Foster Application Form

Information provided here will help us find you the purrfect match!

First Name *
Last Name *
Phone *
Email *
What type of animals are you able to foster? * Select all that apply	Cats
Do you already have a foster animal in mind? *
What is the name of the animal?
Type of residence *	House Apartment Other
Other (please describe)
Address Line 1 *
Address Line 2
City *
Is your mailing address the same as your street address? *
Mailing Address Line 1 *
Mailing Address Line 2 *
Mailing City *
How long have you lived at this address? * Number of years and/or months
Do you? *	Rent Own Shared Accommodation (with roommates)
Landlord's First Name * Write 'not applicable' if you do not have a landlord.
Landlord's Last Name * Write 'not applicable' if you do not have a landlord.
Landlord's Phone * Write 'not applicable' if you do not have a landlord.
Do you have general insurance? *
Have you discussed having this pet with your landlord or roomates? *	Yes No Not Applicable
Do you or anyone you live with have allergies? *
How many adults (including yourself) reside in the home? *
How many children reside in the home? *
How many hours per day would you be away from home? *
How often do you travel away from home? *
Who will watch and care for your pet while you travel? *
Do you currently have any pets? *
Pet information * Please include your animals names, breed, gender, age, whether they are spayed/neautered, and if their vaccines are current.
Are there any animals on your property that are not altered? *
Veterinarian Name *
Veterinarian Phone *
I hereby authorize my veterinarian to release any medical records requested by Critteraid *
Are there any animals on your property that are being treated medically? *
What animals? *
Have you had any pets in the past? *
Pet Information * Please include your animals names, how long you had them, and the reason you no longer have the animal/s.
Why do you want to foster an animal? *
What are some reasons you might have to return a fostered animal? *
Do you have a fenced yard? *
How high is the fence, and is it secure? *
How long are you able to foster an animal? * Select all that apply.	Emergency (1-3 days) Short-Term (less than 4 weeks) Long-Term (1-12 months)
Are you willing and able to give medication prescribed by a veterinarian to an animal you are fostering? *
If the animal you are fostering needs emergency medical treatment and you are unable to reach the Critteraid representative, where would you take the animal for treatment? *
You declare: * I hereby declare that the information provided in this form is true and correct. I also understand that any willful dishonesty may result in refusal of this application.	This information is truthful and I understand
You understand: This form must be completed by all individuals / animal organizations wishing to foster an animal for Critteraid. The completion of this form does not guarantee that an animal will be placed with you. To foster an animal, the responsible party must be at least 19 years of age. This is not an Adoption Agreement. If an animal is placed with you, it is understood to be a temporary arrangement. Critteraid appreciates your interest in fostering an animal that is brought in to rescue, or be placed in temporary housing while the guardian is in transition, or if the animal is feral and experiencing rehab or fostering until he/she can be adopted. In an effort to further protect the animals we have been involved in rescuing and sheltering, we take great care to ensure that the foster homes these animals go into will provide them with the proper daily care and lots of love. In addition, animals have other specific needs and we want to make sure their foster home can meet these needs. Making the decision to foster an animal is a big responsibility and we want to make sure that everyone in your household realizes this. Therefore, we will do everything possible to make sure this is the right match for you and the animal.
Do you understand? *	Yes I Understand