Haven Interested Party Application Cat

Animal you are interested in adopting
Applicant's First Name
Applicant's Last Name
If you are comfortable sharing, we would love to know your personal pronouns.
Street Address
City
State
Apartment Number (if applicable)
Zip Code
Phone ( numbers only -- no dashes) *
Email Address Please enter correctly as this is the main way we will contact you
Date of Birth
Please tell us a bit about yourself and what you are looking for in a cat match up.
Please list contact information for three personal references that are not related to you. Failure to provide this information upfront will invalidate the application.
Do you have other pets at the current time?
If yes, please list their names,types, breeds, and ages.
Are all of your pets spayed/neutered/fixed?
Are your pets current on their vaccinations?
What other pets have you had in the last 15 years? What happened to them?
If you no longer have them, what happened to them?
Have you ever turned your dog or cat into a shelter?
If yes, please explain?
Did any of your pets every have behavioral issues?
If yes, what were the issues and how did you address them?
Veterinarian's Name If you have never owned a pet please tell us where you would go.
Veterinarian's Address, City, State, and Zip Code Again if you have never owned a pet please list where you would go
Veterinarian's Phone Number
What is the main reason you plan to adopt a pet?
What personality and energy level are you looking for in a cat?
Do you own or rent your home?
Please select your current residence type.
If you answered "other" above, please explain here:
How long have you lived at this address?
If you rent, does your landlord and lease allow pets?
Landlord name and contact information
Including yourself, how many people live in your household?
Please list the names, ages and relationship of those who live in your home.
Does anyone in your household have allergies to dogs/cats?
Employment Status
If you chose "other" above, please explain:
If you are employed, what is your current occupation and how long have you worked there? If there is a partner or spouse, what is their employment information?
On average, how many hours per day will your pet be left alone?
How much do you think the annual medical bills will be for your pet?
What would you do if the bills went over this amount?
Where will the animal sleep?
If you answered "other" above, please explain:
How will you handle behavioral issues?
What will you do with the animal when you go on vacation?
If you answered "other" above, please explain:
For what reason(s) would you consider returning/giving up the animal?
What would you do with your animal if you had to move?
If you answered "other" above, please explain:
Will you allow us to perform a home check?
Are there specific questions you have for us?
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorizing you to contact landlords, associations and veterinarians. You are also aware that we cannot guarantee the health and temperament of the animal. *