The Cat Adoption Application

Welcome to Ark of Hope's Adoption Program. The following information is requested so that we can assist you in the selection of a new cat. This form and consultation with Ark of Hopes representative are designed to help you find the cat most compatible with your lifestyle. Please complete this form so we may begin. You may print this application and either mail it, fax it or bring it with you when you come to visit.
In order to be considered as an adopter you must:
** Be 21 years of age or older.
** Have identification showing your present address.
** Have the knowledge and consent of your landlord.
** Be able and willing to spend the time and money necessary to provide medical treatment and                 proper care for a pet.

Completion of this application does not guarantee adoption of an                       Ark of Hope cat.  Thank You!

Name of Applicant(s) ____________________________________ Date _______
Street Address_______________________                                                    City,State & Zip _________________________________
Home Phone # ____________ Cell Phone _______________ Age(s) __
Email _____________________________________________________
Describe which Ark of Hope cat or what kind of cat your looking for ________________________
_____________________________________________________________________
Will this be your first cat? ___  What kind of pets have you had in the past
_________________________________________________________                                               Which of these do you still have? (Include age, sex, breed) __________
________________________________________________________________________
Have they been spayed or neutered? ___ yes, ___ no, ___ Don't know
Are they current on vaccinations?     ___ yes, ___ no, ___ Don't know
What happened to the pets you no longer have? __________________
Have you ever turned your pet into a shelter? ___ yes, ___ no  If yes, please explain_______________________________________________
Have you had a pet euthanized? ___ yes, ___no       If yes, please explain
______________________________________________
If you have pets, will they adjust to a new cat in the house?__________
How many adults are there in the family? ________________
How many children? ____ Children's ages ______________________
Does any member of your family have an allergy to cats? ___________
Is someone home during the day? ___ yes, ___no   If yes, who ______
How many hours a day will the cat be without human companionship? ______ Explain _____________                                                              Which do you live in? ___ House, ___Apartment, ___ Condo, ___ Mobile Home, ___ Other: ____
Do you own or rent you home? ___________ If you rent, may we contact the owner to obtain permission for this cat to live in the home? ___ yes, ___ no  If no, explain _________________
Owners name and phone number ______________________________
Will you keep the cat ___ in the house, ___ outdoors, ___ inside and outside, ___ in the barn, ___ Other _______
 Will you have the cat declawed? ___ yes, ___ no, ___ maybe
Do you know the potential side effects of this opperation? _ yes, _ no 
Do you have a doggie door ___yes, ___ no
Do you have a pool? ___ yes, ___ no  
Will you keep this cat up to date on it's vaccinations? ___yes, ___ no
Who is your Veterinarian? ________________________                     Phone Number _____________
If you go away for a few day or on vacation who will take care of your cat? _______________
If you must move, will you take the cat with you? ___________________
Have you ever applied to adopt a pet from Ark of Hope before? ___ yes, ___ no     If yes, when _______
Have you brought animals to Ark of Hope? ___yes, ___no      If yes, please explain _____________________________
Are you willing to have a representative from Ark of Hope come to see where the cat will be living?__yes__no
Are you willing to take the responsibility for this cat for the next 10 to 20 years? _________________________
How much are you willing to spend on medical bill for this cat? ____ up to $100.00, ____ up to $500.00,
___ up to $1000.00, ___ whatever it takes.
What provisions will you make for the cat should you become unable to care for it? ______
___________________________________________________________________________________________
Why  do you want a cat? ___ Campanion, ___ Companion for other pet, ___ House pet, ___ Barn cat,
 ___ Mouser, ___ Office cat, ___ Other _____________________________________
Reference names and phone numbers
*1. ___________________________________________________________________________________
*2. ___________________________________________________________________________________
Comments by applicant: (Anything that you want us to know about you and your family) ___________________ ___________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Date and time for home visit: ___________________________________________________________________
Directions:_____________________________________________________________________________________________________________________________________________________________________________
** Please ask about litterbox training, socialization with people and other animals, vaccinations, feeding, spaying and neutering, etc.