Foster Application - Placing Paws

Applicant #1

First Name *

Last Name *

Age *

Applicant #2

First Name

Last Name

Age

Relationship to Applicant #1

Address *

Address

Street Address

Street Address Line 2

City

State/Province

Zip/Postal

Country

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

Foster Home Application

Applicant #1

Applicant #2