Company Applicant Name * Co-Applicant Name Relationship to Co-Applicant If Significant Other, how long have you been together? Street Address * City * State * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Applicant Phone Number * Phone Type * Select Type Here Cell Home Work Co-Applicant Phone Phone Type Select Type Here Cell Home Work Applicant Email Address * Co-Applicant Email Address Are you and the Co-Applicant 21 years of age or older? * Yes No Are you or the Co-Applicant a Student? * Yes No Number of Adults in the Household? * Ages? * Number of Children in the Household? * Ages? Are you willing to teach young children the proper care and treatment of the foster cat(s) * Yes No Other than your immediate family members, are there others residing in your home? * Yes No Relationship to other residents Names of other Residents Age of other Residents Is everyone on the household in agreement to foster a cat(s)? * Yes No Is anyone in the household allergic to cats? * Yes No Home Ownership * Own Rent Type of Home * House Apartment Townhouse Condo How long have you lived at your current address? * If you rent, please provide your Landlord's name Landlord's phone number Do you have permission from your Landlord to foster a cat? Yes No Is a pet deposit required? Yes No Has the pet deposit been paid? Yes No How many total pets do you have? * # of Cats * # of Dogs * # of Other * If you have dogs, what breed are they? Are your pets spayed/neutered? Yes No Are your current pets on monthly flea preventative treatment? Yes No Are your current pets up to date on vaccinations? Yes No Have your current cats been tested for feline leukemia and FIV? Yes No Results of Combo Test Do any of your pets have health issues that could affect a cat? Yes No If yes, please describe. Do your current pets get along with other cats? If you think there may be a conflict, please describe how you will keep the foster cat separate from your family pet(s) How long are you willing to foster a particular animal? * A week A month As long as needed Other If other, please explain. Please describe where the cat will stay during the day, at night, and when you aren’t home: * I am interested in fostering (Check ALL that apply): * Kitten (6 Weeks - 6 Months) Kitten (6 Months - 1 Year) Bottle Fed Kitten Litter of Kittens Special Needs Pregnant Cat Young Cat (3 Years - 7 Years) Senior Cat (7+ Years) Hospice Cat Emergency Foster Only Briefly tell us why you would like to be a foster parent: * Are you willing to transport the cat for any necessary veterinary care? (Note: Cat Around Town has designated veterinarians*). * Yes No *Note: The Cat Around Town Project covers the medical expenses for all foster animals. However, our vet care costs are only discounted through particular vets and therefore they are the only clinics we currently use for routine care. With the obvious exception of a life threatening medical emergency, if you should decide to take your foster animal to a different vet for convenience or any other reason, Cat Around Town Project will not be able to cover the cost of the visit. Thank you for your understanding. As a Foster, are you willing to meet with a potential adopter either at their home or virtually? * Yes No Are you willing to pick up the cat on the first day of your foster period, and transport the cat to Cat Around Town Project (or another designated location) on the last day of your foster period? * Yes No A home visit is required prior to approval of fostering. Will you permit a home visit by a Cat Around Town Project representative? * Yes No By signing below, I/we attest that the information provided on this form is true and accurate to the best of my/our knowledge. Applicant Digital Signature (First & Last name) * Date Signed * Co-Applicant Digital Signature (First & Last name) Date Signed
