MLAR Foster Application
Greensboro North Carolina (and surrounding areas)
Your Name
*
First Name
Last Name
Your Birthdate
*
Email
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Own your home?
*
YES
NO
Rent?
*
YES
NO
If yes to rent - Landlord Name and Phone Number
Current Student?
*
YES
NO
If yes - Full or Part Time
*
Full Time
Part Time
N/A
Do you have prior foster experience?
*
YES
NO
If yes, please list prior foster organizations below
What type of animal are you primarily interested in fostering? (Please check all that apply)
*
Cats/Kittens
Dogs/Puppies
Horses
Other
What age are you interested in fostering? (Please check all that apply)
*
Neonatal
Weaning (3-5 weeks)
Weaned (6+ weeks)
Adults
Please list all current pets
*
Rows
Name of Pet
Age
Dog
Cat
Other
PET 1
PET 2
PET 3
PET 4
PET 5
PET 6
Are they spayed or neutered?
*
YES
NO
If no, please explain: (if yes type N/A)
*
Are they current on vaccinations?
*
YES
NO
N/A
What is the name & phone number of your veterinarian?
*
Please list all veterinarians and phone numbers that have been used for current pets
Are there children in the family?
*
YES
NO
If yes, what are their ages? (If no type N/A)
*
Do you have a room to isolate new fosters for a two week quarantine period?
*
YES
NO
Do you have the ability to send quality photos often? (We will need photos to post to social media accounts)
*
YES
NO
Are you willing to foster indefinitely until your foster is placed into their adoptive home?
*
YES
NO
UNSURE
Below you may add any additional information that you believe to be relevant to your application
BY TYPING MY FULL NAME BELOW, I AFFIRM THAT ALL INFORMATION ABOVE IS TRUE.
*
TYPE FULL NAME HERE
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*
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