Foster Application Name(Required) First Middle Initial Last Birthday(Required) Email(Required) Phone(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Are you over the age of 18?(Required) Yes No Names of other adults living in the residence and their relationship to you? Include first & last namesNote: Failing to list all adults living in the residence may automatically disqualify you.Not all violations will disqualify you, if you have a criminal record and you would like to explain the situation, please do so here:Do you experience stress due to clutter in your household?(Required) Yes No If yes please explain: Do you often collect free things or buy more things than you need or can use or can afford?(Required) Yes No If yes please explain: What kind of animal are you interested in fostering?(Required) Bottle baby kittens Kittens (not bottle baby) Pregnant/nursing mothers Adult cats Long-term fosters Medical fosters (URIs, ear infections, post-surgery, etc) Kittens or cats with disabilities Hospice care for senior pets Under-socialized/semi-feral cats or kittens Behavioral issues (anxiety, litter box usage, shy) Wellness foster (cats in need of a break from the shelter) Puppies Adult dogs Puppies or dogs with disabilities Please check all of the options you would be comfortable with. Do you have other pets?(Required) Yes No Please list pet(s) in your household including name, breed, sex, vaccination status, and if they are spayed or neutered.Do you have any children?(Required) Yes No Please specify ages their ages. Are you currently renting or owning your home?(Required) Renting Owning If renting, please provide the property name, landlord's name and phone number.Do you work full time or part time?(Required) Full Time Part Time Retired/not working What is your employer's name? Leave blank if you do not currently work. How many hours will the foster be home alone during the day/night?(Required) In what room or area of the home would you keep a foster? For health and safety reasons we ask that fosters are kept separate from personal pets. Suitable areas include a spare room or bathroom. Do you have a fenced in back yard?(Required) Yes No Do you have experience caring for an animal?(Required) Yes No Do you have experience caring for an animal with special needs?(Required) Yes No Please write about your experience(s).Do you have experience caring for a bottle baby kitten?(Required) Yes No Please write about your experience(s).Why are you interested in fostering an animal?(Required)Additional comments:EmailThis field is for validation purposes and should be left unchanged. 50685
