CAT FOSTER APPLICATION FORM

CAT FOSTER APPLICATION FORM

Up Manhattan Cat Rescue Positive Action For Neighborhood Cats
Name of applicant
Date of application

MonthDayYear
Date
Address

Street address

Street Address Line 2

CityState

Zip
Phone
Format: (000) 000-0000.
Email
example@example.com
How long have you lived at this address
Do you have any current pets? If so, what are their names, species, and sex?
Have they been spayed or neutered?

YesNoNot Applicable
Have they been tested for feline leukemia (FeLV) and FIV?

YesNoNot Applicable
What is your age range

Under 23 yrs23 to 55 yrs55 to 65 yrsOver 65 yrs
How much time can you commit to fostering a cat

Short termLong termUnknown/TBA
Do you have a separate room/bathroom to hold a foster cat temporarily (for adjustment to your home)?

YesNoTBA
Are you willing to foster cats with behavioral issues, medical issues, or special needs?

YesNoTBA
If you responded 'Yes' to the last question. Please choose any that apply below

Cats with Medical Issues (may required medication)Senior Cats (10 years and older)Bottle Babies (0-4 weeks - this requires 24/7 care)Kittens (4-8 weeks requiring medication)Nursing mother and kittensShy cats or kittens who require socialization
Do you Smoke?

YesNoeCigarettes
If so indoors or out
Are you willing to take foster cats to a vet appointment? Transport and vet costs covered by rescue

YesNoUnsure/TBA
Does any member of your household have an allergy to cats?

YesNoUnsure/TBA
How many cats can you foster at one time
Number of childen under 10 in your household
Where to do you live

HouseApartment/CondoOther
Do you own or rent your home?

OwnRent
If you rent, may we contact the owner to obtain permission for this cat to live in your home?

YesNoCan we discuss this? Sensitive issue
Owner's name and phone number
What is your current occupation
Do you have screens on your windows?

YesNo
Are you willing to have a representative of Up Manhattan Cat Rescue come to see where the cat(s) will be living?

YesNo
If you go away for a few days or on a vacation who will take care of the cat
Please provide two references. Only one can be an immediate family member:
Reference 1 Name
Reference 1 Phone
Format: (000) 000-0000.
Reference 1 Email
example@example.com
Reference 2 Name
Reference 2 Phone
Format: (000) 000-0000.
Reference 2 Email
example@example.com
Thank you for considering giving a cat a foster home!
NYS Rescue Registry #579

www.upcatrescue.org

Email: info@upcatrescue.org
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