BASIC INFORMATIONPlease fill out your contact information.Date: *Cat's Name *Has everyone in the household met this cat? *YesNoIf yes, where did you meet the cat?0 / 100First Name *Last Name *Email Address *Home Phone *Cell Phone (if different)Street Address *Apartment, suite, etcCityProvinceZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint HelenaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. MartinSt. Pierre & MiquelonSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Virgin IslandsUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis And Futuna IslandsWestern SaharaYemenZambiaZimbabwePersonal Reference Name (not a family member) *Reference Phone Number *How long have you known each other? *Relationship to You *0 / 100QUESTIONNAIREPlease complete the following questionnaire in its entirety. Our main objective is to ensure good compatibility between you, your family, and your new pet.Do you own or rent your residence? *OwnRentIf you rent, do you have your landlord's permission to have a cat?YesNoLandlord's Name & Phone Number0 / 100What type of home do you live in? *HouseApartmentCondoTrailerTownhouseOtherIf you answered other, please explain:0 / 100How long have you resided at your current address? *Less than 1 year1-2 years3-5 years5-10 years10+ yearsIs this going to be your first cat? *YesNoIf this is not your first cat, where did your previous cat reside?IndoorOutdoorIndoor & OutdoorWhere will THIS cat be residing? *IndoorOutdoorIndoor & OutdoorIf this is not your first cat, what happened to your previous cat?What energy level are you looking for in your cat? *LowMediumHighPlease check behaviours that you are not comfortable with: (check all that apply) *ScratchingMarkingHouse training issuesMedical issuesTerritorialDestructiveAggressiveAnxietyFood / toy guardingReactiveList plans for this cat *CompanionCompany for other petBarn cat (mouser)OtherIf you selected other, please describe:Do you have a regular veterinarian? *YesNoIf yes, please provide vet's name and phone number:Who will be the primary caregiver of the cat?Are you 19 years of age or over? *YesNoWhat is your occupation? *Do you have reliable transportation? *YesNoAre all family members in agreement about adopting a cat? *YesNoHow many people reside in your home? *Are there any children residing in your household? *YesNoIf yes, how many children?What ages are the children?Does any family member suffer from allergies? *YesNoIs yes, what type of allergy?Do you currently have any animals in your care? *YesNoIf yes, please list the animals, along with their name and age:Are they spayed or neutered?YesNoIf you do have any pets, how do you feel they will adjust to a new cat in the house?Where will this cat spend the day when you are home? *Loose indoorsLoose outdoorsBasementGarageBarnOtherIf other, please describe:Where will the cat spend the day when you are NOT home? *Loose indoorsLoose outdoorsBasementGarageBarnOtherIf other, please describe:Where will this cat spend the night? *Loose indoorsLoose outdoorsBasementGarageBarnOtherIf other, please describe:How long will the cat be alone most days? *Where will the cat go when you are away or on vacation? *Do you feel you can commit to a cat for the next 10 to 20 years? *YesNoHow much do you expect the cost of cat ownership to be monthly for everyday supplies? (ie. food, litter, enrichment, etc.) *Have you in the past or would you ever consider declawing your cat? *YesNoIf you were to move in the future, what will happen to the cat? *Are you able to provide proper medical care for your cat as required? *YesNoHow much can you afford annually for vet care? *Have you ever surrendered or rehomed an animal? *YesNoWhat would prompt you to surrender an animal? *Do you agree to return the cat to RAPS if you can no longer keep it? *YesNoIf your cat scratched up your couch, how would you handle this? *If you returned home to find your cat had urinated/defecated outside the litter box (floor, couch, bed, etc.), what would you do? *If it was an unusual behaviour what would you do? *FINAL STEPSOnly applicants chosen for adoption will be contacted. RAPS reserves the right to refuse any applicant.RAPS is concerned for the well-being of all shelter cats. Would you be willing to allow one of our staff members to do a scheduled home visit prior to, and/or after the adoption process in necessary? *YesNoIf no, please explain:I certify that all the information I have provided is true and correct: *YesNoSUBMIT APPLICATION
