Foster Volunteer Application

First Name:		Last Name:
Street Address:
City: Please enter your first name		State:	Zip:
Phone:	Work:	Home:	Other:
Email:
Would you be willing to serve as an emergency foster care provider for short periods of time (between one and five days)? Yes No
What experience do you have with cats?
Do you have any fostering experience? Yes No
If so, please describe (including type, breed, sex, age, etc.)
Are you willing to transport the foster to vet appointments? Yes No
Will you be able to keep the foster cat(s) separate from your own animals for at least the first two weeks? Yes No
Who will be responsible for the day-to-day care of the foster cat(s)?

Please list all current pets below:
Type of pet	Spayed or neutered?	Indoor, outdoor or both?	Vaccines Current?	Good with Cats?
	Yes No	Select Indoor Outdoor Both	Yes No
	Yes No	Select Indoor Outdoor Both	Yes No
	Yes No	Select Indoor Outdoor Both	Yes No
	Yes No	Select Indoor Outdoor Both	Yes No
	Yes No	Select Indoor Outdoor Both	Yes No
	Yes No	Select Indoor Outdoor Both	Yes No
	Yes No	Select Indoor Outdoor Both	Yes No

Please indicate your housing status: Rent an apartment Rent a house Own a house or condo Live with parents
If you rent, please provide your Landlord's name and phone number below:
Landlord's Full Name:
Landlord's Phone:
Do you work outside the home? Yes No
How many hours a day are your pets left alone?
Do you have children in your household? Yes No
If so, please list their ages:
Please provide the name and phone number of your vet:
Name:
Phone:
Please Provide 2 References:
Name:	Phone:	Email:	Relationship to Applicant:
Name:	Phone:	Email:	Relationship to Applicant:
Time available for a home visit and interview?
Additional Comments:

How did you hear about our rescue efforts?
I am over 18 years of age	Yes No
Please provide any other information you feel would be helpful to us in screening your application: