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Womens Rights

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Submitted By jmeyer0131
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Foster Applica ation P s: Foster Preferences

What ag cat wou you like to foster ge uld e r?
 Adult Cat 1yr+ t  Special Needs Cat
C
 Moth cat with newborn kittens her h
 Orph haned newb born kittens (requires around-th e-clock car and supe re ervision)
 Hosp pice Cat
Would you be will y ling to care for a foster cat tha is ill and at d/or needs medicatio s on or is dis sabled in some way?
?
Yes
No
Are there any spe ecific requi irements you have f a foster cat, i.e., t y for r temperam ment, age, gen nder, etc.?
?
Yes
No
If so, please describe below w: _________
_____________
____________
_____________
____________
_____________
_____________
____________
_____
_________
_____________
____________
_____________
____________
_____________
_____________
____________
_____
Do you feel you co ould foster more tha one cat at a time? an t
?
Yes
No
How lon would you be able to foster a cat? ng y e r
Up to one week
Up to two weeks
Up to one month h As long as neede ed Other ____________
___________
Would you be will y ling to serv as an emergency foster car provider for short ve re r t periods of time (b s between one and five days)? e Yes
No
How ma hours during the day will the foster cat be left alone? any e t t
_________
_____________
____________
_____________
____________
___________
Where will the foster cat be kept whe you are out? w e en _________
_____________
____________
_____________
____________
___________
Where will the foster cat be kept while you are at home a w e and at nigh ht? _________
_____________
____________
_____________
__________

What experience do you have with cats?
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Do you have any fostering experience? If so, please explain (including type, breed, sex, age, etc.).
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Would you be willing to transport the foster cat to vet appointments?
Yes
No
Will you be able to keep the foster cat separate from your own animals at least for the first two weeks and possibly for the entire foster period?
Yes
No
Realizing that fostering is a short-term, temporary arrangement, will you be able to part with the foster cat when he/she is ready to go back to the shelter or to a permanent home?
Yes
No

Pet Information:

Please list all pets currently part of your household:
Type

Breed

Sex/Age

Vaccinations Up
To Date

Spayed/
Neutered?

Have you had any other pets in the past five years not listed above?
Yes
No
If so, please describe what happened to each of these pets?
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Do any of your personal pets have special needs?
Yes
No

If so, what are the special needs and how are they treated?
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Do any of your current cats spend any time outdoors?
Yes
No
Do you think that your pet(s) will get along with a foster cat?
Yes
No
Why or why not?
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________

Your Household

List members of your household (begin with yourself):
Name

Relationship

Age

Agrees w/fostering?

If there are any young children in your household, what steps would you take to protect both the child and the foster cat?
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Who will be responsible for the day-to-day care of the foster cat?
______________________________________________________________________________________________
Do you live in:
Single family home
Townhome
Condominium
Mobile home
Apartment
If you rent an apartment or home:
Name of Community:
_________________________________________________
Owner or Mgmt Company:
_________________________________________________
Phone #:
_________________________________________________
Do they allow pets?
Yes
No

Is there a limit on the # of pets?
Yes
No
Pet deposit required?
Yes
No
Have you paid the pet deposit?
Yes
No
Please tell us why you want to foster, what you would like to get out of the program, and what the Foster Coordinator and the Foster Care Counselors can do to help you have a successful fostering experience.
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Name:

___________________________________________________________

Address:

___________________________________________________________

City:

______________________

State: _______

Home Telephone Number:

___________________________

Work Telephone Number:

___________________________

Cellular Telephone Number:

___________________________

E-mail address:

__________________________________________

Zip: __________

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