Cat(s) of Interest
Please list the name(s) of the cat or kitten that you are interested in.
Applicant Information
Your Full Name:
Age
If under 21, please provide parent's or guardian's name and phone number
Address
City
State
Zip
Home Phone
Work Phone
Cell Phone
What is the best time and method to contact you by?
Email Address
(please enter carefully as we cannot respond to mistyped email addresses)
Your Occupation
Spouse/Partner/Roommates's Occupation
If student, where do you attend?
Housing
Do you live in a:
House
Apartment
Condo
Mobile Home
Do you own or rent?
Own
Rent
If you rent, what is the pet policy? (pet deposit / monthly fees / do cats need to be declawed?)
If you rent, please provide the landlords's name and ph # and / or name of apartment complex
How long have you been at this address?
If you are not the homeowner (for example, living with parents), please provide the homeowner's name and ph #
Household / Family Information
What best describes the primary pet caregiver? (check all that apply)
Employed full time
Employed part time
Unemployed
Full time college student
Part time college student
Stay at home parent
Retired
How many people are in the household - please list ages
What best describes your home environment?
Calm/Quiet
Some activity
Grand Central Station
Are there frequent visitors to the home such as young children teenagers, other cats or dogs? If yes, please explain
Do you or anyone in your household suffer from pet allergies?
Yes
No
If yes, please explain:
Is everyone living in the home interested in adopting a cat?
Yes
No
If no, please explain:
New Cat Information
Are you a first time cat owner?
Yes
No
Aproximate age range you are interested in adopting?
Do you want to adopt a:
Male
Female
No Preference
Are you looking for a particular length of fur?
Are you looking for a particular color or breed?
Would you consider a special needs cat(physically handicapped, extremely shy, etc.)?
Are you looking for a declawed cat?
Yes
No
No Preference
Do you intend to declaw your new cat?
Yes
No
Maybe
If yes, front paws or all four paws?
Front Paws
All four paws
If maybe, please explain how you will make your decision
What are you looking for in your new cat? (Check all that apply)
Active/Playful
Quiet
Lap cat
Shy
Independent
Other
What is your motivation for getting a cat? (check all that apply)
Companion for a member of house
Companion for current pet
Love animals and want to help a cat in need
To teach my children responsibility
Rodent Prevention
Need a barn cat
Lost a pet
Gift for Someone, If so, who is the gift for?
Other (explain)
Where will the cat be kept?
Inside
Outside
Both
Will the cat be restricted to a certain area?
Yes
No
If yes, please explain:
Will this cat be living with you at the address you provided?
Yes
No
If no, please explain:
How many hours during the average day will the cat be left alone?
Current / Past Pet Information
What pets have you had in the past 10 years? Please list whether cat or dog, ages, and whether still living or deceased. If still living but not with you, why?
If deceased, at what age and why?
If you have cats currently, are they kept
Inside
Outside
Both
If outside, or both, please explain:
Are your current pets(cats/dogs) sterilized?
Yes
No
If no, please explain:
Have you ever given a pet away to someone else or surrendered it to an animal shelter or rescue?
Yes
No
If yes, please explain:
Are you able to afford food and litter (approx $20/mo) and yearly vet exam (approx $100) or additional expenses if the cat became ill or injured?
Yes
No
Unsure
Vet / Medical information
What veterinary clinic do you use? Please include city.
Have your cat(s) been tested for feline leukemia?
Yes
No
Unsure
If yes, do you know the results?
Positive
Negative
Unsure
Continuing Care Information
What kind of solution would you be willing to try if the cat scratches inappropriately?
What kind of solution would you be willing to try if the cat develops problems using the litterbox?
Would you still be able to care for this cat if your home or family situation changed (divorce, children, relocation)?
Yes
No
Maybe
Are you prepared to make a lifelong commitment to a cat? (cats typically live 14-18 yrs?
Yes
No
If for any reason you are unable to continue caring for your cat, is their anyone who would be able to take it into there home and ensure its lifelong care??
Yes
No
unsure
If yes, who?
How did you hear about the Kalamazoo Animal Rescue?
Have you ever applied for a pet from Kalamazoo Animal Rescue before?
Yes
No
Any Additional Comments:
By checking this box, you affirm that all of the above information is complete and correct