Cat Application

Applicant must be at least 21 years old.

* 1. Today's Date:

* 2. Desired Cat:

* 3. Your Name (First AND last name):

* 4. Your Occupation:

* 5. Address:

* 6. City

* 7. Zip Code:

* 8. Home Phone:

9. Cell Phone:

10. Work Phone:

* 11. Email:

* 12. What age bracket do you fit in?

13. Name of Spouse/Partner at residence:

14. Spouse/Partner Occupation:

15. Other adults (21 or older) at residence. Please list name, age and relationship to you.

16. Name & age of children (21 years or younger) at residence.

* 17. Is anyone at your house allergic to cats?

Yes

No

I don't know

* 18. Own or rent?

19. If renting, landlord's name & phone number:

* 20. Which of the following pets do you currently have?

21. Please describe current pets, including breed, age, gender, length of time in your care

* 22. Have you ever had an un-neutered/un-spayed pet?

Yes

No

* 23. Have you ever lost a pet?

Yes

No

* 24. Have you ever allowed a pet to breed?

Yes

No

* 25. Have you ever given a pet away?

Yes

No

26. If you answered yes to any of the past 4 questions please explain:

* 27. All pets you've owned as an adult; include deceased and those that were given away or lost. Provide details- length of time owned, what happened to them, what age they died, etc.

* 28. What cat are you interested in and why OR describe what you are looking for (age, size, gender, breed, etc.)

* 29. Why are you interested in adopting from a rescue?

* 30. Would you declaw your new cat?

* 31. What are your primary reasons for adoptiong a cat?

32. If other, please explain:

* 33. Do you have a veterinarian?

Yes

No

34. If yes, name and phone number:

* 35. What brand of food will you use?

* 36. How would you feed?

* 37. Who would care for your cat when you go away?

38. If other, please explain:

* 39. When will your cat be allowed outside?

40. If other, please explain:

* 41. How many total hours per day would the cat be left alone? Please consider and include commute time, work hours and after work activities. How many days a week will the cat be home alone for these hours? Please provide as much detail about your schedule as possible.

* 42. Pets are an investment; can you afford to provide medical care, grooming, proper diet and shelter for a pet for the rest of its life?

* 43. A cat can live to be 20-25 years old; are you able to make this long-term committment?

* 44. If your pet became ill, gets injured, needs surgery, needs ongoing medical care, etc. what amount are you willing to spend on veterinary/medical care? If you'd like to make additional comments please use the space below. If you have trouble understanding this question please click on the question mark button for assistance.

45. We recognize that this is a tough question to answer hypothetically. We invite and encourage you to share your thoughts and comments:

* 46. If the cat you adopt becomes ill would you return him/her to Bill Foundation?

Yes

No

* 47. What happens to pet if you move locally?

* 48. ...out of state?

* 49...out of country?

50. If you are a renter and encounter difficulties with your landlord or have to leave your current rental for any other reason what will you do? If you have trouble finding a pet friendly rental what will you do?

* 51. What might prompt you to return your cat to Bill Foundation? (check all that apply)

Please read the following statements and choose the appropriate answer below:

* 52. If I adopt a Bill Foundation cat I can make a donation of at least $150 to help rescue and care for other abandoned animals. I understand that my donation is a gift freely given, not a purchase price for a cat; No goods or services have been or will be provided in exchange for the donation. I understand that any donation made is not refundable.

I can make a contribution of at least $150

I can't make a contribution of at least $150

* 53. If I adopt a Bill Foundation cat I understand that I am to provide my own supplies.

I understand and agree

I do not understand or agree

* 54. I understand that submitting an application does not mean I am approved to adopt a cat from Bill Foundation. Bill Foundation has the right to refuse adoption to any applicant for any reason. Bill Foundation is not obligated to provide a reason or explanation for refusing adoption to applicant.

I understand and agree

I do not undersand or agree

55. Please add me to the Bill Foundation mailing list. (we keep your information private; we do not sell or exchange mailing lists with anyone.)

Yes, put me on the mailing list!

* 56. How did you hear about Bill Foundation?

* A copy of this application will be sent to your email. Please provide your email address:

We will respond to your application as soon as possible. We receive a very high volume of applications, emails and phone calls. It can take as long as 1-2 weeks to receive a response. Feel free to follow up if you don't hear from us- you can leave a message at (310) 860-0171 or email billfoundation@billfoundation.org.

Thank you! BE SURE TO PRESS SUBMIT ONLY ONCE!

* Indicates Response Required

New spouse/partner doesn't like cat	New pet and resident pet don't get along	Financial problems
Not litterbox trained	Cat becomes ill	You become ill
Excessive vet bills	Marking in house	Cat gets old
Shedding	Allergies	Moving
Biting	Divorce	None of the above