Adoption Application Form

The Itty Bitty Kitty Committee Intent to Adopt Questionnaire
First and Last Name:*
Please read before filling out an application and check the box if you agree.
- Applicant must be at least 21 years of age and live within 4 hours driving distance of Youngstown, OH.
- Please only apply if you are interested in a specific kitten(s) and 100% certain and ready to adopt from us. Applications indicating something vague kitten (i.e. "an orange kitten," "a longhaired male," "any kitten") will not be considered.
- No kids under 5 in the household. Young children tend to be very active and may be too rough with fragile kittens, which can result in injuries to the kitten. Similarly, young kittens have particularly sharp teeth and claws, which can accidentally injure delicate young children.
- IBKC has a strict no declawing policy that is legally binding. Kittens must be strictly indoor pets-- supervised outdoor enrichment is permitted and encouraged!
ADOPTION PROCESS
1. YOU SUBMIT APPLICATION: After you submit your application, if you do not receive an e-mail within 72 hours stating otherwise, your application is considered accepted. This means everything on your application (aside from personal and vet references) has checked out thus far.
2. IBKC WILL BEGIN CONTACTING REFERENCES: We sometimes receive a high volume of inquiries about a kitten. Please note that sometimes we receive a high volume of inquiries about a kitten. This is why it's important to include as much information that will help your application stand out.
  
  If your application is accepted and you haven't heard back from us within 2 weeks to set up an in person interview, this is usually the case.
  
  In this event, we encourage you to continue your search at other local animal shelters or wait for our next available batch of littles.
3. PHONE OR IN PERSON INTERVIEW: We will reach out using your preferred method of communication as indicated on the adoption application to set up a phone or in person interview. If you do not respond within 24 hours we will move on to the next applicant.
Applicant Information
Name(s) of kitten/s you are interested in*
Your Age:*
Phone Number*

Area CodePhone Number
Is it best to call or text?*

CallTextOther
Email:*
Address *

Address

Street Address Line 2

CityState

Zip
Occupation:*
Will you be the primary caregiver for the kitten(s)?*

Yes, I am applying for myself.No, I am applying for someone else.Other
Please list the age and relationship to yourself of each person currently living in your house *
Does anyone living in your home have any known allergies to cats?*

YesNoUnknown
If you live with others, please describe their interest in adoption:*

Everyone in the household is excited about adoptingSomeone in the household isn't sure about adoptingNot everyone in the household knows I am applying to adoptOther
Your type of dwelling:*

HouseCondoApartmentTownhouse
Your type of dwelling:*

OwnRent
IF YOU RENT, are pets allowed?*

YesNoN/A
IF YOU RENT, what is the contact name and phone number of the landlord?:
What best describes the activity level in your household?*

Calm/quietActiveVery active/loud
Why are you interested in adopting?*

Companion for selfCompanion for kidsCompanion for other petBirthday/holiday giftRodent controlReplace lost/deceased petOther
What type of personality are you looking for in a cat?*

OutgoingReservedGood with other catsGood with dogsGood with childrenPlayful and energeticShyCalmSpecial NeedsNeedy/“Stage 5 Clinger”IndependentAdaptableOther
Which of the following situations would lead you to rehome a pet?*

Moving to another stateHaving a babyRuins the furnitureToo expensive/unexpected vet costGetting divorced or marriedGrew too bigFleas or shedding too muchFinished school/moving back homeChildren no longer caring for petAllergiesFound a new "no pet" rentalWould not give up for any reasonOther
Which of the following situations would lead you to declaw a cat?*

Having a babyRuins the furnitureScratching family membersWould not declaw up for any reasonOther
The cat(s) will be*

Indoor onlyOutdoor onlyIndoor/Outdoor (free choice)Indoor with protected outdoor enrichment (ie: harness or catio)Other
PRESENT PET HISTORY

If you do not have any pets presently
Do you currently have any pets?*

YesNoOther
Are the pets currently living in your household spayed/neutered?*

YesNoN/AOther
Please list all current pets: SPECIES, BREED, AGE, GENDER, SPAYED/NEUTERED. If no current pets, write "none"*
e.g. Dog, Lab mix, 10 months, female, spayed
Do your current pets get along with other animals?*

YesNoUnknown (i.e. they have never been around a kitten or other animal)N/AOther
Current/Most recent veterinarian information
May we contact this vet as a reference?*

YesNoN/A
Are your animals current on all vaccinations?*

NoYesN/AOther
PAST PET HISTORY

If you do not have any past pets, please choose “no past pets”
Have you ever surrendered a pet to a shelter or rehomed a pet?*

YesNoNo past pets
If yes, why?
Please list any PAST animals you have had in the last 5 years and why they are no longer with you (e.g. “passed away, given away, ran away, etc.) if this does not apply to you, just respond “none”*
Have you ever been denied adoption at another rescue? If yes, why? *
Have you applied at / do you plan to apply at any other rescues for a kitten while you wait for approval?*
What makes you a great adopter? *
How long have you been considering adoption, and why is now the right time?*
Please list the name, relationship, and phone number for 1-2 personal references below. *
I have read and answered the questions above. I certify my information is complete and true, and I understand any false information may void this application.
Signature:*

Clear
Date:*

MonthDayYear
Date
THANK YOU FOR TAKING THE TIME TO COMPLETE THIS APPLICATION!
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The Itty Bitty Kitty Committee Intent to Adopt Questionnaire

Applicant Information

PRESENT PET HISTORY

PAST PET HISTORY

THANK YOU FOR TAKING THE TIME TO COMPLETE THIS APPLICATION!