Name
e-Mail
 


Cat Interested in Adopting
Full Name
Address
City
State    Zip
Home Phone  xxx-xxx-xxxx
Cell Phone  xxx-xxx-xxxx
Work Phone  xxx-xxx-xxxx
E-Mail
Place of Employment
How did you find out about
FCAP?
   
How long have you lived at
your current address?
   
Do you live in a?
House Apartment Condo Mobile Home
Do you rent your home? Yes No
If you rent, does your lease permit pets? Yes No
   
Please provide your landlord's name and telephone number.

 
Is this your first experience with a pet? Yes No
Is anyone home during the day? Yes No             If so, how many hours is someone home?   
How many adults live in your household?    How many children and their ages
   
Does any member of your family or regular weekend visitors have allergies to pets?
Yes No
   
Who will assume primary responsibility for caring for the cat?
   
Will the cat be? Inside Only Outside Only Inside/Outside
   
Where will the cat be kept during your vacations or absences from home?
   
Where is or where will the litter box be kept?
 
Please list past (last 5 years) and current pets below:
Pet's Name
Type
F/M
Fixed
Age
Status
Veterinarian
1.
2.
3.
4.
5.
6.
7.
Make any other comments about your pets.
 
Who is your past veterinarian?     Phone #  xxx-xxx-xxxx
   
Who is the veterinarian you intend to use
if you should adopt a pet and what is the
office phone number?
   
Please provide the name and phone number
of one personal reference, other than a
relative.
   
Are your current pets up-to-date on vaccinations? Yes No
Are your current cat(s)? Inside Only Outside Only Inside/Outside
Do you have a dog door? Yes No
Have your dogs ever lived with a cat or kitten? Yes No
If you had problems with past pets, what were those problems and what did you do about
them?
   
Select the reasons that would make you return or give away a pet. Moving to another state         Moving to a new home or apartment

Having a baby                           Getting married or divorced

The pet has fleas or sheds fur The pet destroys household items

Children will not take care of the pet

Moving to an apartment or residence that does not permint pets

None                     Other
 
   
Please list reason(s) for wanting to adopt this foster animal.
 
   
How much time are you willing to give your new pet to adjust to a new home?
Are you agreeable to home delivery? Yes No
   
As part of the adoption process, an FCAP volunteer will call your veterinarian for a reference, along with the above named
personal reference and, if applicable, will confirm with your landlord that you are
allowed to have pets in your home. Initial
here if you agree to these provisions:
   

I have read this application and provided accurate information to the best of my knowledge. Any misrepresentation of facts
may result in the adopted animal being removed from the home.

Signature of Applicant

Date                                     xx/xx/xxxx
   

Please allow a 48- to 72-hour processing time for each application. If you apply on a weekend, expect the longer period. An FCAP volunteer will, however, be in touch with you during that time. Because the welfare of our foster animals is very important, FCAP reserves the right to decline any potential applicants.

   
 

Contact FCAP
 Feral Cat Assistance Program
P.O. Box 29112
Greensboro, NC 27429

Tel: 336.378.0878

Please click here to contact us online.