FOSTER APPLICATION

Fill out this form if you are interested in becoming a foster volunteer. Items marked with an * are required fields.

For Ohio residents in or near Cuyahoga County.

FOSTER VOLUNTEER INFORMATION
Name Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email

If you don't have an email address, just put N/A
Home Phone Home Phone - ### - ### ####
Cell Phone Cell Phone - ### - ### ####

Type in zeros if no cell
Work Phone Work Phone - ### - ### ####

Type zeros if no work number
Birthdate and Age
Driver's License Number

if not applicable, enter N/A
Expiration and Issuing State

if not applicable, enter N/A
EMPLOYMENT INFORMATION
Employed

Employed Yes No
Name of Employer

if you're not employed enter N/A
Employer's Address Employer's Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Length of Employment
Occupation
Work outside of home

Work outside of home Yes No
Work at home

Work at home Yes No
Full time Part time
Number of hours worked per day

if not applicable, enter N/A
Work Schedule

if not applicable, enter N/A
Number of hours per day that foster will be unattended
If medically necessary, could you take the foster to work with you?

If medically necessary, could you take the foster to work with you? Yes No
HOUSEHOLD INFORMATION
Home Ownership Status

Home Ownership Status Own Rent Other Other
How long at current address?
Residence Type

Residence Type House Apartment Condo Mobile Home Dormitory Other Other
Landlord's Name

If not applicable, type in N/A
Landlord's Phone Landlord's Phone - ### - ### ####
Apartment Complex Name

If not applicable, type in N/A
Is extra security deposit required?

Is extra security deposit required? Yes No N/A
Size of Yard

Size of Yard Small Medium Large
Is your yard fenced in?

Is your yard fenced in? Yes No
Type of fence

Type of fence Chain link Wooden Invisible/underground n/a other other
Height of fence

If you don't have a fence, type in N/A
If your yard is not fenced in, how do you plan on containing the foster(s) when outside?

If your yard is not fenced in, how do you plan on containing the foster(s) when outside? Leash Tethered Invisible/underground Kennel Run N/A
FAMILY INFORMATION
Who do you live with?

Who do you live with? Spouse Parents Children Significant Other Roommates Alone Other Other
Number of adults in home

Number of adults in home 1 2 3 4 5+
List adults' names and ages
Number of children in home

Number of children in home 0 1 2 3 4 5+
List children's names and ages

if not applicable, enter N/A
Any family members suffer from allergies?

Any family members suffer from allergies? Yes No
If yes, allergic to

If yes, allergic to Dogs Cats Both N/A
List names and ages of family members who will also be caring for the foster animal(s)

if not applicable, enter N/A
PET INFORMATION

List your pets that are currently in your home.
Do you have any pets of your own?

Do you have any pets of your own? Yes No
If yes, type of pet

If yes, type of pet Dog Cat N/A Other Other
Pet Name #1

Type in N/A if you don't have any pets
Type of Pet #1

Type of Pet #1 Dog Cat Other Other
Sex pet #1

Sex pet #1 Male Female
Spayed or Neutered Pet #1?

Spayed or Neutered Pet #1? Yes No
Current on vaccinations Pet #1

Current on vaccinations Pet #1 Yes No
Pet Name #2

Type in N/A if you don't have any pets.
Type of Pet #2

Type of Pet #2 Dog Cat Other Other
Sex Pet #2

Sex Pet #2 Male Female
Spayed or Neutered Pet #2?

Spayed or Neutered Pet #2? Yes No
Current on vaccinations Pet #2

Current on vaccinations Pet #2 Yes No
Pet Name #3

Type in N/A if you don't have any pets.
Type of Pet #3

Type of Pet #3 Dog Cat Other Other
Sex Pet #3

Sex Pet #3 Male Female
Spayed or Neutered Pet #3?

Spayed or Neutered Pet #3? Yes No
Current on vaccinations Pet #3

Current on vaccinations Pet #3 Yes No
Pet Name #4

Type in N/A if you don't have any pets.
Type of Pet #4

Type of Pet #4 Dog Cat Other Other
Sex Pet #4

Sex Pet #4 Male Female
Spayed or Neutered Pet #4?

