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Foster Application
What type of animal would you like to foster?
Required
Cat
Dog
Either Cat or Dog
Full Legal Name
Required
Address
Address 1
Address 2
City
Country
United States
State/Province
Postal Code
Home Phone
Cell Phone
Work Phone
Email
Preferred Contact Method:
Required
Email
Home Phone
Cell Phone
Work Phone
Household Information - Do you
Required
Own your home
Rent
If you rent, Landlord's name:
In you rent, Landlord's phone:
Does anyone in the household have allergies?
Required
Yes
No
If yes, please list:
How many Dogs are in your home today?
Required
Describe the Dogs in your home (Name, Breed, Age, Male/Female, Spayed/Neutered, Indoor/Outdoor):
How many Cats are in your home today?
Required
Describe the Cats in your home (Name, Breed, Age, Male/Female, Spayed/Neutered, Indoor/Outdoor):
What other animals are in your home today?
Name of your Vet Clinic?
Required
Vet Clinic Phone Number:
Required
Are your pets current on all vaccinations?
Required
Yes
No
How do your current pets react to other animals?
Required
Please Check all the types of animals you are interested in fostering:
Required
Kittens too young for adoption
Moms and Kittens
Under socialized Kittens
Puppies too young for adoption
Moms & Puppies
Under socialized Dogs
Kennel Stressed Dogs
Who will be primarily responsible for the daily care of the foster animal?
Required
Do you have the ability to isolate the fostered animal from your pets?
Required
Yes
No
Do you have a fenced yard?
Required
Yes
No
Are you comfortable giving an animal medication, if needed?
Required
Yes
No
How many hours per day do you have to spend with your foster animal?
Required
What supplies do you have available for your foster animal?
Required
Food
Dishes
Cat Litter
Litter Boxes
Bedding
Crate
Toys
Other Supplies/Comments:
Please list any animal handling experiences you have that specifically involves medical care, socialization, training and weaning kittens or puppies:
Required
Please list names and phone numbers of two personal references who are not related to you or living in the same household:
Required
By checking this box
Required
I authorize investigations of all statements in this application and understand that veterinarians, other humane societies, landlords, etc. may be contacted.
By typing my name in the box provided, I certify that all the above information is true, and I recognize that any misrepresentation of fact may result in losing the opportunity to foster.
Required
Date
Americas/Chicago
Submit