Foster Volunteer Application
Name: _______________________________Address:______________________________________________________
City: ________________________ State:___________________ HomePhone:__________________________________
Cell Number: _________________________________________
Are you over the age of 21:__________
Employer Name/Number: _____________________________________________________________________________ Email:____________________________________________________________________________________________
Spouse/Partner Name/Number__________________________________________________________________________
Why would you like to participate in this program? ____________________________________________________________________________________________________________________________________________________________________________________________________
Times available for in-house interview:__________________________________________________________________________________________
Type of animal(s) you are willing to foster: __________________________________________________________________________________________________
Please list current animals in your household:
Pet’s Name Species Sex Spayed or Age
Neutered?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Are your pets good with other animals? __________________________________________________________________
If you have cats, do you keep them indoors or do you let them outside? __________________________________________________________________________________________________
If you have dogs, do you keep the primarily indoors or outside? __________________________________________________________________________________________________
Do you have a fenced yard? Yes ____ No ____
Please indicate your housing status:
__Rent an apartment
__Rent a house
__Own a house or condo
__Live with parents
If you are renting, please provide your landlord’s name and phone number:
_________________________________________________________________________________________________
Do you work outside of the home? Yes ____ No ____
How many hours a day are your pets alone? ______________________________________________________________
Where are they kept when you are away from home?_______________________________________________________
Do you have children in your household? Yes ____ No ____
If yes, how many? ___________________________
Please list their ages:_________________________________________________________________________________
Your veterinarian’s name:_____________________________________________________________________________
Veterinarian’s telephone number: ______________________________
May we contact them for a vet reference? Yes ____ No ____
Please list two personal non related references that we may contact:
Personal reference #1:________________________________________________________________________________
Telephone number:__________________________________________________________________________________
Your relationship:___________________________________________________________________________________
Personal reference #2:________________________________________________________________________________
Telephone number:__________________________________________________________________________________
Your relationship:___________________________________________________________________________________
How did you hear about Last Chance’s Foster Program? ____________________________________________________
__________________________________________________________________________________________________
Are you looking to adopt?_______________________________________________________________________
Please add any additional comments below:
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