Foster ONLINE Application

Applicant's Name *

First Name Last Name

Note: All applicants must be 18 years of age or older.

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

E-mail

HOME Phone Number

Area Code Phone Number

CELL Phone Number

Area Code Phone Number

WORK Phone Number

Area Code Phone Number

Driver's License #

State of Issue

Date of Birth

Applicant's Occupation

Place of Employment

Do you live in a

House Apartment Townhome Mobile Home

Do you rent or own? *

Length of time at current address? *

If renting, does landlord allow pets?

If yes, landlord's name:

Landlord's phone number:

Do you plan to move within a year? *

Yes No

How many adults live in your home? *

How many children live in your home? *

Age(s) of child/ren, if applicable:

Is anyone in your household allergic to cats?

Is anyone in your household afraid of cats?

Please describe the area in your home where the cat(s) would be kept:

Will you be willing and able to keep the cat(s) indoors at all times?

Would you be willing and able to transport the animal(s) to a veterinarian in needed?

Do you have an area in your home where fosters could be isolated animals if necessary?

Do you currently own any dogs, and if so, how many? *

Age of dogs:

Do you currently own any cats, and if so, how many? *

Age of cats:

Do you currently own any other types of animals? If so: what type, and how many?

Have all of the animals you currently own been spayed/neutered?

Yes No

If not, please explain:

Do all of the animals you currently own have necessary vaccinations?

If you currently have cats, have they been tested for Feline AIDS (FIV)/Leukemia (FeLV)? *

Yes No

What were the results of those tests (positive or negative)?

If you currently have cats, have they been vaccinated against Feline AIDS (FIV)/Leukemia (FeLV)? *

Yes No

Name of Veterinarian and Veterinary Practice you have used in the past/present:

If no prior experience with using a Veterinarian, who do you plan to use for medical care for this cat?

Please indicate which types of cats you would be willing to foster:

Nursing mothers with babies Orphaned babies Young cats Adult Cats Elderly cats Cats with minor injuries Cats with illnesses which may require medication and/or quarantine Animals that need socialization

Do you allow PAWS to contact your Veterinarian to validate medical history of previous pets?

Yes No

REFERENCE #1: Please provide a reference that is NOT a family member/related to you. *

First Name Last Name

REFERENCE #1's Phone Number *

REFERENCE #2: Please provide a reference that is NOT a family member/related to you. *

First Name Last Name

Reference #2's Phone Number *

Applying to foster a cat with false infomation or by deceptive means will result in your application being denied.

By signing this application I confirm the following:

1. I wish to provide a foster home for PAWS Animal Welfare Society Inc. Fort Kent.

2. I fully understand that whenever my volunteer work involves contact of any kind with animals, there is a risk that I may be scratched, bitten, or may come into contact with a diseased animal, and I accept this risk and will not hold PAWS Animal Welfare Society Inc. Fort Kent responsible in any way for any injury or illness that I or other members of my family/household may incur.

3. In consideration for the opportunity to perform volunteer work for PAWS Animal Welfare Society Inc. Fort Kent, I agree to fully release the PAWS Animal Welfare Society Inc. Fort Kent and its officers, or volunteers from any and all liability for any damage or injury, whether arising from this contact or a breach thereof.

4. I understand that all PAWS Animal Welfare Society Inc. Fort Kent information given to me and all information that I will be privy to in the course of my volunteer work is of a confidential nature, and I agree that I will not disclose such information to any individual or group.

5. I understand that it is my responsibility to acknowledge and respect all rules, regulations, practices, procedures, and policies of PAWS Animal Welfare Society Inc. Fort Kent.

6. I have read this agreement, and I fully understand and agree to abide by its terms.

7. I acknowledge that the above information is correct to the best of my knowledge and that I am 18 years or older.

Applicant's Signature:

By signing electronically you agree your electronic signature is the legal equivalent of your manual signature on this form.

Date:

Your application will be reviewed by our current Board members for approval; it must be fully completed for consideration. Thank you for your interest in our organization, and you will hear from us soon!

Paws Animal Welfare Society of Fort Kent goes to great lengths to ensure that the kitten/cat you are fostering/adopting is in good health. However, as with any animal, there can be unknown illnesses that occur as time goes on or that can develop when the cat is stressed, e.g. during the transition to a new environment.

-->PAWS provides a 7-day post-adoption fee-return policy. By initializing below, you agree to have the cat examined by a licensed veterinarian within that time. If an unanticipated health problem is discovered during this first examination within those 7 days, the cat may be returned for a full refund of the adoption fee or you may ask PAWS for consideration in paying for a portion of the vet bill.

-->After the 7-day period, you agree to have the cat examined by a licensed veterinarian on an annual basis for a "wellness check-up." In case of illness or injury, you agree to seek prompt veterinary care. You agree to keep rabies and distemper vaccinations current. Unless agreed upon with you beforehand, all Paws fosters/adoptees have been dewormed twice, have had a Rabies vaccination, have been spayed/neutered and have had their 1st distemper vaccination. These vaccinations are not "life-long" vaccinations, and it is your responsibility to maintain a current vaccination schedule from this point on. Paws often also does additional medical treatments for cats while under the care of Paws, which are not listed above, but which you will receive a full record of when we mail you your adopted cat’s medical records.

->It is your choice whether or not you’d like to give your newly adopted cat non-standard/non-core vaccinations, and you should do so at your own discretion and with the advice of your veterinarian. It is also your decision whether or not you bring this new cat to the veterinarian upon foster/adoption and have it tested for communicable diseases before introducing it to your household.

-->Paws cannot be liable for the future health of the kitten/cat you are adopting. Paws cannot be liable for the future health of other pets you may have in your household that will be exposed to the fostered/adopted Paws cat.

Please initial below to verify that you have read this application in its entirety: *

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Foster Application