First Name:    

Last Name:  

Street address:

City:  

State:  

Zip:

Email:

Home Phone:    

Cell Phone:

Work Phone:

Best time to reach you:

Type of home you live in?

Apartment/Condo Town Home Single family home

Do you own your home?

Yes No

Do you rent?

Yes No

If yes, does your landlord permit cats?

Yes No

Do you currently have any dogs or cats of your own?

Yes No

If yes, please describe each of your pets (age, breed, male/female):

Are your pets current on vaccinations?

Yes No

Have your pets been spayed/neutered?

Yes No

Have you ever given up a pet?

Yes No

If yes, please explain:

Why do you want to foster a cat?

How many people reside in your household:

Adults         Children

What are the ages of everyone residing in your household:

Does anyone in your household have allergies?

Yes No

If yes, please explain:

Which family member will be the cat's primary caregiver?

How many hours a day will the cat be left alone?

Where will the cat be kept during the day?

Where will the cat be kept at night?

Do you have a veterinarian?

Yes No

If yes, name of veterinarian:

Veterinarian phone number:

What pet names and last name are your records under?

If necessary, are you willing to take your foster cat to a veterinarian approved by Animal Welfare Foundation?

Yes No

Are you willing to have someone from the Animal Welfare Foundation visit your home prior to fostering?

Yes No

Are you willing to foster a special needs or senior cat?

Yes No

Are you willing to foster a cat recovering from surgery and/or on medication?

Yes No

Are you willing to foster more than one cat at a time?

Yes No

Will you be able to provide your foster animal with quality brand cat food? (By this, we mean food other than generic or store brands.)

Yes No

Have you ever owned or fostered a rescue animal before?

Yes No

If yes, explain:

Name:

By clicking on submit, I hereby certify that all the information supplied by me on this form is true. I understand that falsifying anything on this application or at any other time during the fostering period will disqualify me from fostering.