Loudoun Working Cats Application -

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Loudoun Working Cats Application

Thank you for offering to open your heart and your property to a feral cat that is in search of a new and safer home. For simplicity sake, we will refer to these cats as “barn” cats however barns are not the only option for these animals. An appropriate location could be a barn, greenhouse, brewery, warehouse, store, office, winery, vineyard, or other similar buildings.
Today’s Date
MM slash DD slash YYYY
How did you hear about us?*
Contact Information
First Name*
Last Name*
Address*
Street Address City State
Email*
Home phone*
Work phone
Cell phone
Barn/other address
Street Address
Location Information
Do you own the proposed residence/land?
- Yes
- No
If you do not own proposed new home, what role enables you to make this request?
Do you or does anyone else live on the property?
- Yes
- No
Please provide full names and relationship of residents.
Please describe in detail the property where the cat(s) would live.
How large is the property?
What type of building will the cat be housed in during acclimation and released to as the primary shelter?
Where is the building located?
Rate the activity level of the building.
On scale 1 = quiet 5 = very active
Please enter a number from 1 to 5.
Rate the activity level of the nearest road.
- Low
- Medium
- Heavily Traveled
Have you ever had barn cats?
- Yes
- No
How long did you have them?
Where are they now?
If they died, what was the cause of death?
Do you have a dog?
- Yes
- No
What kind of dog and is it cat-friendly?
Do you have any other animals?
- Yes
- No
Other Information
How many barn cats are you interested in?
Why do you want barn cats?
Are you over 21 years of age?
- Yes
- No
Will you be the primary caretaker?
- Yes
- No
If you are not the primary caretaker, please list name(s) and age(s) of who will be taking care of the cats.
Please provide any other information you feel would be helpful to us in screening your application.
References
Provide two personal references not related to you
Reference 1
Name
First Last
Phone
Reference 2
Name
First Last
Phone
Provide a veterinary references
Name
First Last
Phone