Hospice Hearts is an all-volunteer, foster-based animal rescue based in Champaign-Urbana serving elderly cats and dogs whose owners are no longer able to care for them due to nursing home admission, serious illness, or death.
Our adoption process requires an application, interview, and home visit. The adoption fee for a pet is a donation of the adopter's choice to Hospice Hearts, minimum of $75. We carefully screen the adopting homes to ensure that it is an appropriate fit for our orphans.
Adoption Application
The adoption process may take up to an hour and includes a review of your application. We strongly recommend that all household members be present during the meet and greet visit and final adoption to ensure the pet is a good fit with the entire home. Residency requirements will be verified. Be truthful in your responses so that the Adoption Counselor can help find the best pet for your household and/or family. Failure to provide truthful answers will result in nullification of your application and contract. The application questions are not optional â all questions must be answered.
The Adoption Counselorâs primary responsibility is placing the pet in a home that best meets the particular needs of the pet. Applicants are encouraged to review all available animals and ask questions of the Adoption Counselor to determine which pet would be best suited for your home. Please note that Hospice Hearts is an all-volunteer organization and we appreciate your respectful treatment.
*Notice*
Our pets and adoption are âSatisfaction Guaranteed.â We understand that not all animals fit all families and living situations. Our adopted animals can always be returned to Hospice Hearts for the full adoption donation (if requested). If an animal is returned, we do not deny future adoption, and can help find a better match for you and your family. We also will help with any questions or concerns you have with your adopted animal at any time to help keep them in your home if possible.
Name of Animal *
*Adoption Fee*
The fee for adopting a Hospice Hearts animal is a minimum $75.00 donation.
Name *
First Name
Last Name
Your Date of Birth *
Marital Status *
Phone Number *
Email *
Address *
Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
Adoption Interests
What makes you want to adopt this animal into your home at this time? *
Do you have any concerns with this particular animal, or issues you are concerned about with any animal? Our adoption counselors will share information with you to help ease any concerns or create better transitions for you and your adopted companion. *
What qualities are you looking for in a new companion? This can help us make a better match, or help us find an animal that meets your needs once they enter our program. *
Background Information
How many adults are in the household? *
How many children are in the household? *
If no children, please put "None" in the box.
What are their ages? *
Do you own or rent? *
Own
Rent
Do you live in a smoke-free home? *
Yes
No
Are you and/or your spouse/significant other currently employed? *
Yes, both.
Yes, one.
No, neither.
Retired, both.
Retired, one.
Matching the Right Pet
I am interested in adopting the following species... *
Dog
Cat
Other
I am interested in the following ages... *
Young (<1 year)
Adult (1-8 years)
Senior (8+ years)
Where will this animal primarily be kept? *
Inside
Outside
Garage
Barn
I want a pet with the following activity level(s): *
Couch Potato
Moderately Active
Exercise Buddy (very active)
Are you willing to care for an animal requiring a specialized diet (ex. for diabetes, weight loss, etc.)? *
Yes
No
If your adopted cat or dog became very ill, would you be willing to spend money on extensive vet care? What would you do to ensure a good quality of life? *
Pet History
Do you currently have pets at home? *
Yes
No
What food do you feed your current pets? *
Current Veterinarian *
Name, location
Have you owned other pets in the past 5 years? *
Were any of them *
Lost
Hit by a vehicle
Put to sleep
Other
N/A
I, the undersigned, certify that the information provided in this application is complete and accurate to the best of my knowledge. I understand that any and all information provided may be subject to verification. I, along with those persons accompanying me, assume risk of injury which may be incurred as a result of viewing any animal under the care of Hospice Hearts.
Signature *
Date *
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