AID Foster Application Company Your Information First Name * Last Name * Age * Main Phone * Type * Home Cell Work Other Alternate Phone Email * Address * City * State * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Employment Status * Employed Retired Student Stay-at-Home Parent Unemployed Spouse/ Partner's First Name Spouse/ Partner's Last Name Your lifestyle Is anyone home during the day? * yes no How long have you lived at your current address? * Please tell us all other family members of your household: Besides you and your spouse (if applicable) how many others live in your household? 0 1 2 3 4 5 Lifestyle (select all that apply) * active/on the go homebody quiet/relaxed noisy entertain frequently travel frequently Living arrangements * rent own live with parents live with friends Residence * single family home condo/townhouse apartment living at college Your Pet Experience and Interest What are your reasons for wanting to foster at this time? * What are you interested in fostering? Check all that apply * Bottle baby kittens Weaned kittens over 4–5 weeks old Teenagers Adults Special needs — medical Special needs — timid Mom with kittens/pregnant mom Have you fostered before? * yes no Do you have experience caring for bottle babies? * yes no We cannot guarantee a cat to be litter box trained, are you equipped to train with love and patience? * yes no Will your foster be permitted to go outside? * yes no How many hours per day will your foster(s) be left alone? * 1-3 3-6 6-9 9+ 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? * yes no Please tell us about all of the animals you have had in the past 5 years: How many pets have you had in the past 5 years? (if more than five, you may list the additional ones in the provided text-box below) * 0 1 2 3 4 5 6+ Do you have a veterinarian? * yes no Accessibility Are you willing to take your foster to vet appointments? * yes no Are you able to get your foster cats to adoption events on the weekends and occasionally during the week? * yes no it depends Do you have room to isolate fosters from other animals in the house for at least 10–14 days? * yes no Are you willing and able to medicate any provided medications to your foster * yes no How long are you willing to keep a foster cat? * Are you willing to have an AID representative visit your home? * yes no Are you willing to have prospective adopters visit your home? * yes no Do you foresee any significant changes in your life in the next six months? * yes no unsure Please list any limitations you may have Personal Reference Please note that your reference cannot be a family member Reference First Name * Reference Last Name * Reference Phone Number * Additional Details and Submission How 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.