us more about them here:

    If you currently have pets, has your current pet(s) ever been around other animals?
    yesno

    If so, list them here:

    Do your current pets have any special characteristics of which we should be aware?
    yesno
    If so, list them here:

    Are your current pets spayed/neutered? (or were past pets?)
    yesno

    Are your pets on heartworm preventive? (or were past pets?)
    yesno

    Are your pets micro-chipped? (or were past pets?)
    yesno

    What is your current veterinary clinic or what was your veterinary clinic for past pets, and in what city/state?

    May we call your veterinarian for a reference?
    yesno

    Are there any kids living in your home or that frequently visit your home?
    yesno

    What are their ages?

    Does anyone in your home have pet allergies?
    yesno

    Where will your dog be during the day?

    At night?

    How long will your dog be alone daily?

    When you travel, who will care for your pet?

    If you move, what will happen to your pet?

    What are your greatest concerns in getting a new pet?

    For what reason(s) would you consider returning your new pet?

    Would you be willing to attend additional obedience classes?
    yesno

    Are you aware of any other resources to you if any problems arise?

    If you adopt from HALT and decide to give up the dog, do you agree to contact HALT to see if we can offer additional resources or help find a new home for it?
    yesno

    Have you applied to any other rescue groups?
    yesno

    If so, please identify the group(s) so that we do not duplicate their efforts.

    How did you hear about HALT?

    Would you be interested in volunteering with HALT?
    yesno

    Would you be interested in being interviewed on behalf of HALT?
    yesno

    Please note any additional comments, questions, or concerns.

    [recaptcha]

    By submitting this form, you agree the information is complete and accurate.