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NYC Teens for Animals Adoption Application
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* Indicates required question
Email
*
Your email
Are you applying to Foster or Adopt
*
Foster
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)
*
Your answer
Zip Code
*
Your answer
Do you
*
Own
Rent
Sublet
Does your building allow pets?
*
Yes
No
N/A
Do all of your windows have screens?
*
Yes
No
Do you have a terrace?
Yes
No
Clear selection
Does it have a screen door?
Yes
No
N/A
Clear selection
Do You plan to let your pets outside?
*
Yes
No
Companion Animal History
Have you had a companion animal before?
*
Cat
Dog
N/A
Other:
Required
Where are they now?
*
Your answer
Have you ever given up an animal for adoption?
*
Yes
No
If so, Why?
Your answer
Do you have other pets in your home currently?
*
Cats
Dogs
N/A
Other:
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?
*
Yes
No
N/A
Are they up to date on vaccines?
*
Yes
No
N/A
If you have cats are any of them FIV/ FELV positive?
Yes
No
Clear selection
If applying for a cat, do you plan to declaw?
*
Yes
No
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?
*
Yes
No
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
DO NOT LEAVE BLANK IF YOU HAVE / HAVE HAD PETS- IF NO PREVIOUS PET WRITE N/A
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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