Cat Application GHP Cat Application GHP Cat Application If you are human, leave this field blank. I am applying to (must be 21 years of age or older): * Adopt Foster If you are applying for a specific cat(s), name of cat(s): Last Name * FIrst Name * Age * Phone Number * Email * Address * City/Town * State * AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip Code * How long have you lived at this address? * How many times have you moved in the last 5 years? * Co-Applicant's First Name Co-Applicant's Last Name Relation to Applicant Do applicant and co-applicant live together? Yes No I/We live in a * House Townhome or Condo Apartment Trailer or Mobile Home Do you * Own Rent or lease Live with a parent or relative Other If you rent or lease, are you allowed to have pets? Yes No I'm not sure Is there a limit to the number of pets allowed? Yes No I'm not sure Amount of Pet Deposit Has the pet deposit been paid? Yes No I am planning to pay the deposit if my application is approved Name of Landlord/Apartment Complex Landlord/Apartment Complex Phone Number Are you willing to allow a representative of Georgia Homeless Pets to visit your home (by appointment)? * Yes No If no, why not? Employment Status: * Working Homemaker Unemployed Retired Attending School Other Employer's Name Occupation Work Phone Number Work Hours: Please check any of the following reasons for adopting this cat that apply * Family Pet Child's Pet Mouser Companion Companion for another Pet Will this cat be a surprise for anyone? * Yes No Is everyone in the household in favor of adopting/fostering this cat? * Yes No Name, age and relationship of any other adults living in the household (N/A if not applicable) * Are any members of your household allergic to cats? * Yes No If any household members are allergic to cats, what will be done to accommodate the cat and the household member? Are all of your current pets spayed/neutered? Yes No Current pet is too young to spay/neuter yet Are all of your current pets up-to-date on vaccinations? Yes No The vet does not recommend vaccinations for my pet Do you or any of your household members smoke or vape? * Yes No Only outside If you or anyone in your household has a serious or life threatening illness, please explain. (N/A if not applicable) * How many children live in your household? * What are the ages of the children (under 18) living in your household? How will you handle the introduction/interaction between the new cat and your child(ren)? (N/A if not applicable) * What do you consider an appropriate amount of time for a new cat to adjust to a new home? * Who will be responsible for the daily care of the new cat? * Does the primary caretaker(s) travel often? * Yes No When traveling, who will take care of your pet(s)? * How many pets do you currently have? * Please list the names/ages/type of pet of all current pets (N/A if not applicable) * Please list any other pets you have owned as an adult (name/type of pet/how long you had pet/what happened to pet/age of pet when you last had him or her) Veterinarian's Name (N/A if you have not owned a pet in the last 5 years) * Veterinarian's Phone Number How much do you expect to spend on your cat annually? * Do you think you might have the cat declawed? Have you ever owned a declawed cat? * If your cat develops an expensive medical problem, what will you do? * What is the maximum number of hours your cat will be left alone in a typical day? * Where will the cat(s) be kept or stay, primarily (e.g. bedroom, free roam of the house, outside, basement etc.)? Where will the cat sleep? * Do any of your current pets spend time outdoors? Yes No Only supervised Within a fenced yard Only on a deck or porch Only on a leash What percentage of the time will the cat be indoors? * Do you have a pet door? * Yes No Yes, but the cat won't have access to it Have you ever had a serious behavior problem with a pet? If yes, please explain the problem and how it was handled. * Have you ever given up a pet? If yes, why? * What circumstances, in your mind, justify giving up a pet? * Allergies Pet has frequent or expensive medical issues Personal medical issues Aggression Pet is ruining furniture Scratching or spraying Shedding Moving Doesn't get along with other pets Personal issues (e.g. divorce, job loss etc.) Other I would not give up a pet under any circumstance What will you do with the cat(s) if one or more of these circumstances should arise or if you should become unable to care for the cat for any reason? * Please explain any major changes you forsee in your life over the next 10-15 years (e.g. marriage, divorce, baby, job transfer etc.). * Have you applied for a pet with another rescue group in the last 3 years? If so, which groups? * Can you provide a permanent, loving home for this pet for the next 10 to 20 years? * Please provide the name and phone number of two references. * By typing my name below and submitting this application, I am attesting to the truthfulness of my answers.Falsification of any of the above information will be grounds for disallowing the adoption of the rescue pet and possible removal of said pet from my home. I consent to Georgia Homeless Pets representatives discussing information on this application with any persons named on this application. I am also affirming that I am 21 years of age or older. I understand that Georgia Homeless Pets has the right to refuse any applicant for any reason and that all applications become the property of Georgia Homeless Pets. * Date (please use format 99/99/9999) * Submit
