Foster Questionnaire Step 1 of 5 20% About YouWhat is your name?* First Last Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email* Phone*Cell PhoneWho is your employer?*Co-Applicant Name First Last Co-Applicant PhoneEmergency Contact* First Last Emergency Contact Phone*Do you want to foster cats or dogs?* Cats Dogs Both Either Your HomeDo you own or rent your residence?* Own Rent Live with Parents What is your residence type?* House Condominium Apartment Mobile Home How long have you lived at your current residence?*What is your landlord's Name?*What is your landlord's Phone?*Are you allowed to house animals?* Yes No What kind of animals are you allowed to house?* Cats Dogs Both Do all members of your household want to foster?* Yes No I haven't checked yet What is your spouse/partner's attitude about fostering a pet?*Do you have screens on your windows?* Yes No Does your residence have a doggy door?* Yes No Is your yard fenced?* Yes No Please describe your yard and fence (Yard size / Type of fence and height):*Do you have children living or staying in your home?* Yes No How many children live in your home and what are their ages?* PetsDo you currently have any pets in your home?* Yes No Please list your current pets, their ages and whether they are dogs or cats:*Are all of your dogs and/or cats spayed or neutered?* Yes No Are all of your dogs and/or cats current on vaccinations?* Yes No Do your current pets get a long with other animals?* Yes No Foster LifeIs this your first experience fostering a pet?* Yes No Which organizations have you fostered for in the past?*What type of dog are you interested in fostering?*Are you interested in fostering cats or kittens?* Adult Cats Kittens Adult Cats & Kittens Are you able to foster bottle fed kittens? Yes No Please tell us about your bottle feeding experience:*Are you able to keep a cat indoors?* Yes No Would you be willing to care for a foster pet that is ill and/or needs medications or is disabled?* Yes No Would you be willing to transport a foster pet to vet appointments and adoption events?* Yes No May need assistance Are there any requirements you have for a foster?*How long would you be able to foster a pet?*Do you have the supplies necessary to care for a foster pet?* Yes No Some, but need some assistance What supplies will you need assistance with?*How many hours will your foster be alone each day?*Where will your foster stay during the day?* House Yard Access to both house and yard Garage Kennel - Outside Crate Where will your foster stay during the evening?* House Yard Access to both house and yard Garage Kennel - Outside Crate Please tell us anything else about yourself and family that you feel CAWS needs to know. Additional InformationPersonal Reference* First Last Personal Reference Phone*May a home visit be arranged with a CAWS volunteer?* Yes No Please explain why a home visit cannot be arranged:*Are you over 21?* Yes No By signing this form you are aware that CAWS is not responsible for any action of an animal while in your care, custody or control. CAWS does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. These activities include, but are not limited to, employment of staff, selection of volunteers and vendors, and provision of services. We are committed to providing an inclusive and welcoming environment for all members of our staff, clients, volunteers, subcontractors, vendors, and clients.* Accept Decline PhoneThis field is for validation purposes and should be left unchanged.
