Hope Wins Animal Rescue Cat Adoption Application

Hope Wins Animal Rescue Adoption Application

Cat Adoption Application
Hope Wins animal rescue (HW) is an all-volunteer, non-profit, grassroots animal welfare organization dedicated to the rescue and placement of stray, neglected and abused animals. All of our pets are cared for by foster homes and receive complete medical care, which includes deworming, vaccinations, spaying/neutering and microchipping prior to their adoption.
This questionnaire is designed to help Hope Wins and yourself determine if a specific cat is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. Hope Wins animal rescue reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions!
Applicant Information
Name

First NameLast Name
Your age:*
Street Address:*
City, State, Zip*
Home Phone:
Format: (000) 000-0000.
Work Phone:
Format: (000) 000-0000.
Cell Phone:
Format: (000) 000-0000.
E-mail:
Employer:
Character reference and phone number:
Household Information
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
Who will be the pet's primary caregiver?*
Do you live in a*

HouseApartmentCondoMobile HomeOther
Do you own or rent?*

OwnRent
If rent, provide name and phone number of landlord:
Does your landlord allow cats?

YesNoOther
Are there any restrictions from your landlord or subdivision?*

Number of petsSize or weight restrictionsBreed restrictionsNone
How many adults are in your household?*
How many children are in your household?*
If children, what are their ages?
Have your children been around animals before?

YesNo
Does anyone in your home have allergies to cats, dogs, or have asthma?*

YesNo
Do you have any other cats or dogs currently living in your household?*

YesNo
If yes, do they get along with other cats?*

YesNo
This cat will be*

Indoor OnlyMostly IndoorMostly OutdoorOutdoor only
Do you travel a great deal? What do you plan to do with your cat when you do travel?
Current/Previous Pet Information
List any pets you own or have owned in the past five years, and their ages
How many of these pets are spayed/neutered?
Where are these animals now?
Have you adopted from an animal welfare group before?

YesNo
If yes, what group?
Have you ever given up a pet?

YesNo
If yes, why did you give this pet up?*
Can you afford regular veterinary care for this cat - including yearly vaccinations, annual physical exams, dental care, etc. ($300 or more per year?)
What type and brand of food do you plan on feeding your new cat?
Can you afford serious injury or illness costs ($2000 or more)?
Please provide the name and phone number of your current and/or previous veterinarian or clinic:
New Pet Information
Why are you interested in adopting a new cat?*
Is there a specific cat you are interested in? If yes, please provide the name of the cat, and why you would like to adopt this particular cat. *
Check all that apply. Will this new cat be:*

Companion for meCompanion for family/childrenCompanion for another petFor protectionA gift
In what areas of the house will your new cat be allowed (be specific)?*
How many hours per day will your new cat be home alone? Please explain?*
What type of discipline will you use to correct undesirable behavior?*
Will your new cat be allowed on the furniture?*

YesNo
Have you ever lost a pet before? If so, provide the reason and outcome of the situation. What steps did you take to find your pet?
If your new cat escaped from your home, what steps would you take to find him/her?*
Are you willing to work through your new pet's issues, if any?*

YesNo
Check All that apply. Under what conditions would you NOT KEEP your new cat?*

Moving to a place that didn't allow petsKids ignore petSheds too muchCat has seizures or diabetesCat chews clothing/shoesAllergyScratches/chews furnitureBit or scratched another animalEscapes from yard/houseUnemployment or financial hardshipMoving out of stateLitterbox problemRequired prescription food or medicationCat whines/cries/plays loudly at nightNew babyPets didn't get alongPees on furnitureBit or scratched a personDivorce/separationOtherNone of the above
If you had to give up your cat, what would you do with him/her?*
Where will your new cat sleep at night?*
Where will your new cat stay when nobody is home?*
Would you ever let your cat roam outside?
What length of time will you allow your new pet to adjust to his new home?*
How do you prevent your cats from escaping outside?
Are you willing to agree to an in-home visit.*

YesNo
Are you willing to respond to random check-in FaceTime anytime after adoption to verify the safety and well being of the cat?*

YesNo
If a cat is not acclimated for the correct amount of time, or do not feel safe, they will leave the premises. Millions of cats die each year due to escaping the premises, or being attacked by predators. Given these statements, how will you make sure your cat will not escape?
Are you aware that a new environment is stressful for your new pet, and they may exhibit uncharacteristic behavior?*

YesNo
Do you understand that owning a cat can be an 18+ year commitment?*

YesNo
How did you find out about Hope Wins Animal Rescue?*

InstagramFacebookFriend/Family MemberOther websiteOther
Summary and Signatures
Thank you for taking the time to complete this application!

Filling out this application DOES NOT guarantee an adoption. We thoroughly evaluate all of our potential adopters and ensure that our cats will be going to a safe home for the rest of their lives.

We try our very best to match the right pet to the right person and situation. Adoptions are not on a first-come first-served basis. We reserve the right not to adopt.

Please remember that we are a volunteer organization. We will reply to your application as soon as it has been processed (normally 1-3 days).

Thank you for considering a rescue cat from Hope Wins Animal Rescue!
Adoption from Hope Wins Animal Rescue requires meeting your prospective kitten or cat with a HW representative. Afterwards a home visit will be required. In the event that my application is accepted, I agree and consent to this final step in the approval process. I understand that if HW or the potential adopter(s) feels the cat or kitten is not a good fit, the adoption will not be approved and finalized. We suggest that all members of the household - including roommates and children - be present for this meeting. If you understand and agree, please type your name below.*
Signature
You are making a major commitment when you adopt any pet. Please remember cats can live for 18+ years. Data from the National Kitten Coalition shows that approximately 1.4 million cats are killed each year in animal shelters due to various reasons including owner's abandoning their cats at the shelter. Cats can get sick and require expensive medical treatment during the course of their life. Cats need affection, attention, and understanding. You may have to adjust your lifestyle to accommodate a new pet. If you are ready to make this commitment, please type your name below. *
Signature
I understand that I assume full responsibility for the welfare of this pet from the date of adoption. If you understand and agree, please type your name below. *
Signature
I understand that in the circumstance that I am no longer able to care for my new cat, I will directly contact Hope Wins Animal Rescue and return the new cat to HW. I will contact Sydney Zebrowitz (267-566-0686) immediately. Under no circumstance will I take the cat to animal control, or any shelter. Under no circumstance will I give the cat to another friend or family member, without them completing the full adoption process and form required by Hope Wins. If you understand and agree, please type your name below. *
Signature
Should be Empty:

Hope Wins Animal Rescue Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information

Summary and Signatures