ADOPTION APPLICATION
*Indicates required fields - do not leave blank
NOTE: TO BE COMPLETED BY THE PERSON ADOPTING.

Personal Information

Name of the cat you are interested in adopting*   Applicant's Full Name* Applicant's Address* City, State Zip-Code*       Applicant's E-Mail Address*   How long have you lived at the address provided?*    Spouse/Partner/Roommates Name(s):   Employment Information   Are you currently (check all that apply)* Employed full-time Employed part-time Unemployed Student Retired Other: If student, where?:   If employed, name of your employer:   Family Information   How many adults live in your home other than yourself?   Please list names and ages How many children live in your home?   Please list names and ages   Home/Living Arrangements Information   Please select one of the following, I currently* OWN Select House Condo Mobile RENT Select House Condo Mobile Apartment   Please list landlord’s name and telephone number. We may need to contact them to verify the current pet policy.*   Current and Past Pets   Please tell us about your Past Pets. Why type of animal? How long did you own this pet? What happen to this pet? (Deceased or if it's alive where is it now?)*   Please tell us about your Current Pets. Why type of animals do you have? How long have you had them? Do they get along well with cats or other pets?*   When inside, how do you plan to keep your pet? Check all that apply Free inside house Confined to crate Inside a closed room   When/if outside, how do you plan to keep your pet? Check all that apply Indoors only Garage Patio area Fenced yard Loose in yard unattended  Other, please explain:   Where will your pet be kept during the day? At night?   Veterinarian Care Information   Are you willing to provide any necessary vet care, regular check up’s and all vaccinations for your new pet? Yes No   Are your current pets spayed/neutered? Yes No   Are your pets’ vaccinations current? Yes No   Can you afford vet care and vaccinations? Yes No   If you own cats, have they been tested for Feline Leukemia? Yes No   Veterinarian Reference: Please include the name and phone number of your current or past veterinarian:*   Would you allow us to speak with your vet to obtain information on the health care of your animal(s)? Yes No   Your Contact Information   What is the best time of day to contact you?*   Please list your phone number(s) we can contact you at.* Home phone: Cell Phone: Work phone: Other phone:

NOTE: After you click the SUBMIT button, the follow confirmation message will appear:

"The following form submission was sent."

The information within your completed application will be sent to our e-mail account (companioncats@yahoo.com). Your application will be forwarded to the appropriate foster care provider. Please understand all of our foster homes are made up of volunteers who have jobs and families. Arrangements need to be made in advance to view any cat you may be interested in knowing more about. All inquires are processed by e-mail. We will responded to your completed application as quickly as possible. Thank you so much for your interest in adopting a rescue cat! We look forward to corresponding with you soon.

Companion Cats reserves the right to refuse adoption to anyone. No animal will be adopted to persons
who mislead or fail to provide accurate information on the adoption application.