Foster Parent Application/Home Visit

PERSONAL PROFILE:

First Name: *

Last Name: *

Phone: *

Address: *

City: *

State: *

Zip: *

Email: *

Housing status: *

Renters, are you allowed to house animals? *

Landlord's name and phone #: *

Number of people in household: *

Ages of children:

Names and phone numbers of two personal references: *

Please list all pets that are currently part of your household -- (Dog/Cat | Breed | Gender/Age | Vaccinated | Spayed/Neutered):

List any medical or behavioral issues any of your pets may have:

Why do you want to be a foster parent? *

What is your experience with cats? (Previous foster experience, previous cat experience, etc.) *

What organizations did you foster for? Please list name and phone number:

Can we contact them for a reference?

What is your work schedule/how long will the foster animals be left alone? *

Are you willing and able to transport animals to and from check-ins and adoption appointments/events? *

PROPERTY INFORMATION:

Describe the area the foster animals will stay: *

Do you have a doggie door? *

Do you have a way to confine the cat(s)? *

FOSTER COMMITMENT:

Which type of cats are you interested in fostering? Please check all that apply: *

Weaned kittens (4-8 weeks)
Kittens needing medical care (ringworm/URI)
Unsocialized kittens
Cats needing medical care
Cats needing socializing (shy)

Fostering is a full time commitment! How long are you willing to foster any cat/kitten? *

How many animals are you willing to foster at one time? *

I certify that the above information is true and correct. I understand that any falsification of the above information may be grounds for denial of this application or termination of my volunteer status. I authorize PALnv staff to conduct an on-site inspection of my home and the area where the animals will be kept. I understand that I may refuse any specific request to foster due to timing or other reasons.

Applicant Signature *

Date: *

On touchscreen, sign with your fingertip or stylus. On PC, sign with your mouse. Click Submit when you are finished with the application. Then check your email for a confirmation message.

Note: All fields with a red * must be completed.