Foster Provider Application

1. What is your full legal name?

2. Please list any other names that you have been known by (including any names before and after divorce, etc.)

Write "none" if don't have any other names.

3. What is your current address and phone number

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

4. What is your email address?

example@example.com

5. Types of animals that you want to foster (we will request more in depth information about this question in number 35):

Other

6. Have you ever been convicted of abuse, neglect, or abandonment of an animal?

7. How old are you?

Enter the number in years. We do not need your date of birth.

8. Do you own your home, rent, or live with someone else who owns or rents the home?

Other

9. If someone else owns the home, such as a landlord, apartment complex, parent, other relative, friend, roommate, etc.) please provide their name and phone number below and explain any pet restrictions.

This information will be verified.

10. Please provide the name and phone number of someone, other than your veterinarian, that can tell us about your relationship with animals.

This information will be verified.

11. Where will your foster animal(s) spend the day?

12. Where will your foster animal(s) spend the night?

13. What behavioral issues or life changes would cause you to rehome your own pet?

14. What would you do if you could no longer care for your own pet?

15. What do you do with your pets when you go on vacation?

16. Have you owned any pets in the past 3 years?

17. If yes, what happened to them?

18. Please provide a list of your current pets.

Please provide names, breeds, and ages.

19. If you currently own cats, where do they stay?

20. Are all of your pets spayed/neutered?

21. If no, please explain why.

22. If you own dogs or cats, are they current on vaccinations?

Other

23. If no, please explain.

24. Do children live in the home?

25. If yes, how old are they?

26. What is the name and phone number of your veterinarian so that we can contact them?

If you do not have a vet, please state this.

27. Does everyone in the home agree with the decision to foster pet(s)?

Other

28. Have you ever surrendered a pet to an animal shelter (not including rescued strays)?

29. If you have surrendered a pet to a shelter, what type of animal and what was the reason?

30. Do you feel that you are financially able to care for your own pets, including proper food, vaccinations, parasite control, shelter, and veterinary care?

Other

31 . Years of experience living with companion animals. Please count years when a parent or other caregiver was the primary person caring for the animals.

Rows	0 - no experience	1-5 years	6-10 years	11 or more years
Cats
Dogs
Other Animals

32. Years of experience as the primary person in the home responsible for caring for companion animals. Do not include years when a parent or other caregiver was the primary person caring for the animals.

Rows	0 - no experience	1-5 years	6-10 years	11 or more years
Cats
Dogs
Other Animals

33. Years of experience fostering companion animals.

Rows	0 - no experience	1-5 years	6-10 years	11 or more years
Cats
Dogs
Other Animals

34. Years of experience with the following skills related to fostering companion animals

Rows	0 - no experience	1-5 years	6-10 years	11 or more years
Bottle feeding animals
Trapping and transporting animals for surgery (TNVR)
Administering medication
Administering vaccines
Administering subcutaneous fluids
Other (please describe in next question)

35. Which of the following types of animals are you interested in fostering?

Rows	CATS	DOGS	OTHER COMPANION ANIMALS
Bottle-feeding neonates (4 weeks and under)
Respite for neonates that require bottle feeding
Tiny babies (4 weeks through 8 weeks)
Babies (8 weeks through 14 weeks)
Older babies (14 weeks up to 6 months)
Teens (6 months and up)
Pregnant mothers
Mothers with neonates or tiny babies
Shelter and transport for feral cats that need overnight shelter and transport
Sick animals
Adults

36. Please describe any past experiences that will help with fostering companion animals.

37. Are you interested in other volunteer opportunities with FELT?

Rows	YES	NO	MAYBE
Grant writing
Adoption screening
Special events (adoption and other events)
Training
Community help such as pet food assistance and home budgeting
Communications and social media
Photography
Trapping and transporting animals for surgery (TNVR)
Family preservation (keeping pets in current home)
Business sponsorship and development
Transporting companion animals as needed
Transporting wildlife to rehabiltators
Providing urgent care to companion animals
Intake and evaluation of companion animals
Scheduling testing, vaccinations, and surgeries
Volunteer screening

38. Please describe any past experiences that will help with other volunteering through FELT.

39. What would you like to achieve by fostering with FELT?

40. Enter the message as it's shown

41. By signing below, you affirm that the information provided in this application is true to the best of your knowledge. You authorize FELT to check the information provided in this application by all means necessary, including contacting your veterinarian, landlord, references, criminal background, etc.