Spayed or Neutered Pet #4? Yes No
Current on vaccinations Pet #4

Current on vaccinations Pet #4 Yes No
What are you interested in fostering?

What are you interested in fostering? nursing cat (4-8 weeks of care) nursing dog (4-8 weeks of care) injured/sick cat (2-6 weeks of care) injured/sick dog (2-6 weeks of care) orphaned kittens (4-8 weeks of care orphaned puppies (4-8 weeks of care)
How will the foster animal(s) be housed?

How will the foster animal(s) be housed? inside, loose inside, crated inside, separate Other Other
How many animals are you willing to foster at one time?
Length of time you are willing to foster.
How often are you willing to foster?

How often are you willing to foster? 1-6 times per year once a month call anytime emergencies only Other Other
Do you have prior experience with the type of foster care you are willing to provide?

Do you have prior experience with the type of foster care you are willing to provide? Yes No
Do you have a confinement area to isolate a foster for health reasons?

Do you have a confinement area to isolate a foster for health reasons? Yes No
Are you able to keep the foster animal(s) separate from your own animals?

Are you able to keep the foster animal(s) separate from your own animals? Yes No
Are you able to take the fosters to the vet for periodic checkups and regular vaccinations?

Are you able to take the fosters to the vet for periodic checkups and regular vaccinations? Yes No
Are you willing to take the fosters to an emergency clinic should they become ill and need immediate care?

Are you willing to take the fosters to an emergency clinic should they become ill and need immediate care? Yes No
Are you willing to administer medications should the foster require them?

Are you willing to administer medications should the foster require them? Yes No
Are you willing to be listed as an "emergency" foster home in case an animal should come in unexpectedly?

Are you willing to be listed as an "emergency" foster home in case an animal should come in unexpectedly? Yes No
Are you willing to work with your foster in areas such as basic obedience and house training?

Are you willing to work with your foster in areas such as basic obedience and house training? Yes No
Are you willing to have a foster home coordinator perform an inhouse inspection?

Are you willing to have a foster home coordinator perform an inhouse inspection? Yes No
How did you hear about our foster program?
Please explain why you would like to be a foster care volunteer.
PERSONAL REFERENCES

List the names, relationship and telephone numbers of two persons not related to you. Where possible, please list individuals who are knowledgable about your care of animals, such as a veterinarian, trainer, groomer, or other animal professional.
Name Name First Last
Phone Phone - ### - ### ####
Relationship
Name Name First Last
Phone Phone - ### - ### ####
Relationship
BASIC RULES OF FOSTER CARE PROGRAM

Please check that you acknowledge these rules.
The foster is only temporarily in your care and remains the property of PAWS. The purpose of this foster relationship is solely to provide care and make foster adoptable. Any and all adoptions of the foster will be made through PAWS and are subject to the same guidelines as any other adoption. Foster care volunteers are encouraged to assist in the placement process of their fosters. You will surrender the foster animal(s) to PAWS at the end of the foster care period or immediately upon request. You will not relinquish custody of the foster animal to anyone except PAWS. If you cannot care for the foster for any reason (even temporarily), you must relinquish the animal back to PAWS. You will not place the foster in a dangerous situation (i.e. riding in an open pick up truck or left unattended in a car). You will keep the foster animal in the house as a loved family member. You will keep ALL foster cats and kittens indoors at ALL times. You will keep all foster dogs and puppies in a secure area, preferably a crate or a kennel run. You will not allow the dogs and puppies off-leash except in a secure fenced area of your property. You will not use chains or other devices to tether the fosters as a means of confinement. You will use a "choke" collar only when training the dog on a leash -- it will not be left on the dog while unattended. You will assure that the foster animal always wears the collar and ID supplied by PAWS. You will feed, water, groom, exercise, and socialize the foster as appropriate.
Signature

Please type your name in box.
Date Date / MM / DD YYYY
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FOSTER APPLICATION

FOSTER APPLICATION

FOSTER VOLUNTEER INFORMATION

EMPLOYMENT INFORMATION

HOUSEHOLD INFORMATION

FAMILY INFORMATION

PET INFORMATION

PERSONAL REFERENCES

BASIC RULES OF FOSTER CARE PROGRAM