Host Home Application
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First Name
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Last Name
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Phone Number
Alternate Number
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Email
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Address
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City
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Postal Code
Name all others in your home
Age
Name
Age
Name
Age
Name
Age
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Do you currently have any pets?
Yes
No
If yes, please provide more information about the type, age and activity level of your pets
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Do you
Rent
Own you own home
Other
If you rent, may we contact your landlord to confirm that you are permitted to keep cats?
Yes
No
If you are part of a strata or co-op, you will be requested to provide a copy of the section of your strata rules that contains the regulations pertaining to pets, after your application is approved. You can attach a copy now or submit it at a later date.
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Do the windows in your home have screens?
Yes
No
Some
On a typical workday, how many hours of the day are you at home?
On a typical day that you don't work, how many hours of the day are you at home?
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Have you completed a course in pet first aid?
Yes
No
I intend to within 2 months of being accepted as a host home
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Please describe your history of caring for cats. You can write about your own cats, pet sitting for friends and family, volunteer experiences, relevant employment or education or any other opportunity you have had to care for cats.
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Describe the type of home that you can offer to a cat. For example, is it an home or apartment, ground floor or higher, quiet or busy, etc. Why do you think you would make a good host home?
Which of the following ways of administering medication to cats do you have experience in:
Pills (by hand, not in food)
Oral liquid (by hand, not in food)
Eye drops/ointment
Ear drops
Topical creams (in the ear)
Insulin injections
Subcutaneous fluids
Check the grooming skills in which you have experience:
Trimming nails
Brushing/de-matting long coats
Care of persians or exotic cats with unique needs
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What are your travel plans in the next 12 months? Are there any other times when you would not be able to host a cat (e.g. due to renovations, visiting family, etc.) in the next 12 months?
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Are there any limits on the length of time that you could host a cat?
Six weeks or less
Three months or less
Six months or less
Nine months or less
There is no limit on the length of time a cat can stay with me
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Are there any limits on the size of the cat family that you can host?
One cat
Two cats
Three cats
Four to six cats
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How did you learn about this opportunity to become a host home?
Referral from someone I know
Ad on Craigslist
Flyer
Urban Tails' web site
Other
Cannot remember
If you were referred, who told you about our host home service?
Kelly B.
Jane A.
Ana M.
Naz M.
Amy M.
Claudia P.V.
Anita D.
Stephanie H.
Danielle A.
Celia C.
Claudia E.
Emma B.
Andra A.
Kathleen B.
Carly M.
Krista L.
Jen L.
If you learned about this opportunity from a flyer, please enter the 5 letter code that is on the flyer tab.
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