No Paw Left Behind

No Paw Left Behind - Feline Adoption Application

Thank you for your interest in adopting a cat through No Paw Left Behind. Please complete the following adoption application.

There are no "right" and "wrong" answers; our goal is to learn more about you and to ensure the best possible match is made for
the adopter and the cat. Our decisions are made based on our knowledge of the rescued cat's background and temperament.
The application must be complete to be considered, and will be kept confidential.

Name of cat you are applying for *
Do you have any experience with this breed or age of cat/kitten? *
If so please explain, and if not please explain any research or experience that you may have to help you learn about the tendencies of this breed or age:
Applicant Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email *
Phone Number * ### - ### - ####
Age *
Are you applying to be the Primary Caretaker of the pet? Yes or No, if No please explain: *
In case of separation or divorce, who will be the caretaker of the pet? *
Who will be responsible for feeding, grooming and cleaning the litter box? *
Employer *
Occupation and Work Schedule *
Have all members of the household agreed to adopt? *
Any children in the home? If so how many and what ages? *
Please list adult household members:
Name/relation/age/occupation *
Does anyone in your household have an allergy to animal hair or dander? *
Yes No
If Yes please explain:
Has anyone in your household been convicted of a felony? Yes/No (replying honestly, will not result in an immediate rejection of your application)
If yes, please explain: *
Would you consent to a background check? *
Yes No
Home information:
Do you live in
*
Condo Apartment House Mobile Home Townhouse Other
If Other please explain:
How long have you lived at this address? *
Do you: *
Own Rent Live with family or friends?
If you rent, please provide the name of the landlord: First Last
Landlord Phone Number ### - ### - ####
What are the pet restrictions in your City or County? *
What are the pet restrictions in your neighborhood or homeowners' association? *
Do you agree to a home visit by an official No Paw Left Behind adoption counselor? *
Yes No
Pet History
PLEASE LIST ALL CURRENT PETS
Type/Breed/Age/Health/Temperment *
If you have dogs in the house, have they been socialized to cats or kittens? *
Pet History
PLEASE LIST ALL PETS YOU HAVE OWNED IN THE PAST
Type/Breed/Age/Health/Temperment
PLEASE ALSO INCLUDE WHERE THE PET IS CURRENTLY (deceased, gave away, etc) *
Have you ever relinquished a pet to a shelter or rescue? If yes, where, when and why? *
Have you ever re-homed a pet? If yes, where, when and why? *
Are your pets up to date with vaccinations? *
Yes No
Are your pets on heartworm preventative? *
Yes No
Are your pets on flea and tick prevention? *
Yes No
Are your pets spayed and/or neutered? *
Yes No
Please list the name of your groomer: First Last
Groomer Phone Number ### - ### - ####
Please list the name of your veterinarian * First Last
The name of your vet office *
Vet Office Phone Number * ### - ### - ####
Why are you adopting a cat/kitten? (companion for family/office cat/companion for other animal/mouser/other) *
Why did you choose this cat/kitten? *
Have you currently applied for any other cats/kittens? *
Have you ever owned a cat or kitten before? If so when? *
If you have cats currently, are they sociable with other cats?
Number of cats currently in household? # males and # females *
Have your cats been tested for Feline Leukemia? If so when? *
Are your cats declawed?
No Yes- all Yes- front only
How often do you go out of town? *
Who will take care of your cat/kitten when you are out of town? *
Would you adopt a cat/kitten that wasn't litter trained? *
What type of training do you think is most important and how will you do that? *
What behaviors do you consider unacceptable and how will you fix them? *
Scatching is a typical cat/kitten behavior. How will you deal with this? *
How will your exercise your cat/kitten? *
Where will you cat live? (Please be specific, in home, in a room, office, outdoors, in barn, in garage, etc) *
If yes, please describe the specific circumstance.
If an emergency occurred, how would you fund unexpected medical treatment? *
If your cat stopped eating and the vet said that diagnostic tests to find out what was wrong would cost $500, what you you do? *
What will you do with your cat/kitten if you have to move? *
What would you do if you moved into a new home and you weren’t able to bring your cat/kitten? *
If you don’t have children, in what ways will your cat/kitten’s life change, if you start a family? *
Please describe any reasons that you may need to return the cat/kitten to us? (Divorce/moving/change in lifestyle/does not like family member/does not like other pets/aggression/behavior problems/medical problems/allergies/a new baby in the house/child lost interest/litterbox issues/scratching furniture/etc) *
Do you have an emergency plan in case of a hurricane? *
Yes No
Please describe your emergency disaster plan: *
After an adoption, may we visit your home in the future? *
Yes No
Do you agree to donate the appropriate adoption fee for this pet? The cat adoption fee is $75. While this donation does not cover the full medical expenses paid by the rescue, this is the amount agreed as a fair donation for all No Paw Left Behind rescue felines. Additional donations are greatly appreciated and go directly to help us save more lives. All donations, monetary or items, are tax deductible. *
I agree I do not agree
Do you agree that the adoption agreement includes the following medical screening and care: vaccinations appropriate to the age of the cat or kitten, FIV/FeLV testing, flea and tick preventative while in foster care, spay and neuter, hernia repairs, microchip, deworming, treatment for mange (sarcoptic or demodectic), treatment for ringworm and that all medical treatment records shall be disclosed once the adoption is finalized? *
I agree I do not agree
You understand that you are interested in adopting a kitten from a rescued animal and that previous medical history is not known. You understand that we cannot guarantee the health of these animals. Kittens will be tested for FIV (Feline HIV) and FeLV (Feline Leukemia) before placement, but beyond that we cannot anticipate future medical problems which may arise. *
Yes No
Do you agree to assume all medical costs for this pet once the adoption is finalized. No Paw Left Behind and our veterinarians disclose all known medical conditions, but medical issues may arise after adoption or due to injury? *
I agree I do not agree
Cats can live 15 to 20 years. Are you willing to take responsibility for this cat for that length of time? *
Yes No
Do you agree to provide speedy and quality veterinary care for your pet immediately upon the need arising? *
I agree I do not agree
The average expense for a cat is $600 - $1000 a year, not including unexpected veterinary bills.
Can you afford to make such a monetary commitment to this cat?
Yes No
Do you agree to ONLY use vet-approved brands of flea and tick preventative, and NEVER use over-the-counter discount brands that may be toxic to your new pet? (A complete list of information may be provided upon request) *
I agree I do not agree
Personal Reference, non family #1 First Last
Personal Reference, non family #1 Phone Number ### - ### - ####
Personal Reference, non family #2 First Last
Personal Reference, non family #1 Phone Number ### - ### - ####
Are you interested in any volunteer opportunities (foster, online, phone, transport, events)? If so please describe:
By typing you name into this field you are agreeing that all information in this application is truthful to the best of your ability. * First Last
Do Not Fill This Out