Skip to content
Friends of Chicago Animal Care and Control Adoption Application
ATTENTION: The minimum age to adopt is 21.
How did you hear about Friends of Chicago Animal Care & Control?
Petfinder
Adopt-a-Pet
FCACC website
Chicago Animal Care & Control
Friend / Relative
Google
Petco store
Name of Dog / Cat You are Interested In Adopting
Date of Application
Your Name
Home Address
City
State
Zip
Primary Phone
Alternate Phone
Work Phone
Email Address
Driver's License or State ID
Birthdate
Employment
Employer Name and Address
Position
Length of Time With Employer
Does Your Position Require Travel?
Yes
No
If yes, who will care for your pet in your absence?
Housing
Do you own or rent?
Own
Rent
Type of Housing
House
Apartment
Condo / Townhouse
How long have you lived at this address?
If Apartment or Condo, are you allowed to have dogs/cats in your building?
Do you have any restrictions as to the number, breed, or size of animals you may have?
Please list all other members of the household, their age, and relationship to you:
Have you consulted and received approval with all members of the household regarding this adoption?
Yes
No
Does anyone in your household have animal-related allergies?
Yes
No
Which member of the household will be the primary caretaker of the animal(s)?
Name and contact information of your current veterinarian
Please provide contact information for 3 personal references. At least one reference should be a family member not living in the same household
Reference #1
Name, relationship, phone and email
Reference #2
Name, relationship, phone and email
Reference #3
Name, relationship, phone and email
Where will your pet be kept in your home during the day?
Where will your pet be kept in your home at night?
How many hours will the animal be home alone during a typical day?
Why would you like to adopt a dog/cat?
Provide information regarding your pet(s) past and present (NOT including family pets from childhood):
Name
Species/Breed
Age
Sex
Male
Female
Spay/Neutered?
Yes
No
Current on Vaccines?
Yes
No
Where are they?
Name
Species/Breed
Age
Sex
Male
Female
Spay/Neutered?
Yes
No
Current on Vaccines?
Yes
No
Where are they?
Name
Species/Breed
Age
Sex
Male
Female
Spay/Neutered?
Yes
No
Current on Vaccines?
Yes
No
Where are they?
Name
Species/Breed
Age
Sex
Male
Female
Spay/Neutered?
Yes
No
Current on Vaccines?
Yes
No
Where are they?
Name
Species/Breed
Age
Sex
Male
Female
Spay/Neutered?
Yes
No
Current on Vaccines?
Yes
No
Where are they?
Name
Species/Breed
Age
Sex
Male
Female
Spay/Neutered?
Yes
No
Current on Vaccines?
Yes
No
Where are they?
How much do you expect to spend annually on your pet for all expenses?
$500
$1000
$5000
How much are you willing to spend on medical bills?:
Up to $100
$500
$1000
$5000
Whatever it takes
Have you ever given an animal away or relinquished an animal to a shelter?
Yes
No
If yes, what were the circumstances?
Have you ever had a pet euthanized?
Yes
No
If yes, please explain:
Are you aware that dogs/cats can live for 15-20 years and are you willing to take responsibility for that long?
Yes
No
What will you do with your pet if you move?
What provisions will you make for the dog/cat should you become unable to care for him/her?
How long have you been looking for a new pet?
How much time are you prepared to give your new pet to adjust to your home?
What will you feed your new pet?
How often will you feed your new pet?
Dogs/Puppies
What would you do if your new dog / puppy develops a behavior problem such as:
Barking
Chewing
Digging
Aggression
How do you plan to handle house training?
What behavior problem(s) are you not willing to handle?
Are you willing to enroll your dog in an obedience/manners class?
How many times per day do you plan to take your dog outside?
Do you have a fenced yard?
Yes
No
If so, what kind and what height is the fence?
Under what circumstances would you return the dog/puppy you are applying for?
What experience, if any, have you had with dogs?
Cats/Kittens
What would you do if your new cat/kitten develops a behavior problem such as:
Scratching
Inappropriate Elimination (not using litter box)
Excessive Meowing
Keeping You Up at Night
Under what circumstances would you have the cat declawed?
Are your current cats declawed?
Yes
No
Are you aware of the potential side effects of declawing a cat?
Yes
No
How do you plan to litter train?
What behavioral problems are you not willing to handle?
Do you plan to let your cat outdoors?
Yes
No
If yes, under what circumstances?
Under what circumstances would you return the cat/kitten you are applying for?
What experience, if any, have you had with cats?
I hereby acknowledge that all the information provided in this application is correct to the best of my knowledge.
Signature
Date
Printed Name
Thank you very much for your interest in adopting from Friends of Chicago Animal Care and Control (FCACC).
For Adoption Coordinator Use Only
Review Date
Interview Date
Home Check Date
Adoption Coordinator Name:
Adoption Coordinator Signature:
Comments: