Foster Care Program

Application

Applicants must be 18 years of age or older, have health insurance and attend a mandatory foster training.

You will be required to submit a background criminal check.

Date: ___________________________

Name: ___________________________________________________________ Date of Birth: _____________________

Address: _________________________________________City, St, Zip: ______________________________________

Home Phone: ___________________ Cell Phone: ___________________ E-Mail: _______________________________

Employer/School:__________________________________________ □Full Time □Part Time / □Grad □Undergrad

Work Phone: ____________________________ May we call you at work? □Yes □No

To help us to determine which foster animal(s) will be most compatible with your home and

lifestyle, please answer the following questions as completely and candidly as possible.

Are you willing to spend the time and share the space to properly care for this foster animal? □Yes □No

Shelter animals have sometimes been in neglectful and/or abusive situations and therefore, may experience difficulty making the transition to a foster home. Are you willing to be patient while the animal adjusts to the new foster home? □Yes □No

Check type of residence: □House □ Condo □ Apartment □Mobile Home □Duplex □Dormitory □Other: ___________________________ How long have you lived there?______________________________

Do you rent or own? □Rent □Own If you rent, does your lease allow pets? □Yes □No

Landlord Name: _______________________________________________ Phone: _______________________________

List all members of your household and the ages of anyone under 18: _________________________________________

__________________________________________________________________________________________________

How many pets do you currently own? _______________ Foster? _______________

Have you ever adopted from a shelter before? Which one? When? ________________________________________________

Please list the pets that you currently own/foster: (Add a page if necessary; include all species, large or small.)

Own or Foster?	Species/Breed	Age	Sex	Spayed/ Neutered?	Can you provide proof that vaccinations are up to date?

Name of your Veterinarian:______________________________________ Phone Number:________________________

Over please à

Have you ever cared for: □Young Puppies □Young Kittens □Injured/sick Dog □Injured/Sick Cat

Please list any prior experience working with animals: ______________________________________________________

__________________________________________________________________________________________________

Do you have an area in your house to confine foster animals? □Yes □No Please describe: ______________________

__________________________________________________________________________________________________

Do you have a fenced yard? □Yes □No Fence type____________________________ Height _________________

Where will the animal(s) be kept during the day?(be specific)_________________________________________________

Where will the animal(s) be kept at night?(be specific)______________________________________________________

Where will the animal(s) be kept while you are home?(be specific)____________________________________________

How many hours will you be away from the home, or how many hours will the animal be left alone?

__________________________________________________________________________________________________

Why do you think you would be a good foster home? _______________________________________________________

Fostering infant animals, litters, or animals recovering from illness requires a time commitment of 1-8 weeks or more. How many consecutive weeks are you prepared to care for fosters? ____________________________________________

Would you object to having someone from PARL check in on the fostered animals in your care from time to time? □Yes □No

Are you willing to bring the animal to League events to promote the animal’s adoption? □Yes □No

I am interested in providing foster care for: (Please mark all that apply.)
	Dogs	Cats	Other
Mother with a nursing litter
Newborns requiring bottle feeding
Young, self-feeding
Injured or sick
Adult
More than one adult
Needs socialization/training
Behavioral problems

Please provide two references (one Veterinarian and one non-family member):

Name ______________________________________ Relation _____________________ Phone ____________________

I certify that my answers are true and complete to the best of my knowledge, and I authorize investigation of all statements contained in this application. I understand that omission or misrepresentation of facts called for is cause for denial of fostering animals. The Providence Animal Rescue League reserves the right to refuse any foster care applicant.

Signature ______________________________________________ Date _____________________

This application is the sole property of PARL and will be kept on file.

All volunteers are accepted and serve per the approval of the Executive Director.