Kitty Konnection: Foster Application
Applicant's First Name
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Applicant's Last Name
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Street Address
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Apartment Number (if applicable)
City
*
State
*
Zip Code
*
Cell Phone Number (xxx-xxx-xxxx)
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Alternate Phone Number
Please use the following format 248-555-1212
Email Address
*
Please enter correctly as this is the main way we will contact you
Please re-enter your email address
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What is your age?
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Employment Status
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Full-Time
Part-Time
Retired
Work from Home
Stay at Home Parent
Student
Unemployed
Other
Occupation:
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Employer:
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What is your work or school schedule?
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What school do you attend?
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Spouse/Roommate name:
Do you currently have any cats?
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No
Yes
How many cats do you have?
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What are their ages and how long have you had them?
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Do they get along with other cats?
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Yes
No
Unsure
Are your cats current on vaccinations? Check all that are current
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Rabies
Distemper
Are your current cats spayed/neutered?
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No
Yes
Are your cats on preventative flea medication?
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No
Yes
Are your cats:
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Inside only
Inside/Outside
Outside mostly
Outside
Do you currently have any dogs?
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No
Yes
How many dogs do you have?
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Please list your current dog(s) age, breed, and how long you have had them.
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Are your dogs:
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Outside only
Inside only
Inside/Outside
Are your dogs good with cats?
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Yes
No
Not sure
Please provide information on your dog(s) previous experience with cats
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Are your dogs current on vaccinations? Check all that are current
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Rabies
Distemper
Are your current dogs spayed/neutered?
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No
Yes
Are your dogs on preventative flea medication?
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No
Yes
Are your dogs on preventative heartworm medication?
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No
Yes
Please list what types of pets (besides cats and dogs) and the number of each you have living inside and outside the home.
Veterinarian's Office (if you don't have a current vet, where do you plan to go?)
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Veterinarian's Name
If you have never owned a pet please tell us where you would go.
Veterinarian's Address
*
Again if you have never owned a pet please list where you would go
Veterinarian's Phone Number
*
I live in a:
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Single Family Home
Apartment
Townhouse
Duplex
Mobile Home
Do you own or rent your home?
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Own
Rent
Are you subject to Association limits on pets?
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No
Yes
What is your Association limit number on pets?
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Do you have written permission from your landlord to have a cat?
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No
Yes
Landlord Name:
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Landlord phone number:
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Are there children in the home?
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No
Yes
How many children?
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How old are the children?
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Have any of the children had a cat before?
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No
Yes
Including yourself, how many adults live in your household?
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Have they all agreed to fostering cat(s)?
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No
Yes
Do you have a room(s), separate from other animals, to dedicate to the foster cat(s)?
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No
Yes
What room(s)?
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How many hours per day will there be NO ONE home with your kitty Monday-Friday?
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How many hours per day will there be NO ONE home with your kitty Saturday-Sunday?
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How will your cat spend its DAYS when someone IS home? (check all that apply)
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whole/part house access
single room
sunroom
screened porch
basement
garage
crate
How will your cat spend its DAYS when someone is NOT home? {check all that apply}
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{whole}/{part house access}
{single room}
{sunroom}
{screened porch}
{basement}
{garage}
{crate}
How will your cat spend its NIGHTS? (check all that apply)
*
whole/part house access
single room
sunroom
screened porch
basement
garage
crate
When you are gone for 24-48 hours, how will your cat be cared for? {check all that apply}
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{will leave food and water}
{neighbor/relative}
{pet sitter}
{board at kennel}
{other}
Please explain if "other"
When you are gone for more than 48 hours, how will your cat be cared for? (check all that apply)
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will leave food and water
neighbor/relative
pet sitter
board at kennel
other
Please explain if "other"
Are you willing and able to take your foster cat(s) to veterinarian visits at our vets, Care More Animal Hospital, McDuffie Animal Hospital, or Edgefield Animal Hospital?
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No
Yes
Are you willing and able to bring your foster cat(s) to adoption event at the Evans Petco at least two Saturdays or Sundays a month?
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No
Yes
Are you willing to keep accurate inventory and medical records for your fosters?
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No
Yes
Are you willing to foster the cats you agree to foster until they are adopted?
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No
Yes
If you decide to keep a foster cat, do you agree to pay the adoption fee and do the necessary paperwork the state requires?
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No
Yes
If you can no longer foster, are you willing to help secure an acceptable foster replacement?
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No
Yes
Once you sign up to foster, the state will consider your home a shelter and Kitty Konnection is required to do a home visit. It is unlikely, but the state may also choose your home to inspect at some time. I agree to allow Kitty Konnection to visit my home (virtual or in-person) by appointment as part of my application to foster?
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No
Yes
I understand that the state may choose my home to inspect as a foster for Kitty Konnection.
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No
Yes
Is there anything else you would like us to know when reviewing your application?
All of the information and answers I have provided in this application are true and correct. If any information changes, I will advise Kitty Konnection promptly
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No
Yes
Drivers License #
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State of Driver's License
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Signature
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Clear
