Application to Adopt or Foster If you are interested in adopting or fostering an animal, fill out this application in its entirety and return to a For Animals volunteer. Please answer all questions and PRINT CLEARLY. Personal Information Adoption Information First Name: Gender: Last Name: Age: Phone: ( Name of the companion animal(s) you are interested in: ) Email: Would you like to receive periodic news and updates from For Animals at this email address? We will not share your email address o No and you can unsubscribe at any time. o Yes Residence Street: State: o Cat o Dog o Rabbit Sex desired: o Male o Female o No Preference Age Desired: o Baby ( under 1 yr ) o Young ( 1–2 yr ) o Adult ( 2–7 yr ) o Senior ( 7+ yr ) *If you are requesting kittens, why do you want kittens? * Please note that kittens MUST be adopted in pairs unless you have another young, active cat at home to prevent aggressive and/or destructive behavior Apt: City: Species desired: Other (Specify): Zip: How long have you lived at this address? Do you: o Own o Rent o Sublet o Yes o No Are pets permitted in your building? Would you move to a building that did not allow pets? o Yes o No Do you have screens in all your windows? What kind of screens do you have? o Yes o No o Built-In o Accordion Do you have a terrace? Is it enclosed? Does it have a screen door? o Yes o Yes o Yes o No o No o No Do you have a backyard? Is it fenced in? Do you plan to let your pet(s) outside? o Yes o Yes o Yes o No o No o No Would you consider a pet with an illness/disability? o Yes o No When will you take the pet(s) home? Do you have a carrier? o Yes o No Companion Animal History Have you had a companion animal before? o Dogs o Cats o N/A Other (specify): Where are they now? o N/A o N/A Have you ever given an animal up for adoption? o Yes If so, why? o N/A Are there other animals in your home now? o Dogs o Cats o N/A Other (specify): Background o No What arrangements will you make for your animal(s) in case of a personal or family emergency? How many hours per day will the pet be alone? Are your current animal(s) spayed/neutered? o Yes o No o N/A If not, why? Do you agree to have your new animal(s) spayed/neutered, if not already? o Yes o No Are all your animals up to date on vaccinations? o Yes o No o N/A Are any of your current cats FIV or FELV positive? o Yes o No o N/A Do you live with: o Spouse/Partner o Children o Roommate Ages: Other (specify): Is anyone in your household: o Allergic to pets o A smoker Are any of your current cats declawed? o Yes o No o N/A If applying for a cat, do you plan to declaw the new cat/kitten(s)? o Yes o No o Unsure Are you adopting/fostering for: o yourself o someone else Do you know that pets can live 15+ years? o Yes o No If adopting, are you ready to make that commitment? o Yes o No For Animals, Inc. phone: (917) 257-6759 email: [email protected] website: http://www.foranimalsinc.com Revised: 10/27/2016 page: 1 Employment Information Personal Reference Employer: Please list somebody who knows you and your history with animals. Street: City: Phone: ( State: Suite: Name: Zip: Phone: ( ) Ext: ) Email: Occupation/Title: Affiliation: Years Known: Employment Duration: Does your job require extensive travel? o Yes Veterinary Reference o No Who will take care of your animal(s) while you are away? Clinic Name: Street: City: Business Reference Phone: ( State: Zip: ) Veterinarian: Name: Phone: ( Suite: ) Name(s) the records are under: Authorization o The information on this application is complete and accurate to the best of my knowledge. o I authorize FOR ANIMALS INC to contact all references provided. o I understand that the completion of this form is the first step in the adoption process and does not guarantee an adoption. o FOR ANIMALS INC reserves the right to make an in-home screening visit and, if an adoption takes place, to deliver the pet(s) to ensure that I will provide a hazard-free home. o If my application is approved and I proceed with the adoption, I agree to pay the appropriate adoption fee to FOR ANIMALS INC: o $125 for an unaltered kitten or altered cat o $300 for an unaltered puppy or altered dog o $75 for an altered rabbit o If for any reason whatsoever this foster or adoption does not work out, I agree to return the pet(s) to FOR ANIMALS INC and only to FOR ANIMALS INC. Signature*: Date: * If submitting online, typing in this box acts as a signature For internal use only ID Verified o Yes o No Reviewed By: Date: For Animals, Inc. Approved: phone: (917) 257-6759 o Yes ID Details o NoNotes email: [email protected] website: http://www.foranimalsinc.com Revised: 10/27/2016 page: 2
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