| * denotes a required field |
Foster This Animal |
| Animal's Name: |
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| FOCAS ID Number: |
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Contact Information |
| * First Name: |
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| * Last Name: |
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| Street Address: |
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| City: |
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| State: |
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| Zip: |
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| * E-mail: |
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| Home Phone: |
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| Cell Phone: |
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| Home Fax: |
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| Occupation: |
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| Employer: |
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| Business Phone: |
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| Business Fax: |
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Other Occupants & Pets |
| Name of Spouse/Roommate: |
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| Spouse/Rommate's Occupation: |
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| Spouse/Roomate's Employer: |
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| Spouse/Roomate's Business Phone: |
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| Spouse/Roomate's Business Fax: |
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| List the ages of all children living at home: |
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| Is anyone in your home allergic to animals?: |
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| If yes, please explain: |
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What other animals do you currently own?
Number of Dogs: |
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| Number of Cats: |
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| Other Animals (specify): |
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| Give breed or description, sex, and ages of all pets: |
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| Are your dogs and cats spayed/neutered?: |
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| Are your other dogs licensed?: |
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Questionnaire |
| Please check the ways you can help: |
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| Have you ever cared for young kittens/puppies before?: |
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| Why do you want to provide a foster home?: |
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| How would you deal with a potential problem, such as housetraining, barking, digging, scratching, or chewing?: |
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| Under what circumstances would you not keep these foster pet(s)?: |
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| Will you need assistance with food/animal care products? (With Medical Fund approval, FOCAS provides medical assistance.): |
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| If on vacation, who will be responsible for your pet(s)?: |
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| Are you willing to network the foster pet(s), interview prospective adopters, and bring foster pet(s) to adoption events?: |
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Environmental Assessment |
| Do you have a fenced yard?: |
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| If yes, how high is the fence, and is it the same height all around?: |
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| Describe the type of fencing: |
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| Same height all around?: |
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| If not, lowest height?: |
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| Dwelling Type: |
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| Do you rent?: |
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| If renting, please give name and telephone number of landlord: |
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| Do you have screens on all your windows?: |
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| How will you transport your foster pet(s)? Type of vehicle(s): |
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| Other (specify): |
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| Do you have a pet carrier?: |
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| What size?: |
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| How many hours a day will your foster pet(s) be left alone?: |
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| Where will your foster pet(s) be at this time?: |
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| Describe the area where you intend to house the foster pet(s). Plese be specific, (i.e. Outide: fenced yard, dog run, etc.; Inside: specify room) All foster cats/kittens must be kept indoors!: |
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| Will you allow an inspection of your premises by a FOCAS representative?: |
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Best Time to Call |
| What is the best time to telephone you?: |
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| How did you hear about FOCAS?: |
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