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PBJ Cat Application
This same form is used both for people looking to adopt as well as those interested in fostering.
Revised on 7/14/2022 by JJB
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Email
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Your email
IMPORTANT: IF YOU ARE UNDER THE AGE OF 18 AND ARE LIVING WITH PARENTS OR GUARDIANS, PLEASE *STOP* AND HAVE AN ADULT MEMBER OF THE HOUSEHOLD SUBMIT AN APPLICATION ON BEHALF OF YOUR FAMILY.
If you are applying for specific PBJ cats, please provide their names below ... otherwise, leave this first answer blank if you'd like for us to make recommendations -- we are happy to do so!
(optional) Name(s) of cats of interest:
Your answer
About You
Your first name:
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Your answer
Your last name:
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Your answer
Your email address again please (to make sure we have it correctly):
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Your answer
Your age:
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Your answer
Phone number(s) (please mark as cell, home, work -- CELL preferred):
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Your answer
Street address:
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Your answer
City:
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Your answer
State:
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Your answer
Zip Code:
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Your answer
How long have you lived here?
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Your answer
Type of home:
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Studio
1 Bedroom apt./condo
2+ Bedroom apt./condo
Townhome
Single family home
Other:
Approximate no. of square feet in your home:
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Your answer
Do you own or rent?
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Own
Rent
I live with parents or other family members
Other:
If renting, landlord's contact information:
Your answer
If renting, are you required to pay a pet fee?
Yes
No
I don't know
Clear selection
IMPORTANT: NAMES, AGES, AND RELATIONSHIPS OF EVERYONE LIVING IN YOUR HOME MUST BE PROVIDED ON THE NEXT QUESTION in order for us to process your application ... enter "N/A" if you are living alone
Please provide the NAMES and AGES of ALL PEOPLE living in your home, and their RELATIONSHIPS to you (e.g., spouse, parent, roommate):
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Your answer
Do all of the adult members of your household support your decision to foster/adopt a cat -- parents, spouse, roommates, etc.?
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Yes
I haven't discussed it with them yet
I don't have everyone's support
I live alone
Place(s) of employment (please spell out org. names vs. using acronmys):
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Your answer
Hours cat will be alone each day during the work/school week (after Covid-19 restrictions are lifted):
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0 - 4 hours
5 - 9 hours
10 hours or more
Unsure once Covid-19 restrictions are lifted
Is anyone in your home allergic to cats?
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Yes
No
Unknown
Does anyone in your home smoke?
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Yes, inside the home
Yes, but smoking is only permitted outdoors
Occasionally, but only when not at home
No
Does your home have a doggie door?
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Yes
No
Does your home have a balcony or deck?
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Yes
No
What type of food do you plan to feed your cat?
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Dry food only
Canned food only
Both canned and dry food
Other:
What is your annual budget for caring for a new cat? Please consider all routine expenses -- food/litter, veterinary care, etc. -- in your answer.
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Your answer
Do you have access to funds to pay for non-routine vet expenses should your cat become ill or injured? Emergency care can cost thousands of dollars.
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Yes
Not yet, but will be pursuing pet insurance
No
Unsure
Are you interested in fostering or adopting?
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Fostering with no immediate plans to adopt
Adopting
Undecided
Have you ever fostered for another organization? If so, please provide the organization(s) names; otherwise, simply state "N/A":
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Your answer
Anything else you'd like to tell us about yourself?
Your answer
Seeking a PURRfect Match
Characteristics you are looking for in a cat:
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Your answer
I am open to fostering/adopting (check all that apply):
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A single adult cat
A pair of adult cats
A cat with special dietary or medical needs
A senior cat
A pair of kittens
A single kitten (note that you MUST already have a young cat as a companion in order to adopt a single kitten)
Required
If you selected "single kitten" above, do you already have a friendly young cat companion for him/her in your home?
Yes
No
I'm in the process of adopting another cat elsewhere
Clear selection
Your Pet History
Have you ever had pets?
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Yes, currently (please describe below)
Not currently, but as an adult in the past (please describe below)
Not currently, but we had family pets growing up
I've/we've never had pets before
Please tell us about your current pets (names, ages, gender, type) or "N/A":
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Your answer
If you CURRENTLY have cats or dogs as pets, are they up to date on vaccinations and annual wellness exams?
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Yes
No
Unsure
N/A (no current pets)
Please tell us about past pets you've had as an adult (names, ages, gender, type) or "N/A":
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Your answer
If you currently have cat(s), are they friendly and playful with other cats?
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Yes
No
Unknown
N/A (don't have cats currently)
If you currently have dog(s), are they known to be good with cats?
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Yes
No
Unknown
N/A (don't have dogs currently)
In the past 5 years, have any of your pets been (check all that apply):
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Euthanized
Lost/gone missing
Given away
Killed by accident (e.g., hit by a car)
Surrendered to a rescue or shelter
None of the above
Required
Please explain (unless "None of the above" was checked):
Your answer
Have any of your cats been declawed?
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Yes, declawed by us
Yes, already declawed when they came to us
No
General thoughts regarding declawing:
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Your answer
Have any of your previous or current cats been allowed outdoors?
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Yes, unsupervised
Yes, supervised
Yes, on a leash
No
Are you planning for your new cat(s) to be:
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Allowed outdoors unsupervised
Allowed outdoors with supervision
Allowed outdoors on a leash
Indoor only
General thoughts regarding indoor vs. outdoor cats:
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Your answer
Have you ever had to deal with a particularly challenging medical or behavioral problem with a pet? If so, please describe:
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Your answer
A cat can live 15 - 20 years or more; I'm prepared to care for the cats I adopt for their lifetimes:
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Yes
Undecided
No
Anything else you'd like to tell us about your pet history?
Your answer
Next Steps
After reviewing your application, a PBJ volunteer will contact you ... our evaluation process also involves a vet reference check for current/past pets and a home visit.
Do we have permission to conduct a vet reference check?
*
Yes
No
I do not have a vet to contact
IMPORTANT: PHONE NUMBERS MUST BE PROVIDED ON THE NEXT QUESTION in order for us to process your application ... enter "N/A" if you do not have a vet to contact.
NAME(s) and PHONE NUMBER(s) of vet(s) and pet(s) they've seen (or "N/A"):
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Your answer
Do we have permission to visit your home? This can include a "virtual visit" if Covid-19 is of concern
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Yes, in person
Yes, virtually
No
Undecided
How did you hear of PBJ?
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At the East Fairfax PetSmart store
At PetMAC in DC
Via Petfinder.com
Via an Internet search
Referred by someone
Nextdoor
Neighborhood Listserv
Other:
If referred by someone, by whom?
Your answer
Thank you for taking the time to thoughtfully apply as a potential foster/adopter with PBJ!
Send me a copy of my responses.
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