Date
*
MM
DD
YYYY
Name
*
First Name
Last Name
Email
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Work phone
*
(###)
###
####
Date of Birth
*
MM
DD
YYYY
How many people are in your household? What are their ages?
*
How many children are in your household? What are their ages?
*
Do you live in a house, apartment, condo, townhome, duplex?
*
How long have you been at this address?
*
Do you own or rent your home?
*
Own
Rent
If renting are there any pet restrictions?
Yes
No
If yes, what are they?
Do you currently have pets?
*
Yes
No
If yes, what kind of pets?
Please check all that apply
Dogs
Cats
Other
What are their ages?
If you have pets, are they spayed/neutered?
Yes
No
How long have you had each current pet?
Who will be primary caretaker of your foster cat?
How would you describe your level of experience with cats?
*
Please check all that apply
None
Had a childhood cat
Had one or more as adult
Have experience working with on-going medical problems with a personal cat
Have experience working at boarding kennel/resort/pet sitting services, training, etc.
Have experience working with behavioral problems with a personal cat
Have experience working in a veterinary hospital
Have previous foster/rescue experience
What types of cats are you interested in fostering?
*
Please check all that apply
Adult cat
Kittens
Mother with nursing kittens
Sick/injured cat
Cat with behavioral issues
Long term hospice care
Bottle babies
How many hours during the average day will the cat spend without a human?
*
Where will the cat be when someone is home?
*
Where will the cat be when alone?
*
Where will cat sleep?
*
How long can you foster the cat for?
*
What situations do you feel unprepared for?
*
Please check all that apply
Digging
Shy, fearful, under socialized
Not good with small animals
Needs to be the only cat
Destructive chewing/scratching
High activity level
Not good with kids
Not housebroken
Resource toy/food guarding
Deaf/ blind
Administering medications
Is there a specific cat you are interested in?
Please tell us anything else you would like us to know
*
Please list two references
*
Include name, email, and phone number