Elaine's Foundation for Homeless Felines


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			Adoptions Application

Policy of the Foundations

If you are know longer able to care for your companion animal you will return the animal to the foundation.
If you move you or change any of your contact information you will notify the Foundation.
You will keep the Foundation informed on the whereabouts of your companion animal.
You will provide your companion animal with veterinarian care and provide the Foundation with medical records upon request.
You will allow the Foundation to check on companion animal at moment’s notice.
The animal will strictly live in the house with you and your family and will not be locked up.
You will be totally responsible for all of your companion animal welfare.

Elaine’s Foundation for Homeless Felines
139 Fern Ave
Lyndhurst, New Jersey 07071
echichizola1@comcast.net
201- 410-7280
Website: elainesfelines.org

Applying For
Name of Animal:
Species:
Description:
Age:
Special Needs:
Applicant's Information
Full Name:
Address:
City:
State:
Phone Number:
Driver's License Number:
Car License Plate:
Age:
Household Information
Where Do You Live?	House Condo/Apt. Student Housing Mobile Home Military Housing Other
If, other Explain:
Neighborhood?	Urban Suburban Rural
How long at your present address?
Do You Own Your Own Home?	Yes No
Do you rent?	Yes No
If, yes Landlord's Name:
Landlord's Phone Number:
Are you planning to move within the next year?	Yes No
If, yeswhat are your plans for your companion animal when you move?
If you decide to move in the future, what will you do with your companion animal?
What provisions have you made for your companion animal in the event of your illness or death?
How many adults in your home?
Are there children in your home?	Yes No
If, yes, how many and what are their ages?
Are all members of your household aware of your plans to adopt an animal?	Yes No
Are any members of your household allergic to animals?	Yes No
Where will your companion animal sleep?
How many hours will your companion animal be alone?
Who will be responsible for the animal?
Does anyone in your household smoke?	Yes No
If, yes, where?
Do you have any health conditions which could restrict your ability to care for an animal?	Yes No
If, yes, please describe?
Vacation
How often do you go on vacation:
What will you with your companion animal when you go on vacation?
Employment
Employer:
Occupation:
How long at your present job?
Can you be contacted at your job?	Yes No
If, yes, work phone #:
Other Animals
Do you have cats?	Yes No
If, yes, how many?
Do the cats live strictly indoors?	Yes No
Are the cats declawed?	Yes No
Do you have dogs?	Yes No
If, yes, how many?
Do dogs live indoors?	Yes No
Other animals?	Yes No
If, yes, how many?
Describe living conditions of other animals:
Are all animals in your household spayed/neutered?	Yes No
Name of Veterinarian:
Address:
Phone Number:
If no companion animals at this time, have you had any in the past 8 years?	Yes No
If yes, what happened to them?
References (Please list people other than family who you have known for at least 5 years)
Name:
Address:
Name:
Address:
Name:
Address:
Questions
Why do you want to adopt an animal?
What type of personality are you looking for?
Describe, if you have you ever had a special needs animal before:
If necessary, how will you discipline the animal?