Pawsitive Change Matters Most
A Chance at a Changed Life Rescue Program
This FOSTER application is for a:
Dog
Cat
Puppy
Kitten
Applicant Information:
Full Name:
E-mail:
*
Street Address:
City:
State:
Zip:
Home Phone:
-
Area Code
Phone Number
Cell Phone:
-
Area Code
Phone Number
Names of all persons living in your household, their relationship to you and their ages:
Home
Type of Dwelling:
Home
Apartment/Other
Own
Rent
Military
If you live in a condo or apartment what are the association's rules about pets?
If not a home owner, do you have the landlord's permission to have a pet?
Yes
No
Landlord's Name:
Phone:
-
Area Code
Phone Number
Your Companion Animals
How many and kind of pet(s) do you presently have in your home?
Are all animals in your home spayed/neutered?
Yes
No
Some yes and some no
Have you ever fostered for a rescue group or animal shelter in the past?
Yes
No
What kind of animal did you foster and what length of time did you foster?
If you fostered, name of rescue group and name and phone number of your contact:
What is your work schedule outside the home? What other obligations that take up long periods of time away from the home?:
Where would the pet be left when he/she is alone or when you are away from your home?
Indoors
Outdoors
If outdoors:
Yard
Patio
Kennel
Garage
Other
Fenced?
Yes
No
How high is your fence?
Are you willing to foster a rescue with behaviorial issues?
Yes
No
Are you willing to foster a family (example: pregnant mother or a mother with litter?)
Yes
No
Depends
If you answered DEPENDS list the kinds of families you would NOT be willing to foster?
Are you willing to make at least a 2 month commitment?
Yes
No
Veterinarian Information
Vet Name
First Name
Last Name
Veterinarian Phone
-
Area Code
Phone Number
How long have you been going to this vet?
References
Reference #1 (Not a Family Member)
First Name
Last Name
Phone Number
-
Area Code
Phone Number
How do you know this reference?
Work
School
Friend
Other
How many years have you known this reference?
Reference #2 (Not a Family Member)
First Name
Last Name
Phone Number
-
Area Code
Phone Number
How do you know this reference?
Work
School
Friend
Other
How many years have you known this reference?
Are you willing to set up and attend meetings with potential adoptors?
Yes
No
If YES how far will you travel for adoption events?
Explain
Is there anything you would like us to know that we haven't asked?
I have read and agree to the following terms of the foster application
Yes
No
Digital Signature
By signing this application via a digital signature using my date of birth (example: January 1, 1950) I certify that the information in this application is true and correct.
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