Foster Application
Whitsend Animal Rescue 10 Cherry Lane Blairstown, NJ 07825
Applicant Information
Tell us about yourself.
Full Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone Number
Please enter a valid phone number.
Email Address
example@example.com
Occupation
Employer
Household Information
Details about your living situation.
Type of Dwelling
House
Apartment/Condo
Farm
Mobile Home
Do you own or rent your home?
Own
Rent
If you rent, please provide landlord's name
If you rent, please provide landlord's phone number
Please enter a valid phone number.
Who else lives in the home? (Please list names and ages of children)
Is everyone in the household in agreement with fostering?
Yes
No
Does anyone in the home have animal allergies?
Yes
No
Foster Preferences
Let us know your fostering preferences.
Which type of animal are you interested in fostering? (Select all that apply)
Dogs
Puppies
Cats
Kittens
Barn Animals (Goats/Ponies)
Small Animals (Rabbits/Guinea Pigs)
Do you have a fenced yard?
Yes
No
If yes, please describe the type and height of the fence (for barn animals, describe paddock/barn fencing)
How many hours a day will the animal be left alone?
Are you willing to foster an animal with special medical needs?
Yes
No
Are you willing to foster an animal that needs behavioral training?
Yes
No
Current Pets & Veterinary Reference
Tell us about your current animals and veterinarian.
Please list all animals currently living in your home (Name / Breed / Age / Spayed-Neutered?)
Veterinarian Name
Clinic Name
Veterinarian Phone Number
Please enter a valid phone number.
By listing this vet, you authorize us to call and verify that your current pets are up to date on vaccinations and spayed/neutered.
Experience & References
Your fostering experience and references.
Have you fostered for a rescue before?
Yes
No
If yes, which rescue organization?
Why do you want to foster for Whitsend Animal Rescue?
Personal Reference (Non-Relative): Name
Relationship to Reference
Reference Phone Number
Please enter a valid phone number.
Certification
Please read and sign below.
By signing below, I certify that the information I have provided on this application is true and complete. I understand that:
1. Verification: Whitsend Animal Rescue is authorized to contact my landlord, veterinarian, and references.
2. Approval: Completion of this application does not guarantee approval to foster.
3. Inspection: I agree to allow a representative of Whitsend Animal Rescue to visit my home for a home inspection prior to approval.
Applicant Signature
Date
-
Month
-
Day
Year
Date
Print
Submit Application
Submit Application
Should be Empty: