SSS KITTY ADOPTION APPLICATION

SSS KITTY ADOPTION APPLICATION

The information that you supply in this Application is very important in achieving a successful placement. We rely on this information to identify if a pet will fit your lifestyle and expectations, and to determine whether your home and lifestyle will suit a pet's temperament. By giving full and accurate information in this Application, you will greatly assist us in the selection process.
WE RESERVE THE RIGHT TO DECLINE ANY APPLICATION FOR ANY REASON.
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Date of Birth
How did you hear about SSS rescue
Is there a specific cat you are interested to adopt? Please list name, breed & ID, if any
Why are you interested in adopting at this time?
Will your cat be indoor only or outdoor/indoor cat?
Will you be able to pay an adoption fee, if you are approved for adoption?:
Will you be able to send us medical records whenever we request it, even after adoption?:
Please provide name and ages of all people living in the household.All Names and ages (Separate with ; ) For example, John Doe, 30; Jane Doe, 12
Do they share your interest in adopting a cat/kitten?
If there are no children in the household, are you planning on children?:
Have you ever adopted a pet before? If yes, Which organization and when?
Have your ever given a pet away before? If yes, where :
Please explain the circumstances if you have given away a pet before.
How do you plan on exercising your cat? If so, how?
Adopting a pet is a lifelong commitment. Are you willing to care for your pet for their entire life?:
Please list the name(s), and ages of any current pet(s) (Please use comma, to list multiple pets.)
Species (dog/cat)
Is any of your cats declawed? If yes, what was the reason for declawing?
Is any of your cats indoor/outdoor?
Gender, Spayed/Neutered:
Temperament:
Is Pet still with you? If not, What happened to the pet?:
List of Deceased Pets
Veterinarian of Deceased Pets ::
Do you have experience with reactive or behavioral pets?
Veterinarian Name, City, and Phone number for your current pet(s)
Do you give us permission to contact your vet for reference?
What flea and heartworm preventatives do you use for your pets?
Do you rent or own your current home?
Do you live in a house/apartment/townhome/duplex/quads?
Do you have roommates? Do they have pets?
Do you have a kitty door?
Employment :

Make my own scheduleWork from HomeWork Part timeWork Full TimeRetiredNot employed
Approximate # of hours per day you are away for work:
Where will your pet stay while you at work?

CrateGarageKitchenLiving RoomFree Roam InsideBackyardBathroom
What kind of behavioral issues you can handle on your own without professional help.

bite historynot good with kidsnot good with catsnot good with dogsnot housebrokenleash reactivenot good with strangersjumps on peoplefood aggressiveundersocializedEscapesBarks constantly to protect or alertcrate reactiveExtremely fearful and shyDigsResource guardsseparation anxietyDestructiveprovide ongoing trainingProtective
Will you be able to decompress the cat until trust is built?
Will the cat be allowed on furniture?
Will you be able to keep the new cat separated from your own pet if needed?
How will you describe your household.

ActiveQuietPeople coming and goingSocial
Our foster parents are very attached to their pets, often saving their lives. Will you be able to send pictures and video updates of your pet to the foster families after adoption?
What behavior will make you return the new pet?
Please list 1 professional and 2 personal references :
Any other information that would be useful in processing your application?
I/we attest that the information provided on this application is true and accurate to the best of my/our knowledge. Untruthful information or Elimination of pertinent information will cancel your chance to adopt from our organization at any time.

/we understand that completion and submission of this application does not guarantee adoption of a dog.
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