SNAP Cats Adoption Application

Unlike most shelter and rescue adoption procedures, SNAP Cats is very thorough and prudent in the adoption and placement of our special needs cats. Our cats require special circumstances, special people, and in some cases, special medical care. Thus, we reserve the right to refuse an adoption if we feel that the situation isn’t perfect for both you and our cats.

Along with this application process, we’ll have a lengthy discussion about you and your expectations. So please be prepared to spend at least an hour with us discussing every aspect of your life: from your living environment, to the people in and around your home, to the people (and possible other pets) that will visit your home. This may sound a bit intrusive, but we need to make sure that this adoption is in the best interest of you, your family, and our special needs cats.

If you desire to adopt a cat that’s physically disabled, and you reside locally, we may ask do a home inspection. This isn’t a judgment about your living conditions – it’s about making sure that the cat is safe from potential harm that you may not have thought of. For example, a cat suffering from moderate-to-sever CH should not be placed in a home with lots of stairs.

The bottom line is: We want this adoption to be the first and last our special cats will ever have.

Thank you for wanting to adopt a SNAP Cat. And thank you for understanding our goal of making sure every adoption is a perfect match.

Darryl Roberts Executive Director

SNAP Cats 4663 Petaluma Hill Road Santa Rosa CA 95404 info@snapcats.org snapcats.org 707.836.6000 A 501(c3) Organization Tax ID: 46-2399499

Welcome to SNAP Cats’ adoption program. We request the following information so that we can better assist you in the selection of a “Special Needs” cat. This form, and consultation with a SNAP Cats representative, is designed to make sure that you find the cat most compatible with your lifestyle/living situation.

To be considered as an adopter, you must:

Be 21 years-old or older
Have identification showing your present address
Have the knowledg e and consent of your landlord (if applicable)
Be able and willing to spend the time and money necessary to provide medical treatment and proper care of a Special Needs cat .

Cat(s) interested in adopting:

Name of applicant:

Date:

Date

Street Address:

City:

State:

Zip:

Phone:

Alternate Phone:

E-mail:

example@example.com

Age:

How long have you lived at this address?

Where do you live:

House Condo Apartment Mobile home

Do you own or rent your home:

Own Rent

If you rent, we need to contact the owner to obtain permission for this cat to live in your home.

Owner’s name and phone number:

Describe in detail the cat you’re looking for:

Have you ever had a Special Needs cat before:

Yes No

If yes, please describe:

What kind of pets have you had in the past?

Which of these do you still have? Include age, sex and breed

Are your pets spayed and/or neutered?

Yes No Don’t know

Are your pets current on vaccinations?

Yes No Don’t know

Have your pets been tested for feline leukemia?

Yes No Don’t know

Have your pets been tested for FIV

Yes No Don’t know

Are you cats declawed?

Yes No Don’t know

If yes, where is your cat's declawed?

Front paws Back claws All four paws

What happened to the pets you no longer have?

Have you ever turned a pet into a shelter?

Yes No

If yes, please explain below:

Have you ever had a pet euthanized?

Yes No

If yes, please explain:

If you have pets, will they adjust to a new cat in the house?

Yes No Don’t know

Why do you want this cat? (please check all that apply)

Companion Companion for another pet House pet Office cat Other

Other (explain below)

How many adults are in your family?

How many children?

Children’s ages?

Are you or your partner pregnant or planning to become pregnant within the next year?

Yes No

Does any member of your household have an allergy to cats?

Yes No

Is someone home during the day?

Yes No

If yes, who?

How many hours each day will the cat be without human companionship?

Please explain:

Where will you keep the cat(s)?

In the house Outdoors With free access to both

Do you have screens on your windows?

Yes No

Do you have a cat or dog door?

Yes No

If yes, where does the cat or dog door lead to?

Under what circumstances would you have your cat(s) declawed?

Are you aware of the potential side effects of declawing a cat?

Yes No

Will you keep the cat up-to-date on vaccinations?

Yes No

Who is your veterinarian?

Phone:

City/state:

What is your current occupation?

Who is your current employer?

Does your job require extensive travel?

Yes No

If If yes, please explain:

If you go away for a few days, or on a vacation, who will take care of the cat?

What arrangements will you make for the care of your pets in case of an emergency?

If you move, will you take the cat(s) with you?

Yes No

If no, why not?

Have you ever applied to SNAP Cats before to adopt a cat?

Yes No

If yes, when?

Have you ever surrendered a cat to SNAP Cats?

Yes No

If yes, please explain:

How did you find out about SNAP Cats?

Are you willing to have a representative of SNAP Cats come to see where the cat will be living?

Yes No

Are you aware that cats can live 15 to 20 years and are you willing to take responsibility for this cat(s) for the next 10 to 20 years?

Yes No

What provisions will you make for the cat should you become unable to care for him/her?

Additional comments from applicant

Please provide below two non-family personal references, including eMail addresses:

First personal reference:

Name:

Relationship:

Street address:

City:

State:

Zip:

Phone:

E-mail:

example@example.com

Second personal reference:

Name:

Relationship:

Street address:

City:

State:

Zip:

Phone:

E-mail:

example@example.com

Notes for SNAP Cats use:

SNAP Cats Adoption Application

BEFORE WE START