FOSTER PARENT APPLICATION

Name and Age of Foster Parent:

Name and Ages of all people living in your household:

Address:

City:

State:

Zip Code:            

Township:

County: 

Home Phone: (including area code)          

Cell Phone: (including area code)           

Email address:

How long have you lived at the above address?

Previous Address:

City:

State:

Zip Code: 

Who are you employed by?

Work phone: (including area code)          

Type of animal you're interested in fostering:
Mother with babies       Just kittens      Doesn't matter, will foster either

Where did you learn about our foster program (check those which apply)?
petfinder.org             article in the paper          Petsmart
radio station             friends/relatives
Other:  

How much time do you have to spend with the animal you are interested in fostering? Please keep in mind if you are fostering nursing kittens without a mom, they must be fed every couple of hours. 

Are you familiar with caring for very young kittens with or without a mother?
  Yes         No
If yes, please explain your experiences.

Do you live in a (check which applies):
Home              Apartment                Mobile Home
Other:  

Do you: Rent         Pay Lot Rent (Mobile Home)          
Own (proof of ownership may be required)

To whom do you pay rent or pay lot rent?
Name:
Phone number (including area code):          

Do you live in your parent's home any part of the year?   Yes          No
If yes, provide parent's name:
Parent's phone number (including area code):          

Is anyone in your household allergic to animals?   Yes       No
If yes, who is and what are they allergic to?

Why do you want to foster an animal?

Who will be in charge of daily pet care?

Where will the pet(s) be kept during the day? Check all that apply.
Garage        Crate/Cage        Finished Basement       Unfinished Basement   Inside Home, kept in a single room       Inside Home, given the run of the house
Other (please explain):  

Where will your foster pet(s) be kept at night?

Where will the pet(s) be kept while at work?

Do you have an area to keep foster pet(s) away from your current pets?
Yes            No             N/A

Are you familiar with the laws concerning rabies vaccinations for dogs and cats?
Yes            No

If fostering a cat or kittens, how would you deal with the problem of not using the litter pan or scratching, etc.?

Have you ever been a foster parent for an animal shelter before?    Yes       No
If yes, which shelter (please include location, i.e. town and state)?

Have you ever owned a pet?     Yes        No
If yes, what kind of pet?


If yes, do you still have the pet(s)?    Yes       No
If no, please explain:

List all the current pets living in your home or outside your home:

Name:   Dog    Cat   Other:
Breed:    Sex:  M    NM   F   SF

Name:   Dog    Cat   Other:
Breed:    Sex:  M    NM   F   SF

Name:   Dog    Cat   Other:
Breed:    Sex:  M    NM   F   SF

Name:   Dog    Cat   Other:
Breed:    Sex:  M    NM   F   SF

Name:   Dog    Cat   Other:
Breed:    Sex:  M    NM   F   SF

Name:   Dog    Cat   Other:
Breed:    Sex:  M    NM   F   SF

Name:   Dog    Cat   Other:
Breed:    Sex:  M    NM   F   SF

Name:   Dog    Cat   Other:
Breed:    Sex:  M    NM   F   SF

 

Veterinarian's name, location and phone number:

As a Foster Parent for CVAS, I agree to the following conditions:

I certify that I am at least 18 years old and the above statements are true and agree to the conditions of this application:
I confirm and agree.     

**Please note that by clicking the confirm and agree button and then pushing submit, you are providing the electronic equivalent of your signature.