Foster Application

Animal you are interested in fostering
Applicant's First Name *
Applicant's Last Name *
Street Address *
City *
State *
Apartment Number (if applicable)
Zip Code *
Phone Number * Please use the following format 248-555-1212
Email Address * Please enter correctly as this is the main way we will contact you
Alternate Phone Number
Date of Birth *
How did you find out about us? *

Are there other pets in the home at the current time? *
If yes, please list their names, breeds, and ages.
Are all of your pets spayed/neutered/fixed? *
Are your pets current on their vaccinations? *
Veterinarian's Name * If you have never owned a pet please tell us where you would go.
Veterinarian's Address, City, State, and Zip Code * Again if you have never owned a pet please list where you would go
Veterinarian's Phone Number *

Do you own or rent your home? *
Please select your current residence type. *
If you rent, list name, address, and phone number of landlord:
If you rent, does your landlord and lease allow pets? *
How long have you lived at this address? *
Including yourself, how many people live in your household? *
Please list the ages & relationship of those who live in your home. *
Is everyone in your household aware that you are planning to foster? *
Does anyone in your household have allergies to cats *

Employment Status *
If you chose "other" above, please explain:
If you are employed, what is your current occupation?
On average, how many hours per day are you away from the home? *

Do you have a separate space to keep your foster as they will need to be kept separated from your other animal companions while in foster with you?
Yes/No *
Please provide a description of your foster space *
You understand that in certain cases exceptions can be made to let all pets meet, but MUST be approved by SCCWM BEFORE that may take place. Otherwise your foster MUST be kept separated.
Yes/No *

Do you understand that scratching of furniture, etc., may be an issue? *
How will you handle scratching of furniture if the situation arises?: *
Who would care for the foster if you went away for business or a vacation?
Under what circumstances would you consider returning the foster to SCCWM prematurely? *
What would you do with foster if you had to move? *
If you answered "other" above, please explain:
Do you understand and agree that you will keep SCCWM apprised of any issues with your foster and reach out for guidance/help resolving any issues?
Yes/No *
Do you understand that all medical care is to be provided or approved thru SCCWM or a preapproved vet acting on their behalf?
Yes/No *
Do you understand that you MUST get approval to seek medical care, and that any vet visit not approved will not be reimbursed by SCCWM?
Yes/No *
Do you agree to send once a month updates, including health, socialization, behavior, with pictures to the foster coordinator so that we can update our records for the foster?
Yes/No *

Will you allow us to perform home checks? *
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorizing you to contact landlords, associations and veterinarians.
Yes/No *