Application to Adopt or Foster

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