Foster Carer Agreement - AWL NSW Shoalhaven

AWL NSW - Shoalhaven Region

Foster Carer Application
Date of Application
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Postcode
E-mail*
example@example.com
Phone Number
If you work etc best time to contact you.
Identification
Drivers Licence Centrelink ID* Number*
What type of fostering interests you?

Adult CatsDogs - Small breedCats pregnant or with kittensDogs - Large breedKittensPuppiesScaredy KittensRabbitsFungus fighter - Ringworm Kittens.Surgical recovery or ongoing medicalBehaviour or SocialisationDogs requiring toilet training.Guinea PigsOther
Which best describes your home - Please tick all that apply

Unit/TownhouseHouseAcreageRentalOwnedShared accomodation

Existing pets

	Name and age of pet	Breed	Desexed yes/no	Date of last vaccination	Temperament with other animals	Indoors outdoors or both
1
2
3
4
5
6
7
8

If you are renting do you have permission for animals

yesApplied awaiting approvalNoNot applicable
Do you have transport to take animals to or from vet appointments

YesNo
Who lives in your home
Do you have a suitable area to quarantine foster animals away from your own for the first two weeks?
Yes No If yes please describe
Are you a member of any other animal welfare organization?*

YesNo
If yes, Name of organisation and how you participate?
Are you willing to administer flea, wormer or other medications*

Yes to allFlea and wormers onlyNo
Do you have any previous experience with fostering? If so, please briefly describe.
Some carers choose to purchase some of their own supplies. This helps us keep costs down and let’s us help more animals. (Please note all vet costs and medical treatments including flea and worming are always covered by the branch). *
Please select one option
Do you have any special skills eg previous dog training, vet nurse etc ?
Cats - Are you able to provide an indoors only foster home (access to an outdoor cat run is fine).
Dogs - Are you happy for them to sleep indoors or would you prefer dogs that will sleep in a kennel.
Dogs - is your yard fully fenced.
Would you like to become a member of Animal Welfare League NSW Shoalhaven Branch?

Yes - please send me a copy of the membership form.No thank you. Not at this time
Signature

Clear
Note: If you cannot sign digitally please print and return a signed copy via email to awlshoalhaven@awlnsw.com.au or post to PO Box 850 Nowra NSW 2541
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AWL NSW - Shoalhaven Region