CCLAW Animal Foster Application

CCLAW Animal Foster Application

Please complete ALL application fields.
Date*

MonthDayYear
Date
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Best day(s) / time(s) to reach you?*
Are you 21 or older?*
Are you available on emergency / short-term notice?*
Do you have access to a vehicle?*
Do you own your home?*
Type of home?*
How long have you resided at your current home?*
If you do not own your home, does your landlord allow permit cats?*
Who is your landlord (name: first, last)? Type N/A if not applicable.*
What is your landlord's phone number? Type N/A if not applicable.*
Who resides in your home (ie: relationships / ages of all house hold members)?*
Does anyone in the home smoke?*
Is anyone in the home allergic to cats?*
Do you own other animals (indoor or outdoor)?*
Please list the species (ie: cat, dog, horse, lizard, etc...), ages, and genders of all current pets. *
Are current pets friendly with cats?*
Are you willing to allow CCLAW representative(s) to visit your home before and/or while fostering?*
Are you willing to allow potential adopters to meet an animal(s) in your home?*
Are all pets in the home spayed / neutered?*
Are all pets in the home up to date on vaccinations?*
Are all pets in the home treated for fleas parasites?*
Who is your veterinarian? Type N/A if not applicable. *
What is the name of your vet clinic AND what is their phone number? Type N/A if not applicable. *
Why do you want to foster cats for CCLAW? *
Have you ever fostered an animal before? *
Do you currently foster for another organization? If so, please explain. *
Do you have experience with feral or semi-feral cats? If so, please explain. *
Is everyone in the home in agreement with fostering?*
Who will be the primary care-taker for the foster animal? *
What is the maximum about of time the animal will be left alone? *
Where will the foster animal be kept in the home? *
Is this area secure, separate from other pets, and can be easily cleaned / disinfected? *
Are you willing to transport the animal to the vet if needed? CCLAW covers veterinary expenses. *
Do you have experience administering medications to animals?*
CCLAW strives to provide ALL equipment, food, and litter for our foster animals; however, there are times when donated supplied run low. In these instances, are you able to provide for the animal? *
Are you able to foster more than one cat at a time?*
What type of fosters are you hoping to receive? Select all that may apply.*

Single adult cat, tameMore than one adult cat, tameSingle kitten, tameLitter of kittens, tameKitten or kitten(s), feral or semi-feral that need socializationLitter of kittens WITH momma, tameLitter of kittens WITH momma, feral or semi-feral that need socializationNeonates / BOTTLE fed kittens (requires experience, adequate time to provide intense care)Single adult cat, semi-feral that needs socializationMore than one adult cat, semi-feral that needs socializationMEDICAL cats who may require more than usual vet visits and/or medication(s)I am undecided but open to several options pending further discussion
I HEREY CERTIFY THAT THE ABOVE INFORMATION IS TRUE. I UNDERSTAND THAT FALSIFYING INFORMATION ON THIS APPLICATION OR AT ANY OTHER PERIOD DURING THE FOSTERING PROCESS MAY DISQUALIFY ME FROM FOSTERING. *
Date*
Signature*

Powered by Jotform SignClear
Should be Empty: