Desired Adoptable Cat:
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Your Name (applicant)
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First Name
Last Name
Phone
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(###)
###
####
Email
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Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Occupation
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Year you were born
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Name of Spouse/Significant Other
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Children (with ages)
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List any additional people in household
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Who will be responsible for the cat's care (feeding, cleaning litterbox, taking to vet, etc)?
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Who will provide for your pet in the event that you become ill or unable to care for him/her?
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Has anyone in your household experienced allergies or asthma?
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Are you prepared to care for this cat for 15-20 years?
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Why are you looking to adopt a cat?
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Check all the apply.
If you chose "other", please explain:
Is your home a(n):
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House
Apartment
Condo
Other
Do you rent or own your home?
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Rent
Own
Do you have any of the following?
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Check all the apply.
Do all your windows have screens?
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Yes
No
Other means of outdoor access (describe)
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What areas of the home are off limits?
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Where will you keep the litter box?
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Where will your cat sleep at night?
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How many hours a day will your cat be left alone?
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Where will (s)he be left alone?
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Will your new cat be an indoor or outdoor pet?
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Indoors
Outdoors
Both
If you answered "both", how many hours a day will your cat be outside?
Will this cat be your first pet?
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Please list pets you've previously owned:
If you previously owned cats, were any of them declawed?
What happened to pets previously owned? If deceased, what was the cause of death?
If you have other pets at home, please list name, type and age.
Where did you get your current pets from?
Do you plan to declaw your new cat?
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If yes, Why?
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Do you have a Veterinarian?
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Yes
No
Please provide your vets name and location:
If you currently have dogs/cats, how often does your pet visit the veterinarian?
If you currently have cats, are their vaccinations current?
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Yes
No
No current cats
If you currently have cats, have they been tested for FeLV/FIV?
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Yes
No
No current cats
When was their last visit to the veterinarian?
MM
DD
YYYY
How do you plan on keeping your new pet's teeth clean?*
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Check all that apply.
Are you prepared to cover any vet expenses that you may incur throughout its life?
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If yes, is there a limit? How much?
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Have your previous or current cats caused any of the following problems?
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Check any that apply.
If you chose "other", please explain:
Are there any behaviors that would be unacceptable to you?
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What amount of time do you think is reasonable for your cat to adjust to you and your home?
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What will you do with your new cat if.. (answer to all 6 scenarios)
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1) You move to a new home that does not allow pets?
2) You get married? (if you're single)
3) A new boyfriend/girlfriend is allergic to cats?
4) You travel?
5) You move locally?
6) You move out of state?
Under what circumstances would you not be able to keep this cat?
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Check all that apply.
If you chose "Other", please explain:
If you have to give up this cat for any of the above checked reasons, what will you do with the cat?
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Were you ever in a situation where you were not able to keep a pet? Please explain.
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Are you willing to have an AWF representative visit your home?
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Yes
No
Maybe
Signature
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I certify that all of the above information is true and accurate. I understand that if I adopt a pet from the Animal Wellness Foundation, this document will become part of the adoption record. I also understand that completion of this questionnaire does not guarantee the adoption of an AWF cat.
First Name
Last Name
Date of signature
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MM
DD
YYYY
