All Sentient Beings Application

ALL SENTIENT BEINGS INC APPLICATION FOR ADOPTION

All Sentient Beings Inc
268 Walnut street, Lynn, MA 01905
Email wishfulWhiskers2017@gmail.com
Telephone Number 631-872-7453

Instructions: The purpose of this application is to help us match you with the pet most suitable for your current household and personal needs. We want both you and your new pet to be happy with the new home. Therefore, please fill out all sections as completely as possible.

If necessary, feel free to attach additional pages. You may make a non-refundable $25 deposit to hold one you have been notified that your application is approved. This amount will be credited towards the adoption fee. $25 application fee is required for all kitten adoptions.
APPLICANT INFORMATION:
Name*

First NameLast Name
Email*
example@example.com
Cell phone number*
Please enter a valid phone number.
Work phone number
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Name*
Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Homeownership
Do you live in a (CHECK ONE)?*

HomeApartmentCondoTrailer
Do you rent your home?*

YesNo
If you rent, does your lease allow you to have pets? (IMPORTANT: renters must provide a copy of the lease or other permission from the landlord. Owners must provide proof of ownership (such as a mortgage statement, tax bill, etc.)

YesNo
If renting, please provide your landlord's information below:
Landlord's Name

First NameLast Name
Landlord's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Landlord's Phone Number
Please enter a valid phone number.
How long have you lived at your present address?*

0-1 year2-5 years5-10 years10+ years
If less than 2 years, please provide previous address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you planning to change residence in the next 12 months?*

YesNo
If yes, please specify:
Household Information
How many adults in your household?*

1-23-45-67+
How many children in your household?*

0-12-45-78-10+
Please provide ages of children:

0-1 year2-5 years5-10 years10+ years
Do you currently have any pets?*

YesNo
Please specify type(s):
Name(s):
Gender(s):
Age(s):
Have the above pets been altered and up-to-date on inoculations?

YesNoNeed more information
Is anyone in your house allergic to pets?*

YesNo
If yes, please specify:
Have all household members agreed to adopt a pet?*

YesNo
Pet Adoption Information
Type of pet desired:*
Is there a specific ASB pet that you are interested in?*

YesNoNeed more information
If yes, please provide the name:
Please indicate your preferences regarding your pets
Gender:*

Male onlyFemale onlyNo preference
Age Range:*

BabyAdultSeniorNo preference
Hair length:*

Short hairMedium hairLong hairNo hair
Breed type(s):*
Personality type (please check all that apply):*

OutgoingTalkativeInteractiveIndependentQuietAloofPlayfulSedateNo preferenceOther
If adopting a cat, please check all that apply:*

Good with young childrenGood with other catsGood with dogsCompanion for another catIndoor/outdoorFree-roaming outdoorsWill be the only catDeclawedNot declawedIndoor onlyLeash trainedOther
Please initial here if open to all:

Clear
Would you consider a cat that has special needs (FIV, FELV, Diabetic, Senior, etc.)?*

YesNoNeed more information
CARING FOR YOUR PET. Are you prepared to care for your pet for the lifetime of the pet (15-20 years)?*

YesNoNeed more information
The average cost of caring for a pet in Massachusetts is at least $400/year, not including any emergency medical needs. Are you prepared for the financial expense of veterinary care, animal inoculations, good quality food, licensing, training, etc.?*

YesNoNeed more information
Do you have time to feed, clean up after, groom, exercise, play with, socialize, train, etc. for your pet?*

YesNoNeed more information
Are you willing to accept advice to help your new pet adjust to your home, household, and/or any current pets?*

YesNoNeed more information
Where will you keep the pet: Please be specific (I.e. Bedroom, porch, cage, basement, etc.) DURING THE DAY? DURING THE NIGHT?*
Where will you keep your pet: When you are away from home on (I.e. boarding, pet sitter, staying with friends, etc.) vacation or business?*
Are you prepared to deal with the possible problems of pet ownership, such as flea infestations, behavior problems, accidents on the carpet, etc.?*

YesNoNeed more information
Who will have primary responsibility for caring for your pet?*
If you work outside the home, will anyone be at home to care for the pet during the day?*

YesNo
If not, about how long will the pet be alone and what provisions will you make for the pet while you are gone?*
PAST PET HISTORY:
Have you had a pet in the past?*

YesNo
If yes, please specify, including type(s), when you had the pet(s), and what happened to the pet(s) (such as lost, died of old age, died of illness, hit by a car, poisoned, given to friends when I moved overseas, etc.)? Please include names of pets for vet reference.
Have you ever had to find another home for one or more of your past pets?*

YesNo
If yes, please describe the circumstances and outcome:
VETERINARY REFERENCES:

If you have current or past veterinarian(s), please provide the contact information below:
Veterinarian #1 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Veterinarian #2 Name

First NameLast Name
Veterinarian #2 Phone Number
Please enter a valid phone number.
Veterinarian #2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PERSONAL REFERENCES:

In addition to your vet reference (if you have one), please provide one or two references of persons who have known you and your other pets.
Personal Reference #1 Name*

First NameLast Name
Personal Reference #1 Phone Number*
Please enter a valid phone number.
Personal Reference #2 Name*

First NameLast Name
Personal Reference #2 Phone Number*
Please enter a valid phone number.
OTHER QUESTIONS:
How did you hear about ASB?*

PetfinderASB websiteOther websiteFrom my vetFrom a friend or family memberAnother humane organization
Please specify if you learned about us from other website, vet, friend or family member, or humane organization:
Are you interested in becoming a foster home for ASB?*

YesNoNeed more information
By signing below, I signify that (please check both):*

I have been truthful in completing this application, andI understand that any misrepresentation of me or my intentions, and any untruths contained in this application will disqualify my application and nullify any current and future adoption agreements between myself and ASB. (We accept typed signatures when applications sent by email)
Signature:*

Clear
Date:*

MonthDayYear
Date
Please verify that you are human*
Should be Empty:

APPLICANT INFORMATION:

Homeownership

If renting, please provide your landlord's information below:

Household Information

Pet Adoption Information

Please indicate your preferences regarding your pets

PAST PET HISTORY:

VETERINARY REFERENCES:

PERSONAL REFERENCES:

OTHER QUESTIONS: