Save-An-Angel

FOSTER PARENT APPLICATION

Applicant: First Name Occupation Co-Applicant: First Name Occupation Street Address City Home Phone Email Address

Last Name Place of Employment Last Name Place of Employment

State Cell Phone

Zip Code Work Phone

A complete answer to the following questions will enable us to become more familiar with your request and requirements and will help us find the right dog/cat to match your needs and expectations.

Age Desired Size Desired Breed Desired Other Desired Is there a specific animal that you are interested in? (list Name) Why are you interested in this particular animal?
Would you consider one with Special Needs, such as one who requires medication for a permanent but controlled condition? Would you accept a mixed breed? Desired Activity Level (high, medium, calm): Sex (male, female, or either): How long have you been looking for a pet? Age of self, and all Do all members of the household members of the home: share your interest in adopting a pet? Who is the dog/cat primarily for? Who will care for, train, and (adult, child, or elderly, entire family) exercise the dog or cat? Does anyone in your If yes, to what allergens? household have allergies? May we visit your home prior to the If yes, when is application approval? best?

Any objections to follow-up visits?

Please list all the pets you have owned in the past five years: * If the animal is deceased, please explain why and at what age they passed. Name Breed Sex Age How long have you owned the animal? Is the pet spayed or neutered? What happened to the pet, if no longer with you?

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Please provide all information of your current veterinarian. Name of Vet Clinic Name of Veterinarian Phone Address Where do you purchase heartworm prevention? What type of heartworm prevention are your dogs on and how often do they take it? When was the last visit to the vet and why? Please identify any other vets you have used in the past five years Name of Vet Clinic Military Road Pet Name of Veterinarian Hospital Phone Address Name of Vet Clinic Phone Name of Veterinarian Address

If you do not have a vet yet, where do you plan to take your pet? Name of Vet Clinic Phone How long have you lived at your current address? Do you own or rent? If renting, please Do you have permission of provide Landlords your landlord to have a name & phone number dog/cat? If so, up to what size? Have you paid a pet deposit? How long will the dog/cat Where will the dog/cat stay be left alone (without any when you are not at home humans)? during the day? Will the pet be allowed in the house? Do you have a doggy door? For dogs, are you familiar with the use of a dog crate If so, will you to train the pet during your absence or at night? use one? Is your yard fenced? Type of fence (include height, material) If you do not have a fence, will you install one? Approx. size of pets yard What type of exercise will How many hours a day the dog participate in? will the dog be outside? Would you be willing to practice Do you mind taking basic obedience w/the foster? your foster to the vet? Have you ever owned a dog or cat before? Are you aware that Do you plan to take the dogs and cats are foster to dog parks or active? off leash areas? Have you ever sold, given away, or If yes, please surrendered a pet to a shelter? specify why. Have you ever had to If yes, specify the euthanize an animal? circumstances Please tell us why you Please tell us a little of your lifestyle, your family including any special activities in 2

which your cat or dog cat would be included. What arrangements will you make for your pet when you travel? When you evacuate for a hurricane, what will you do with your dog or cat? Have you, or any member of your household, ever been cited for animal law violations? In your opinion what would be a good reason to not keep this pet? Is there anything else you would like us to know in addition to your application

What is the maximum time frame you are willing to foster for? Do you understand the state and local ordinances concerning licensing and leashing? If yes, please specify. Please tell us how you heard aboutSave-AnAngel.

I (We) attest that the information provided on this application is true and accurate to the best of my (our) knowledge. I (We) understand that completion and submission of this application does not guarantee adoption of a dog or cat from Save-An-Angel. I (We) hereby permit Save-AnAngel to contact my (our) veterinarian(s) and landlord, if applicable.

Applicants signature: ____________________________Date: __________________________ Co-Applicants signature:__________________________ Date: ___________________________

Please save the file and email your completed Adoption Application to ksullens@save-an-angel.org