AniMeals Foster Application

FOSTER APPLICATION AND AGREEMENT ( Internal Use only )

ApprovedDenied

Date*

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Home Phone Number*

Work Phone Number

Please enter a valid phone number.

Cell Phone Number*

Please enter a valid phone number.

Email. Email will likely be used to coordinate foster orientation, so be sure to list one you check regularly *

example@example.com

Occupation*

Date of Birth ( Must be over 21 to foster )*

Date

Do you rent or own your home?*

If you rent, what is the name and phone number for your landlord?*

Foster cats and kittens MUST be kept separate from resident pets, especially if you own cats. What kind of space do you have to keep foster cats and kittens in? *

Do you have screens on your windows?*

YesNo

Does the room you are planning to use for fostering have carpet? If yes, how do you plan on disinfecting the floor in between groups? *

Do you live alone?*

YesNo

If the above answer is no, how many people live in your home, how old are they and have they handled animals before? *

Do you or any members of your household have any allergies to cats?*

YesNo

If yes, how will you cope with them?*

Do you, or anyone in your household, have any criminal charges pending or have you ever plead guilty to a crime, including a plea of no contest or deferred prosecution, whether or not an appeal is pending? If yes, please briefly describe the nature of the charges.*

What type of transportation do you have?*

Please list a personal reference who live outside your home. Name and phone number required.*

If selected as a foster parent, when would you be able to start?*

Are there times of the year that you would be unavailable to foster? *

Why do you want to foster?*

What kind of animal(s) are you prepared to foster? (Please check all that apply)*

Have you ever administered medication to a cat before?*

YesNo

Are you willing to administer medication if needed?*

YesNo

If necessary, can you transport a sick or injured foster animal to a vet?*

YesNo

How much time daily do you have for your foster animal(s)*

How many cats can you comfortably foster at one time?*

Have you fostered an animal before?*

YesNo

If yes, for whom, and are you still fostering for them? *

Do you plan on fostering for multiple organizations at the same time? *

Do you have any pets now?*

YesNo

If you have no pets, have you had pets before?*

YesNo

If yes, where are they now?*

Please list current pets (even if they are not yours, they must be listed if they reside in the home you will foster from). List name, breed, age, sex and if they are spayed/neutered.*

Who is your current veterinarian?*

Under what name is the account at your veterinarian?*

Are your pets' immunizations current?*

YesNo

WAIVER

As an organization that deals with animals, the AniMeals non-profit does not have a medical or behavioral history of the animals that fosters may come into contact with. A certain amount of risk is always involved, especially with unpredictable animals.

FOSTER AGREEMENT

In consideration of this opportunity to foster with AniMeals, I agree to the following terms and conditions, intending to be legally bound by them:

1. I will abide with the mission, rules, regulations, policies and programs of AniMeals.

2. If I stop being a fosterer, or upon request by AniMeals, I will promptly return all AniMeals supplies, equipment, records and other items in good, clean condition.

3. Considering that fostering positions at AniMeals require dealing with animals, I certify that I am able to perform the essential functions of the position.

4. I assume the risk of being bitten, scratched or injured in connection with my fostering work. AniMeals is not liable to me for any injuries, illness, damages, liabilities, losses, judgments, costs or expenses whatsoever, which I might suffer or sustain in connection with fostering activities, unless they are the result of the gross negligence or intentional misconduct of AniMeals. I will indemnify, defend and hold the AniMeals organization harmless from and against any claims, lawsuits, injuries, damages, losses, costs or expenses whatsoever, sustained by any animal or person in connection with my intentional misconduct or grossly negligent performance of my fostering activities, or my breach of AniMeals rules, regulations, policies and programs.

5. I understand that because I will be in contact with animals, it is important to discuss the tetanus vaccine with my physician. I release AniMeals from all responsibility that may occur because of my not pursuing this matter further and I understand whatever decision I make is at my own risk. I have read, understand and agree to the above tetanus information.

6. I acknowledge and understand that as a fosterer of AniMeals, I am not covered by AniMeal’s workers compensation or any other insurance policy for any damages or injuries I may sustain during fostering activities.

7. If such an incident does occur, I understand that I am to immediately notify an AniMeals employee.

8. I understand that AniMeals may refuse fostering applications or discontinue fostering positions for any reason.

9. I have accurately and truthfully completed this Foster Application and Agreement.

10. I will immediately contact AniMeals if any health issues arise with my foster cats or kittens. If AniMeals is not contacted in an emergency situation I understand I will be denied from foster for AniMeals and will return all cats and their supplies.

11. Any modification to this Agreement must be in writing and signed by both parties. This Agreement is binding upon AniMeals, me and my respective heirs, successors, assigns, executors, and personal representatives.

I have read, understand and agree to the above. I certify that the information provided here is accurate and complete.

Applicant Name, First and Last*

Date*

Applicant Signature*

Please verify that you are human*