Please bring completed application in person to the CVHS.


262 County Farm Cross Road
Dover, NH 03820
(603) 749-5322		 Matchmaker, matchmaker, find me a CAT! SHELTER HOURS
Mon, Tue & Wed - Closed
Thurs - noon - 4pm
Fri & - noon - 5pm
Sun - noon - 4pm

 

My Preferences

I like cats that are:
Short hair Medium hair Long hair Declawed Any

I prefer a male female cat.

Please describe the temperament and activity level you are looking for in a cat. Check all that apply.
Zippy, high-energy, kitten-like Mellow, easy-going A lap cat
Very affectionate Responsive Independent
Talkative Quiet

Someone in my home is nervous or unsure of cats:
very
moderately
some (no experience with cats)
N/A

About Me and My Household

I share my home with ___ adults and ___ children.
Ages of children:
 
 

I have children that visit or live next door.
Ages:
 
 

 I have ___ indoor cat(s), ___ in/out cats, ___ dogs, and these other pets and livestock:
 
 

 The noise/activity level in my home is usually
low medium high

When it comes to keeping a clean and tidy house I am
very particular particular easy going

I need a cat that will tolerate being alone ___ hours/day
weekends for frequent short trips

I'd enjoy brushing or grooming my cat:
rarely occasionally weekly daily

Exercise

I prefer a cat whose energy level is:
high medium low

I prefer a cat that:

will enjoy living indoors
will enjoy being outside while I'm with him/her
will come and go independently
will enjoy living in our barn

General

My ideal cat would:
 
 

 Bad kitty habits that I just can't tolerate are:
 
 

 It may take a new pet up to 2 months to adjust to a new home. Are you willing to devote this time?
 
 

 Please tell us anything else you would like us to know about you or the cat you're looking for.
 
 

Adoption Application for a Cat
Name (first, middle initial, last)

 

 Maiden Name

 

 Date of Birth

 

 Home Phone

 
Address

 

 Spouse Name

 

 Spouse D.O.B.

 

 Work Phone

 
  Do you:
___ Own
___ Rent		 If You Rent - Landlord's Name

 
  Landlord's Phone

 
How Long at Current Address?

 

 If Less Than One Year, Please Show Previous Address

 
Are You:
Working Attending School
Retired Homemaker
Other:
Employer's Name

 

 Spouse or Partner's Employer's Name

 
Employer's Phone

 

 Spouse or Partner's Employer's Phone

 
What types of pets have you owned in the past five years?
Name Breed/Type Age Sex Altered Still Own Kept Where If no, what happened to this pet
               
               
               
               
Who is/has been your veterinarian?

 

 Ever Brought Animal to Shelter?
Yes No

 

 Please check any areas you would like to discuss with an adoption counselor:
What to feed your cat and how often Litter box training
Introducing your new cat to other pets House training
Introducing your new cat to children and other family members Exercising
Do you plan on declawing?
Yes No
Other:

 

 How will you handle the following?

Where will you keep your cat during the day, at night, or when you're not home?
 
 

 If you have to move?
 
 

 How will you care for your pet when you're on vacation or business trips?
 
 

 How will you handle bad habits such as marking, jumping on counters or furniture, nipping, scratching, scratching furniture, eating plants?
 
 

 Please list two personal references:
Name

 

 Address

 

 Phone

 
Name

 

 Address

 

 Phone

 

 

 I certify that the information I have given is true, and I authorize CVHS to contact veterinarians, landlords, and references to investigate all statements in this application, and to do follow-up property checks.
Signature

 

 Date

 

 
 
 
CVHS USE ONLY
Date: ID#
Approved
Date:		 DNP
Adoption Counselor: Approved subject to proof of Date rec'd

 
Landlord Verification: ID, age, or address  
Property check required Landlord OK  
Vet Report: For animals at home
Spay/Neuter		  
Description of animal requested:

 

 Current vaccinations  

Follow up: (CVHS USE ONLY)