NYC Teens for Animals Adoption Application
Email address *
Are you applying to Foster or Adopt *
Name of animal(s) you are interested in *
Personal Information
Name *
Age *
Phone Number *
Email *
Residence
Address (Street, Apt, City, State) *
Zip Code *
Do you *
Does your building allow pets? *
Do all of your windows have screens? *
Do you have a terrace?
Clear selection
Does it have a screen door?
Clear selection
Do You plan to let your pets outside? *
Companion Animal History
Have you had a companion animal before? *
Required
Where are they now? *
Have you ever given up an animal for adoption? *
If so, Why?
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? *
Are your current animals spayed/neutered? *
Are they up to date on vaccines? *
If you have cats are any of them FIV/ FELV positive?
Clear selection
If applying for a cat, do you plan to declaw? *
Employment Information
Employer *
Address
Phone Number
Job Title/ Occupation *
Employment Duration *
Does your job require extensive travel? *
Who will take care of your pets while you are away? *
Personal References
Reference 1
Name *
Phone Number *
Email
Affiliation *
Years Known *
Reference 2
Name *
Phone Number *
Email
Affiliation *
Years Known *
Veterinary Reference
DO NOT LEAVE BLANK IF YOU HAVE / HAVE HAD PETS- IF NO PREVIOUS PET WRITE N/A
Clinic Name *
Address *
Phone Number *
Name of Veterinarian *
Name(s) the records are under *
Submit
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