Foster Application/Questionnaire

Thank you for offering your time, once submitted you will be contacted by email with our next orientation date and a request for confirmation.

Name - First *
Name - Last *
Date of Birth *
I am over 18 Years old * If you are not 18 or over please do not continue. We cannot accept volunteers under 18 for liability reasons. However many young men and women help by raising money, blanket, food and toy drives. We would love your help. You do not have to fill out this application to contribute in other ways.	NoYes
Please list all adults in your home AND their date of birth.
Email *
Phone *
Address
City
State
ZIP
Do you own your home?	NoYes
If renting, do you have permission to foster animals on the property?	NoYes
If renting, please provide your landlord's name and phone/email:
Who is your primary vet?
Have you fostered animals before?	NoYes
What types of animals have you fostered?
Are you willing to foster adult dogs?	NoYes
Are you willing to foster puppies?	NoYes
How many dogs/puppies are you willing foster at one time?
Are you willing to foster adult cats?	NoYes
Are you willing to foster kittens?	NoYes
How many cats/kittens are you willing to foster at one time?
Are you willing to bottle feed puppies or kittens?	NoYes
Are you willing to foster animals with medical needs?	NoYes
Please describe any experience you have with the following: neonatal kittens, pregnant or whelping dogs and cats, sick animals, injured animals, puppy litters, kitten litters, behavioral problems, pills, eye drops/cream, ear medications, liquid medications, sub-q or other relevant experience:
How long will the animal be left alone during the day?
Will you be able to bring the pet to adoption events as often as once a month?	NoYes
Signature *	Clear