Foster Application Foster Home Application Foster Home Application Applicant #1 First Name * Last Name * Age * Address * Address Street Address Street Address Street Address Line 2 Street Address Line 2 City City State/Province State/Province Zip/Postal Zip/Postal Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Applicant #2 First Name Last Name Age Relationship to Applicant #1 Home Phone Number * Work Phone Number * Cell Phone Number * Email * Best way / time to contact you * Applicant #1 Name & Address of Employer * Occupation * Applicant #2 Name & Address of Employer Occupation Do you have any children? If so what are their names and ages? * Please list the name, age & relationship of other people living in the residence. * Do you own or rent? Own Rent If you rent, what is your landlords name & phone number? * Do you have a fenced in yard? If yes please tell us the fence height. * Please list your current pets: name, age, breed, spayed/neutered? Please list your previous pets: name age, breed, spayed/neutered? * Please list all of your pets veterinarians name & phone number. All applicants animals must be up to date on vaccinations and spayed or neutered. Please include a list of all veterinarians that have seen your pets. Please call your vets office and authorize them to release medical information to Placing Paws. * Reference #1 Please provide the name, relationship, phone number and e-mail address of someone who can provide thorough responses to questions about your suitability as a pet owner * Reference #2 (non-family member please) Please provide the name, relationship, phone number and e-mail address of someone who can provide thorough responses to questions about your suitability as a pet owner: * Do any members of the family have allergies to animals? If so, how are they treated? * Is someone home during the day? Yes No What are the work hours of all household members? * Where will your foster pet be kept during the day? * Where will your foster pet be kept at night? * What type of animal would you like to foster? * Is there a specific sex, breed or age of animal that you would prefer to foster? * Questions or comments reCAPTCHA If you are human, leave this field blank. Submit Δ
