First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Cell Phone*

Name and ID# of Cat(s) you are interested in:*

In what type of home do you live*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

Do you own or rent your home?*
Choose one: Rent Own

If you rent, have you received the approval of your landlord to have a non-declawed cat/kitten? (Unless the specific cat you are applying for is declawed.)
Choose one: Yes No

Landlord's Name, Phone/Email (N/A if not renting)*

How many hours a day on average will your cat be left alone?*

Where will the cat be kept when you are not home?*

Where will the cat sleep?*

Will the cat be allowed outdoors? If so, please explain.*

How many people reside in your household? Please list ages.*

What traits are you looking for in a pet? Please copy and paste all that apply: Independence, Dependence, Lap cat, Kid friendly, Energetic, Lazy, Playful, Serious, Sidekick, Cuddler*

Which characteristics would you not tolerate in a pet? Please copy and paste all that apply: Not using litter-box, dog aggressive, cat aggressive, kid aggressive, too hyper, scratcher, biter, hides too much/shy, sheds too much, doesn't like to be held, none*

If your pet displayed undesirable traits, how would you handle it? Please copy and paste all that apply: consult a behaviorist, consult a vet, work through it, yell "no!", redirect the behavior, swat on the butt, ignore but praise when he/she does something good, surrender back to rescue*

Do you have any other pets? If so, please list breed, age, and if they are UTD on shots and neutered/spayed. *If you currently own a cat, we also require that they are up to date on FIV/Leukemia tests.**

Have you owned any pets in the past 5 years that are no longer in your possession? Is so, please explain why they are no longer with your family.*

Veterinarian's Name and Phone Number: (If you do not have a vet, please list the vet you plan to use.)*

Is there any other information you would like to provide us with?

Under what circumstances would you return an animal to our rescue? Please copy and paste all that apply: Moving across state/into apartment, Lost job/can no longer afford, behavioral issues (i.e. cat aggression, etc.), health issues (i.e. bladder stones), having kids, too energetic/hyper, too shy/scared, allergies, under no circumstance, other* *

How did you find us?*
Choose one: Facebook SHH's Website Referral from Person Referral from Company SHH Event Booth Adoption Event Twitter Other

Are you over 18 years old?*
Choose one: Yes No

I certify that the information entered on this applicant is true. Enter your name and date*