Be The Change Rescue Cat Application

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FAILURE TO FULLY ANSWER ALL QUESTIONS WILL RESULT IN AN AUTOMATIC DENIAL

Your Information

Your full legal name
*

Full legal name of any other adults in household
*

Your date of birth *

YYYY

Date of birth of any other adults in household *

Do you have any children? If so how many and ages?
*

Phone number *

Email *

Facebook handle

Home and Employment Information

Your address
*

Do you own or rent
*

Own

Rent

If you rent, name and phone number of landlord

Activity level of your household
*

Does anyone regularly smoke indoors?
*

Yes

Current employer
*

How long have you worked there
*

Current and Past Pets

List names of all current cats, ages, if they are spayed/neutered
*

List names of all current dogs, ages, if they are spayed/neutered
*

List names of all past cats within 5 years you have, ages, if they are spayed/neutered
*

List names of all past dogs within 5 years you have, ages, if they are spayed/neutered
*

Have you ever given up a pet in the past? If so please explain
*

Name of your vet and phone number
*

Are all your current animals up to date on vaccines?
*

Yes

Cat Information

Name of the cat you are interested in *

What are you looking for in a cat?
*

Do you plan to declaw the cat?
*

Yes

Under what circumstances would you give up a pet?
*

What would you do if you could no longer keep the cat?
*

What behaviors of the cat would be deal breakers?
*

How much are you willing/able to spend per month for food and vet costs?
*

Will the cat be kept indoors, outdoors or both?
*

Indoors

Outdoors

Both

FAILURE TO FULLY ANSWER ALL QUESTIONS WILL RESULT IN AN AUTOMATIC DENIAL

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