Your Name *

First Name

Last Name

Do other adults live in the home with you? *

Yes

No

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number *

(###)

###

####

Is this phone number a cell or landline?

Cell phone

Landline

Preferred method(s) of contact regarding your application:

Email

Text

Call

Your Date of Birth (used only for a basic background check) *

MM

DD

YYYY

Do you: *

Rent

Own

Live with the homeowner

Do children live in your home? *

Yes

No

Do you have a separate room for foster animals? *

Yes

No

Have you owned any pets within the last five years? *

Yes

No

What is the owner's name listed on the veterinary account?

First Name

Last Name

Are all of your current animals up-to-date on rabies and distemper vaccinations? *

Yes

No

Unsure

I do not currently own any pets

Have your cats been tested for FeLV? *

Yes

No

Unsure

I do not currently own cats

Do you have any declawed cats living with you? *

Yes

No

I do not currently own cats

What types of animals are you interested in fostering? *

Check all that apply.

Puppies

Adult dogs

Kittens

Adult cats

What kind of foster care can you provide? *

Check any that apply.

Bottle-feeding kittens

Bottle-feeding puppies

Mother cats with kittens

Mother dogs with puppies

Orphaned kittens

Orphaned puppies

Pregnant cats

Pregnant dogs

Senior cat care

Senior dog care

Cats: behavior rehabilitation or socialization (especially needed for shy cats)

Dogs: behavior rehabilitation, training, or socialization

Cats recovering from sickness/illness (possibly requiring medication)

Dogs recovering from sickness/illness (possibly requiring medication)

Cats with FIV (feline immunodeficiency virus)

Dogs being treated for heartworm

Today's Date *

MM

DD

YYYY