AID Foster ApplicationFirst Name *Last Name *Age *Email Address *Main Phone *Phone Type *HomeCellWorkOtherAlternate PhonePhone Type *HomeCellWorkOtherStreet Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Employment Status *Please select oneEmployedRetiredStudentStay-at-Home ParentUnemployedEmployer *Spouse/ Partner's First NameSpouse/ Partner's Last NameYour LifestyleIs anyone home during the day? *YesNoHow long have you lived at your current address? *Besides you and your spouse (if applicable) how many others live in your household?First Name *Last Name *Age *Relationship (child, parent, etc) *First Name *Last Name *Age *Relationship (child, parent, etc) *First Name *Last Name *Age *Relationship (child, parent, etc) *First Name *Last Name *Age *Relationship (child, parent, etc) *First Name *Last Name *Age *Relationship (child, parent, etc) *Lifestyle (select all that apply) *active/on the gohomebodyquiet/relaxednoisyentertain frequentlytravel frequentlyLiving arrangements *rentownlive with parentslive with friendsLandlord's First Name *Landlord's Last Name *Landlord's Phone Number *Residence *single family homecondo/townhouseapartmentliving at collegeYour Pet Experience and InterestWhat are your reasons for wanting to foster at this time? *What are you interested in fostering? Check all that apply *Bottle baby kittensWeaned kittens over 4–5 weeks oldTeenagersAdultsSpecial needs — medicalSpecial needs — timidMom with kittens/pregnant momHave you fostered before? *YesNoName of organization *Do you have experience caring for bottle babies? *YesNoWe cannot guarantee a cat to be litter box trained, are you equipped to train with love and patience? *YesNoWill your foster be permitted to go outside? *YesNoHow many hours per day will your foster(s) be left alone? *1-33-66-99+Where will the cat(s) be kept during the day? *Where will the cat(s) be kept at night? *Is anyone in your household allergic to animals? *YesNoExplain *Have you had any pets in the past 5 years? *YesNoPlease list the pets you've had in the past 5 yearsName *Age *Species *Select OnedogcatbirdreptilerabbitrodentotherStatus *Select Onestill havedeceasedhad to give uplostBreed and SizePersonality *Do you have a veterinarian? *YesNoVeterinarian Name *Phone Number *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *If more than one vet is used, please provide Name, Address, and Phone Number below: Please call your vet and give permission for them to speak to usAccessibilityAre you willing to take your foster to vet appointments? *YesNoAre you able to get your foster cats to adoption events on the weekends and occasionally during the week? *YesNoIt dependsDo you have room to isolate fosters from other animals in the house for at least 10–14 days? *YesNoAre you willing and able to medicate any provided medications to your foster? *YesNoHow long are you willing to keep a foster cat? *Are you willing to have an AID representative visit your home? *YesNoAre you willing to have prospective adopters visit your home? *YesNoDo you foresee any significant changes in your life in the next six months? *YesNoUnsurePlease list any limitations you may havePersonal Reference Please note that your reference cannot be a family memberReference First Name *Reference Last Name *Reference Phone Number *Additional Details and SubmissionHow did you hear about us? *Is there anything else you'd like us to know? By submitting this form, I give Animals In Distress (AID) access to all veterinary records of any and all animals I own or have owned. I give my consent for AID to contact the listed reference(s) and my landlord (if renting). I certify that all the information in this application is true and I understand that false information will void the application. Completion of this application in no way guarantees foster of a pet. AID reserves the right to deny approval of any foster.Applicant's First Name *Applicant's Last Name *Date * By selecting the "Submit" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Agreement.Submit
