Wufoo
AARF Foster Application
AARF FOSTER APPLICATION
Full Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Australia
Canada
France
New Zealand
India
Brazil
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Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Democratic Republic of the Congo
Republic of the Congo
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Home Phone
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Cell Phone
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Email
Preferred method of contact
Home Phone
Cell Phone
Email
May we contact you via Facebook?
Yes
No
If Yes to the above, please enter your Facebook account below.
Date of Birth
MM
/
DD
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YYYY
Employer
Occupation
Do you live in (select one)
House
Apartment
Condo/Townhome
Mobile Home
Other
Do you (select one)
Own
Rent
Lease
If renting or leasing, please provide:
Name of Complex/Landlord
If renting or leasing, please provide:
Complex/Landlord Phone Number
How did you hear about our rescue?
Please tell us why you are interested in fostering:
What type of animal are you interested in fostering?
Cat
Dog
Please describe any previous foster experience:
Do you have a breed preference or restriction?
Do you have a size/weight preference or restriction?
What is your age preference?
Baby
Young
Adult
Senior
Sex preference?
Male
Female
Are you willing to work with an animal on basic training and commands?
Are you willing to work with an animal on house-training?
Are you comfortable with administering medication if needed?
Would you be willing to foster any of the following special cases?
Sick or injured animal needing recuperation time in a quiet environment
Special-needs animal (blind, deaf)
Nursing mother dog and puppies
Nursing mother cat and kittens
Orphaned puppies (bottle-fed)
Orphaned kittens (bottle-fed)
A bonded pair of animals
Please indicate in which capacity we can depend on you as a foster parent:
Regular and recurring basis, especially as needed during the busy season (spring and summer)
Seasonal basis (for example Summer months only, etc.)
Back-up basis: I’d like to help out when foster parents go out of town
Emergency basis: I will be available in the event an animal is returned
Please indicate length of time you are willing to foster if applicable:
Indefinite/Undefined – I will commit to foster until my foster animal is adopted
3-6 months
1-2 months
1-3 weeks
Weekend
Please list below all the people who live in your household, along with their age:
Will the whole family share in the care of the foster animal?
Yes
No
Are there any children that visit your home frequently?
Yes
No
If yes, what are their ages?
Are any members of your household allergic to animals? If yes, please explain:
Are any members of your household afraid of animals? If yes, please explain:
How many hours during the average day will your foster animal be without a human?
Where will you keep your foster animal during the day?
Where will you keep your foster animal during the night?
Where will you keep your foster animal when you are not home?
Do you have an area where the foster animal can be isolated from your own pets if necessary?
IF APPLYING TO FOSTER A DOG:
If fostering a dog does your home have a dog door (not a requirement)?
Yes
No
If fostering a dog do you have a fenced-in back yard (not a requirement)?
Yes
No
How will you excerside your foster dog if you do not have a fenced yard?
Who will walk your foster dog and how often will the dog be taken out?
Please list any other animals currently living in your household:
Animal 1
Species/Name/Breed/Age:
Spay/Neuter?
Vaccines UTD?
Animal 2
Species/Name/Breed/Age:
Spay/Neuter?
Vaccines UTD?
Animal 3
Species/Name/Breed/Age:
Spay/Neuter?
Vaccines UTD?
Animal 4
Species/Name/Breed/Age:
Spay/Neuter?
Vaccines UTD?
Please list any other animals that you have had and why they are no longer with you:
Do you have a regular veterinarian?
Yes
No
Clinic name, address, and phone number:
May we have your permission to request information from your veterinarian?
Yes
No
What will you feed your foster?
Do you have a valid driver’s license and access to a vehicle?
Are you willing/able to transport the foster animal? (Vet, adoption events, etc.)
Would you be willing to visit and inspect potential adoptive homes?
Do you have health insurance?
Do you have homeowner’s/renter’s insurance?
Have you ever been convicted of a felony, criminal charges, or been placed on probation? If yes, please
explain:
Please list up to 3 references: (Please list one relative not living with you)
Reference #1:
Name/Relation/Phone #:
Reference #2:
Name/Relation/Phone #:
Reference #3:
Name/Relation/Phone #:
I certify that the above information is true and understand that false information may result in nullifying this application.
Applicant’s Signature (electronic signature)
Date
MM
/
DD
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YYYY
Do Not Fill This Out