AWL NSW Shoalhaven - Foster Carer Agreement

AWL NSW - Shoalhaven Region

Foster Carer Application
Date of Application
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State

Postcode
E-mail *
example@example.com
Phone Number
Identification
Drivers Licence Centrelink ID* Number*
What type of fostering interests you?

Adult Cats Dogs - Small breed Cats pregnant or with kittens Dogs - Large breed Kittens Puppies Scaredy Kittens Rabbits Fungus fighter - Ringworm Kittens. Surgical recovery or ongoing medical Behaviour or Socialisation
Which best describes your home - Please tick all that apply

Unit/Townhouse House Acreage Rental Owned Shared accomodation

Existing pets

Name and age of pet

dog/ cat

Desexed yes/no

Date of last vaccination

Temperament with other animals

Indoors
outdoors
or both

If you are renting do you have permission for animals

yes Applied awaiting approval No Not applicable
Do you have transport to take animals to or from vet appointments

Yes No
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? *

Yes No
If yes, Name of organisation and how you participate?
Are you willing to administer flea, wormer or other medications *

Yes to all Flea and wormers only No
Do you have any previous experience with fostering? If so, please briefly describe.
Do you have any special skills ?
Signature

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 Clear
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AWL NSW - Shoalhaven Region