CAT FOSTER APPLICATION
Date
Time
I am interested in fostering (e.g. M/F, adults vs kittens, litters, bottle feeding, etc.)
Contact Info
First Name
MI
Last Name
Street Address
City
State
Zip
Cell Phone
Home Phone
Email
Maiden Name
Date of Birth (MM/DD/YYYY)
Driver's License #
Co-Applicant Information
First Name
MI
Last Name
Maiden Name
Date of Birth (MM/DD/YYYY)
Driver's License #
Cell Phone
Home Phone
Email
Relationship with APPLICANT
Household Information
Own or Rent
Own
Rent
Length of time at current residence (years, months)
If you are renting, please list the name and phone number of your landlord
Number of children in Household:
Ages:
Number of Adults in household:
Please list full legal names & birthdays (MM/DD/YYYY) of all adults in household
If you have been at your current address for less than 2 years, please list your previous address
Street Address
City
State
Zip
Length of time at this residence (years, months)
Employment
Applicant Employer
Phone Number
Hours worked per week
Shift
Employed here for how many years, months
Co-Applicant Employer
Phone Number
Hours worked per week
Shift
Employed here for how many yrs, months
Please answer the following questions:
How many hours a day will the cat or kitten(s) be left alone?
Are you available to transport the cat or kitten(s) for routine and/or emergency vet care?
Yes
No
Do you have space available (e.g. a spare room) to isolate your new foster, if needed?
Yes
No
Are you willing to communicate well with the H.O.P.E. office regarding needed information such as medical and/or behavior concerns?
Yes
No
Are you willing to communicate well with the H.O.P.E. office regarding needed information to develop BIOs & pictures?
Yes
No
Are you willing to provide a safe, stimulating environment?
Yes
No
Do you agree the cat or kitten(s) be housed indoors and not be allowed outdoors?
Yes
No
Does anyone come home for lunch?
Yes
No
Do you or anyone in your household have allergies to pets?
Yes
No
Vet History
**Please contact your vet clinics and release your pet's records to us **
Current Pets: List all pets (canines and felines only) that you currently have. Indicate “NONE” if you currently have no pets
None
Dog
Cat
Name
Breed
Temperament
Age
Length of ownership
Mainly kept
Inside
Outside
Vet Clinic Used
Clinic City & Phone Number
Dog
Cat
Name
Breed
Temperament
Age
Length of ownership
Mainly kept
Inside
Outside
Vet Clinic Used
Clinic City & Phone Number
Dog
Cat
Name
Breed
Temperament
Age
Length of ownership
Mainly kept
Inside
Outside
Vet Clinic Used
Clinic City & Phone Number
Dog
Cat
Name
Breed
Temperament
Age
Length of ownership
Mainly kept
Inside
Outside
Vet Clinic Used
Clinic City & Phone Number
Please read and sign
I certify that all information I have given on this application is true. I understand that any false information, unanswered questions or omitted information may result in rejection.
I hereby give my authorization to release of the veterinarian / clinic records for all my pets (past and present), including but not limited to: examinations, vaccine history, tests, surgeries, clinics notes, etc. to H.O.P.E. Safehouse, Inc.
Signature (digital)
Date
Co-applicant Signature
Date