Animal Foster Care Application

Welcome to the CATsNAP foster program. We are happy that you are considering fostering a pet for us. The following information is requested so that we can make the best temporary placements possible for both the cat and you.

In order to be considered as a foster parent you must:

  • Be 21 years of age or older.
  • Have identification showing your present address.
  • Have the knowledge and consent of your landlord.
  • Be willing to spend the time necessary to provide proper care for the cat.

Your application will be reviewed in the next few days.  If you have any questions, please email:
spayillinois@insightbb.com

Foster Home Application
 ( * required fields )
Type(s) of Animal You Want to Foster:  
 Applicant/Co-Applicant Information
*Last Name:

*First Name:

*DOB:

Last Name:

First Name:

DOB:

*Address:

Apt. #:
*City:

*State:

*Zip:
*Home Phone:

Cell Phone:

    
*Email:    
*Do you own?    Rent?  
*How long have you lived at this address?   *Any plans to move in the near future?
Landlord's/Condo board's name:  
Landlord's/Condo board's phone:    
*How did you hear about us?
 Family/Household Information
*Number of adults in the household: Relationships:
*Have all the adults in the household agreed to this commitment? Yes  No
*Number of children in the household: Ages of kids:
Have the children had pets before? Yes No  
*Do you expect your current family situation to change? 
*Is anyone in the household allergic to pets? Yes  No Who?
Do they take medication?  Yes No
 Pet Information
Have you had pets in the past or do you currently have pets? Please tell us about them.
Name Breed  Age Gender Spayed/
Neutered		 Where Is Pet Now? If deceased or living else-where, please explain.
M F Y N
M F Y N
M F Y N
*Have you ever given an animal away or relinquished an animal to a shelter?
If yes, what were the circumstances?     
 Veterinarian Information
Veterinarian's Name: Veterinarian's Phone:
When was your current pet's last visit to a veterinarian and why?
 Matching the Right Foster Pet
*Where will the foster animal be housed?   
*Are you willing to take an animal who needs to be socialized (e.g., a feral kitten)?  Yes No
*Do you plan on keep your foster cat/dog separated from your current pets? Yes No
* Do you understand that anyone interested in adopting your foster animals (including yourself) must go through the standard adoption process, and approval of candidates and placement of animals is up to CATsNAP? (Of course, we welcome your referrals)? Yes Yes No
*How long are you able/willing to hold one foster pet [specify by # of weeks or months]? 
*Who in the household will be the animal’s primary care giver?  
*Where will the animal be kept during the day?  
*During the night?  
*Will the pet be allowed outside?  Yes No        If yes, how often? 
*How many hours per day will the animal be left alone?
*What would you do if this pet develops a problem with:
*Inappropriate elimination or urination:  
*Keeping you awake at night: 
*Shedding excessive hair:
*Scratching on furniture/ counters/ kitchen table: 
*Chewing on Plants:  
SPECIAL FOSTER SITUATIONS: I am willing to foster:  (Check any and all that apply)
Cats who have Feline Immunodeficiency Virus (FIV)    [Read about FIV here.]
Animal requiring medication for medical condition [e.g, heart problem]
Mom + litter of babies
Extremely ill animal [may require meds, frequent vet trips, and extremely close monitoring]  
 
Number of Fosters:  I am willing to foster up to 1 2 3 4    animals. [Mom + litter counts as "1".]
 
Other Information, Requirements, or Concerns You Wish to List: 
 
COMPLETION:  By submitting the application, I certify that the information I have given is true. I understand that CATsNAP reserves the right to deny my application for any reason. I further authorize the investigation of all statements in this application.  I understand CATsNAP does its best to screen an animal's temperament, but cannot warrant the health or behavior of any foster animal(s).

I agree that (a) I will allow home visits from CATsNAP Representatives, and allow representatives to take the cat to adoption days if distance is not a factor and (b) this animal is non-transferable, and will stay in the above home until CATsNAP places the animal up at PETsMART or finds a permanent home for him/her.

I further understand that only CATsNAP and its representatives will make a decision regarding permanent placement of this cat and that CATsNAP has the right to reclaim this cat at any time.

I agree to notify CATsNAP immediately of any kind of problem concerning this cat that arises.

I understand that while CATsNAP may make recommendations concerning how to deal with this animal on a daily basis, including quarantine, training, etc, these things are under my control unless CATsNAP gives explicit instructions. I therefore take full responsibility for any damage this animal does to my living area, pets, belongings, or myself with the understanding that these things occurred because I did not properly protect my living space, pets, belongings, or myself from this animal.

If, in the future, I would like to adopt this cat as my own companion, CATsNAP will waive the normal adoption fee (pending adoption approval).

I have agreed to the above and understand that if this foster situation does not work out for any reason, the cat will be returned to CATsNAP Representatives.

By sending this form I certify that the information provided above is true and correct.

 

 
*ELECTRONIC SIGNATURE: By typing your name below, you are electronically signing this application and certifying all information.  


Revised: 08/14/05