Fostering Expression of Interest

Fostering Expression of Interest

Friends of Bush Pups volunteer foster application. Please complete all fields and agree to the declaration statements.
Applicant Information
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Mobile Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Fostering Preferences
Dog age preference*

Puppy (up to 6 months old)Mature DogsSenior Dogs
Dog size preference*

Small breed dogsMedium breed dogsLarge breed dogs
Dog sex preference

Female dogsMale dogs
Are you able to foster more than one dog at the same time?

YesNo
If yes, How many dogs or puppies can you foster?
Housing and Household
Housing status*
Landlord approval (if renting)
Current dwelling type*

HouseUnit / DuplexApartment blockRural / Acreage
Is the yard fully fenced?
How many people live in the household?*
Do children live in or frequently visit the home?
Number of children under 5 years old
Number of children aged 5 to 10 years old
Number of children aged 10 to 15 years old
Other Pets and Home Environment
Do you have any other pets?*
Please provide details of your other pets
Are all pets desexed?*
Will foster dogs be allowed inside the home?*
Please describe the shelter and/or shading available if foster dogs need to be kept outside at times
Care, Transport, and Support
How often would the foster dog need to stay alone at home?
Average number of hours the foster dog may need to be alone on any one day
How often would you be able to exercise or walk the foster dog?
Can you transport the foster dog to a Friends of Bush Pups nominated vet on the southside of Cairns if necessary?*
Are you willing to provide good quality pet store food?*
Do you consent for a Friends of Bush Pups representative to contact you to arrange a mutually agreeable time to talk and/or meet?*
Additional information relevant to your application
Agreement, Declaration, and Submission Confirmation
I acknowledge that this is an Expression of Interest only and does not guarantee approval to foster.*

I agree
I confirm that the information provided is true and complete to the best of my knowledge.*

I agree
I understand that further assessment and reference checks may be required.*

I agree
I consent to being contacted regarding this application and any follow-up steps.*

I agree
I understand that the fostering agency may request additional information or documentation.*

I agree
I agree to notify the fostering agency of any material changes to my circumstances.*

I agree
I understand that any placement decision is subject to the needs of the child or young person.*

I agree
I confirm that I have read and understood the fostering requirements and responsibilities.*

I agree
I consent to the processing of my application information for fostering assessment purposes.*

I agree
I understand that the submission of this form does not create a fostering placement or contract.*

I agree
I declare that I have the authority to submit this form and make the above declarations.*

I agree
Signature*
Printed Name*
Date*

MonthDayYear
Date
Should be Empty:

Fostering Expression of Interest

Applicant Information

Fostering Preferences

Housing and Household

Other Pets and Home Environment

Care, Transport, and Support

Agreement, Declaration, and Submission Confirmation