NYC Teens for Animals Adoption Application
Are you applying to Foster or Adopt
Name of animal(s) you are interested in
Your answer
Personal Information
Name
Your answer
Age
Your answer
Phone Number
Your answer
Email
Your answer
Residence
Address (Street, Apt, City, State and Zip)
Your answer
Do you
Does your building allow pets?
Do all of your windows have screens?
Do you have a terrace?
Does it have a screen door?
Do You plan to let your pets outside?
Companion Animal History
Have you had a companion animal before?
Where are they now?
Your answer
Have you ever given up an animal for adoption?
If so, Why?
Your answer
Do you have other pets in your home currently?
What arrangements will be made for your pets in the event of a family or personal emergency?
Your answer
Are your current animals spayed/neutered?
Are they up to date on vaccines?
If you have cats are any of them FIV/ FELV positive?
If applying for a cat, do you plan to declaw?
Employment Information
Employer
Your answer
Address
Your answer
Phone Number
Your answer
Job Title/ Occupation
Your answer
Employment Duration
Your answer
Does your job require extensive travel?
Who will take care of your pets while you are away?
Your answer
Personal References
Reference 1
Name *
Your answer
Phone Number *
Your answer
Email
Your answer
Affiliation *
Your answer
Years Known *
Your answer
Reference 2
Name *
Your answer
Phone Number *
Your answer
Email
Your answer
Affiliation *
Your answer
Years Known *
Your answer
Veterinary Reference
Clinic Name
Your answer
Address
Your answer
Phone Number
Your answer
Name of Veterinarian
Your answer
Name(s) the records are under
Your answer
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