Feline Application

Name of cat you wish to adopt:*

Personal Data

Name*

First

Last

Email*

Address*

Street Address

City

State / Province / Region

ZIP / Postal Code

Home Phone*

Alternate Phone

Please list names and ages of everyone living in your household

Name and age

Please list two (2) personal references of people not living with you and not related to you

Name*

First

Last

Phone*

Name*

First

Last

Phone*

Veterinarian Information – This section MUST be completed for adoption consideration

Name of Veterinarian*

Address*

Street Address

City

State / Province / Region

ZIP / Postal Code

Vet Phone*

Vet Alternate Phone

How many years?*

Living Situation

Where do you live?*

If other was selected, where do you live?*

Do you rent or own?*

Rent
Own

Name and phone of landlord*

Is there a deposit fee for pets? Yes/No, if yes put dollar amount*

Where will your new cat live? (please select all that apply)

Home
Shop/business
Barn
Indoors
Outdoors

How would you generally classify your home?*

Quiet/Calm
Moderately Active
Grand Central Station

Other Pets in Household?

Pet 1: Name, Type and Age

Spay/Neutered? Check if yes.
Vaccinated? Check if yes.

Pet 2: Name, Type and Age

Spay/Neutered? Check if yes.
Vaccinated? Check if yes.

Pet 3: Name, Type and Age

Spay/Neutered? Check if yes.
Vaccinated? Check if yes.

Additional Information

Are you a first time cat owner?*

Yes
No

Why are you looking to adopt at this time? Please explain*

Can you tolerate "accidents" in your home while your new pet adjusts?*

What plan of action will you use if "accidents" continue to occur? (examples include adding additional litter boxes, relocate litter box, surrender to shelter, etc)*

Is each and every household member 100% in favor of providing a forever home for this cat/kitten?*

Yes
No

If not, what are their concerns?*

Do all household members understand that it may take a few days/weeks for a new cat to become adjusted to its new home and other pets?*

Yes
No

Do you have the financial resources to provide for annual veterinary visits, vaccines, special diets, and medications your cat may need throughout its lifetime?*

Yes
No

Do you or any of your family members have allergies to cats?*

Yes
No

Would you be open to a "home visit" by APS-FH?*

Yes
No

What "traits/problems" would be UNNACCEPTABLE in your new cat? (choose all that apply)

How would you plan to resolve the above "traits" or "problems"? (please select all that apply)*

Seek advice from vet
Consult with a behaviorist
Read a book/research online
Surrender pet to APSFH
Other

If other, please explain*

What "traits" do you want in a cat? (please select all that apply)*

Gentle
Playful
Dependent
Independent
Confident
Curious
Serious
Affectionate
Feisty

What role will your new cat play in your life? (please select all that apply)*

Companion
Family pet
Rodent control
Companion for another pet

Have you ever surrendered a pet for any reason? If so, why?*

What would cause you to surrender a pet?*

Who is your employer?*

Are you in the Military, National Guard, or Reserves?*

Yes
No

Please read and check box below.*

I UNDERSTAND COMPLETING THIS APPLICATION IS NOT A PROMISE OR GUARANTEE OF ADOPTION APPROVAL but a starting point for the APS-FH adoption
team to evaluate my lifestyle and the preferred lifestyle for the cat in question. Not passing the qualifications for one cat does not mean that a different cat would not be a better match. Our goal is to find the perfect cat for your needs and the perfect home for each cat.

Yes I understand.

Is information provided true and correct?*

By checking the box below, I certify the information provided within this application is true and correct. I understand if I have given any false information or have not completely answered all the questions, this application will be automatically denied. My signature below gives APS-FH permission to contact my veterinarian, references and any other persons or entity to verify that the information within this application is true and correct to the best of my knowledge.

Yes information provided is true and correct.