FOSTER APPLICATION
Name
Address
Work Phone #
Home Phone #
E-Mail Address
Do you have children?  Yes     No 
Ages   
Is anyone in the household allergic to or afraid of animals?  Allergic          Afraid
What type of Animal  
List Pets in household (type and ages). Please note if not tolerant of other animals.
All pets spayed or neutered?   Yes      No
All pets vaccinations current?   Yes      No
Veterinarian Name & Number
How many people in home? Adults       Children  
Rent    Own Apartment
Rent    Own   House
Do you have a yard?  Yes       No
Is it fenced?  Yes       No   
Completely       Partially        Height
Can you provide appropriate space and comfort indoors?  Yes       No
Can you provide isolation areas for sick animals?  Yes        No
If fostered before please give types of animals and for what organization.
If currently fostering, provide animal information.
Are you able to give medications to fosters and care for sick animals?  Yes    No
If necessary, are you able to provide supplies (outside of medicine to care for your foster?  Yes     No
What type of animals would you foster? Check all that apply. Cats       Kittens        Dogs       Puppies      Rabbits
Nursing Cats           Nursing Dogs      Exotics
Neglected or Abused Animal    Animals with Behavior Issues
How long would you consider fostering an animal? Long Term           Short Term
Are you willing to purchase a city license for any dog you foster for more than 14 days?  Yes       No
Location you would like to foster for? North Side Shelter            Fallen Timber Shelter
Additional Comments
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