Adoption Application

Adoption Application

Action Volunteers for Animals
Animal Information
Cat's Name(s)*
Or a description of what you are looking for (special needs, senior, etc.)
Additional description of cat
Age/colour/sex/appearance
Cat's Number(s)
e.g. A1234567
Are you applying for a kitten*

YesNo
Do you currently have a young cat (under 3 yrs)*

Yes, I have a cat under 3 yearsNo, I do not have another catNo, my cat is over 3 years oldI am applying for 2 kittens in this application (only one app is needed)
If this cat is no longer available or is not a good fit, would you like us to recommend another cat*

YesNo
How did you find the cat*

In storeAVA websitePetfinderKijijiFacebookInstagramPetangoOther
Where is the cat located*

Brampton - PetSmart Airport RoadHamilton/Burlington/Ancaster - Pet Valu, Global, FosterFoster Home East/Durham/PickeringFoster Home West/West TorontoOshawa/Whitby/Pickering - Pet Valu or PetSmartRichmond Hill - PetSmartToronto West - PetSmart StockyardsScarborough - PetSmartWoodbridge/Vaughan - PetSmart Colossus, Pet ValuNorth York - PetSmart Lawrence Centre
Which store (old field)
e.g. PetSmart, Oshawa
Name of volunteer assisting you
Have you met and interacted with the cat*

YesNo
Are you able to adopt the cat within the next week*

YesNo
Applicant Information
Name*

First NameLast Name
Address*

Street Address

Unit Number (not required)

CityState / Province

Postal / Zip Code
E-mail*
Main Phone*

Area CodePhone Number
Secondary Phone

Area CodePhone Number
Why do you want to adopt a cat?*
Who is the cat for? Check all that apply*

For myselfFor my kidsFor the familyFor my partner/relativeRetirement/Group HomeFor my current petBarn/MouserSupport AnimalSurprise/GiftOther
Cat Behaviour
What characteristics do you want in a cat?*

PlayfulLap CatLikes to be petActive (energetic)IndependentLikes to be heldSocial and friendlySpends a lot if time with me/usSits with me/usOther
The cat must be:*

Good with kidsGood with catsGood with dogsGood with other animalsGood on its ownOther
What behaviours would not be acceptable?*

Too active (energetic)Scratching FurnitureNot good with kidsShy/needs socializingLitter box issuesNot good with current petsAntisocialNoisy/vocalNo behaviour would be unacceptableOther
How long should it take for the cat to adjust to the new home?*

Immediately: 1-2 daysSoon: 2-7 daysAs long as it takes: 1-4 weeks
Do you have a safe room with a door for the cat to adjust in?*

YesNo
Can you tolerate short term bad behaviour while the cat adjusts?*

YesNo
Cat's Home & Care
I am interested in*

an indoor catan indoor/ outdoor catan outdoor cat
Access to the home*

Cat will have access to all or most of the home at all timesCat will have access regularly restricted (e.g. overnight)Cat will have limited access to home at all times
Will you declaw this cat?*

YesNoUndecided
Please explain your answer about declawing*
Who will care for the cat if you are away?*
Are you willing/able to pay for regular (about $150/year) and extraordinary(starting at $1,000 +) veterinary care and regular care (about $60-100/month)?*

YesNo
Is an adult normally at home during the day?

YesNo
How long will/would the cat be alone (per day)?*
Household Information
The home is a:*

houseapartmentbasement apartmentcondo
The home is a:*

houseapartmentbasement apartmentcondo
Do you own or rent your home?*

ownrent
Does your landlord or condo board allow pets?*

yesnonot surenot applicable
Does your home have a balcony?*

yes, enclosedyes, unenclosed (willing to enclose)yes, unenclosed (not willing/able to enclose)no balcony
Family Information
Have you discussed adopting a pet with the other adults in your home and do they agree?*

YesNo
I am:*

Under 2121-2930-6465-75Over 75
I live:*

Alone/am the only adult in the homeWith a partner and/or adult family member(s)With an adult roommate(s)
Do children live in the house?*

Full-timePart-timeNo children live in the house
How old are the children?*

Children under 6 live in the homeChildren between 6-12 live in the homeChildren between 12-18 live in the home
Please let us know who lives in the home full or part time and the ages of all children under 18:*
Have the children spent time with cats/pets?*

YesNo
The home is:

Noisy/ActiveQuiet/CalmAverage/Typical
Employment*

Work full-timeWork part-timeWork VisaStudentUnemployedRetiredInternational StudentWork from/based from homeOther
Have you ever adopted a cat from AVA before?*

Yes, I haveNo, but a friend or family member hasNo
Please provide the cat's original name and approximate date of adoption, if known
Current Household Pets
Do you currently have any pets (do not include past pets)?*

Yes, my ownYes, but I am not the owner (e.g. family pet, roommate's pet)Yes, my own and pets belonging to another person in my householdNo
What type of pets do you have? Check all that apply*

Indoor Cat(s)Birds/ReptilesOutdoor Cat(s)Small mammalsDog(s)Other
Please list the owner in the Length of Ownership field
Add a second pet

Yes
Add a third pet

Yes
Add a fourth pet

Yes
Previous Pet(s)

Have you had any pets in the last 5-10 years? Do not include current pets and check all that apply.
Have you previously had any pets? Do not include current pets.*

Yes, my ownYes, but I was not the owner (e.g. family pet, roommate's pet)Yes, my own and pets belonging to another person in my householdNo
What type of pets did you have? Check all that apply*

Indoor Cat(s)Birds/ReptilesOutdoor Cat(s)Small mammalsDog(s)Other
Please list the owner's name in the Length of Ownership field
Add a second pet

Yes
Add a third pet

Yes
Add a fourth pet

Yes
Have you ever had to re-home / surrender / give away a pet in the last 10 years?*

YesNo
Please explain the circumstances surrounding the surrender/re-homing*
Veterinary Information / Reference

(Treating vet clinic required for current and past cats and dogs)
Name of Vet Clinic:
Vet Phone number:
Vet Address/ Intersection:
Name and phone number the vet will have on file for you/pet's owner:
I authorize AVA to contact the clinic for a reference check *

Yes
Please phone your vet as soon as possible to authorize them to release information to AVA about your current/past pets.
Other Information
What brand of food do you feed/will you feed? What type of food (kibble, wet, non-traditional)?*
Are you or is anyone in the home allergic to cats?*

YesNoI don't know
How would/will you manage new or existing allergic responses to cats?*
What would you do if you were unable to care for the cat (job loss, serious illness, moving)?*
Under what circumstances would you surrender the cat (change in relationship, new child, new or current pets, new home)*
Is there anything else that you would like Action Volunteers for Animals to know about you or your home before we consider your application?
Reply-To Email
example@example.com
Application Agreement
I agree to the conditions of this application and verify that the information provided by me is factual. Providing inaccurate or misleading information will result in rejection of the application.*

Yes
I have reviewed my answers and acknowledge I cannot change them once I have submitted this form.*

Yes
If your application was successfully received you will be redirected to a confirmation page and you will receive a confirmation email.

If you can see this message your application has not been submitted and you need to correct any errors noted in red.
Should be Empty:

Adoption Application

Animal Information

Applicant Information

Cat Behaviour

Cat's Home & Care

Household Information

Family Information

Current Household Pets

Previous Pet(s)

Veterinary Information / Reference

Other Information

Application Agreement