PLEASE RETURN TO:
The Arabian Rescue Mission
42 Glen Road
Colesville, NJ 07461
p.973 948-9471
p.973 896-0781
www.arabianrescue.org
Application for Emergency Housing
Name: Age:
Address:
Phone numbers - Home: Work:
Cell: Date of Application:
Email:
Please answer the following questions completely. If more detail is needed, you may attach a separate piece of paper.
1. Please describe the experience of the applicant and any person who will be caring for the horse on a regular basis:
2. Please describe experience working with horses who are nutritionally, emotionally or physically challenged:
3. Do you have riding experience: Y/N How Long? ______
4. Do you have training experience Y/N How Long? ______
5. Do you have Quarantine facilities Y/N Please Describe ______
6. Do you own your property Y/N If not, Landlord’s Name & Number: ______
______
7. Will you be providing (please circle one) Foster Care, Permanent Home, or are you a Rescue?
8. How many horses do you have room for and can comfortably afford to take care of ______.
9. Do you have experience specifically with Arabians? Y ____ N ____ How Long ______
10. References – please provide at least three references below not directly related to you. At least one of the three references must be a licensed veterinarian.
Name: How do you know this person:
Address:
Phone: Email:
Name: How do you know this person:
Address:
Phone: Email:
Name: How do you know this person:
Address:
Phone: Email:
11. According to the law, you are responsible for providing the proper care and
maintenance of the horse. This includes providing appropriate year round shelter, free access to water, proper feed, inoculations, dental care, hoof care and worming. You are also responsible for providing veterinary care as necessary in the event of illness or accident.
Signature of Applicant:
Signature
Address
Date