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Dog Applicaton
Cat Application
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City, State, Zip Code
*
If "yes" to any of the above, please describe situation:
Do you live in a:
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House
Apartment
Condo
Mobile Home
Farm
Other
Thank you for your application.
If "yes" to another shelter, what is the Name, Location and Phone Number of that shelter?
What do you plan to do with your cat while you are away or on vacation?
Are your current animals vaccinated
Yes
No
Some
If you rent, Landord's Name and Phone number
Household Information: Number of adults
*
If "yes" to IVAR, who and when?
If you answered "No" or "Some" to either of these questions please describe:
Signature - Please type in your full name
Will you be committed to your new cat for its entire lifetime, up to 20 years?
Employer/Position
*
If you cannot keep your cat in the future for whatever reason (a move, new baby, not enough time, etc...) what would you do?
Sell it
Give it away
Euthanize it
Return it to IVAR
Other
Cell Phone
Number of children and their ages:
*
Illinois Valley Animal Rescue
List any and all veterinarians you have used in the past 5 years. Please include Name of Doctor/Practice, Location, and Phone number
Please list any other animals you have owned in the past 5 years (other than those listed above):
How long have you been searching for a cat?
How did you hear about IVAR?
Work Phone
List 2 References. Please include Name, Relationship, phone number and E-mail for each.
*
Birth Date
Where do you intend to keep your new cat when you are not at home?
Basement
Outside
Garage
Free Roam of the House
One Room
Other
It may take a month or longer for your new cat to adjust to its new home. Are you prepared to handle this?
What brand and type of food did or do you feed your animals?
Do you:
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Rent
Own
Live with Family
Illinois Valley Animal Rescue
If anyone in your household has allergies, please list
Middle Name:
*
Were any animals ever:
Hit by car
Put to sleep
Given away
Lost
Stolen
About your new cat? Who will be responsible for the new cat?
Date
What will you do if your new cat urinates outside the litter box or scratches/chews inappropriate items?
If applicable, have your current cats been tested for FIV and Feline Leukemia? Have any tested positive?
List any animals you currently own. Please include: age, gender, size, and breed and whether they are kept inside or outside
First Name:
*
Length of time with current employer
If a veterinarian diagnosed a condition that would cost over $150 to treat, how would you handle it?
If you rent are cats allowed on the property?
Yes
No
Email
Home Phone
Street Address
*
By my signature below,
Thank you for your application! It can take up to one week for the application to be reviewed. Please contact cat@illinoisvalleyanimalrescue.org if you have any questions.
Name of cat(s) interested in:
How long have you lived at this address?
Have you ever adopted an animal from IVAR or any other shelter before?
Yes
No
Average Hours Per Week
Illinois Valley Animal Rescue
How many hours per day and days per week will the animal be alone (without human companionship)?
Why are you looking to adopt a cat?
Companion
Gift
To Breed
For Children
Mouser
Barn Cat
Companion for other animal
Other
Are your current animals Spayed or Neutered
Yes
No
Some
Driver's License #
*
Are all members of the household aware you are adopting a pet?
*
Yes
No
Last Name:
*
Date
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