PAWS (Public Animal Welfare Society, Inc.) Submit date PO Box 24651, Cleveland, OH 44124 Phone: 440.442.7297 Approved by
www.pawsohio.org Disapproved by Person ID
DATE
FOSTER VOLUNTEER INFORMATION
Name (first, last)
Home address Apartment number
City State Zip Code County
Home Phone Cell Phone Work Phone
E-mail Birth date Age
Driver's license number Expiration date Issuing state
EMPLOYMENT INFORMATION Employed yes No Place of employment
Address
Length of employment Occupation Work at home Work outside the home
Full Time Part time Number of hours worked during the day Work schedule
Average number of hours during the day that the foster animal(s) will be unattended
If medically necessary, could you take the foster animal(s) to work with you? Yes No
HOUSEHOLD INFORMATION
Home Ownership Status Own Rent/Lease How long at present address?
Residence type House Condominium Apartment Mobile Home Dormitory Other
Lanlord's name: Landlord's phone:
Apartment complex: Extra security deposit required for pets? Yes No
Size of yard Small Medium Large Is your yard fully fenced in Yes No
Type of fence Wooden Chain-link Invisible underground wire Height of fence
If yard is not fenced, how do you plan on containing the foster animal(s) when outside Leash Tethered Kennel run
FAMILY INFORMATION
Who do you live with? Spouse Parents Children Significant Other Roommates Alone
Number of adults in household 1 2 3 4 5+ List adult's ages
Number of children in household 0 1 2 3 4 5+ List children's ages
Any family members suffer from pet allergies? Yes No If yes, allergic to: Dogs Cats Both
List names of household members who will also be caring for the foster animal(s)
PET INFORMATION
Do you have pets of your own Yes No Type of pets Dogs Cats Other
Name Breed Age Sex Altered Current on Vacc
FOSTER ANIMAL INFORMATION
I am interested in fostering:
CATS
Nursing cat (4-8 wks of care) Orphaned kittens (4-8 wks of care) Injured/sick cat (2-6 wks of care)
undersocialized cat (2-6 wks of care)
DOGS
Nursing dog (4-8 wks of care) Orphaned puppies (4-8 wks of care) Injured/sick dog (2-6 wks of care) Undersocialized dog (2-6 wks of care)
How will the foster animal(s) be housed: inside,loose inside,crated inside,separated outside in yard
outside kennel run garage other
How many animal(s) are you willing to foster at one time Length of time you are willing to foster
How often would you like to foster 1-6 times per yr once a month call me anytime emergencies only
Do you have prior experience with the type of foster care you are willing to provide yes no
Do you have a confinement area to isolate a foster animal(s) for health reasons yes no
Are you able to keep the foster animal(s) separate from you own animals yes no
Are you willing to transport the animal(s) to vet appointments yes no
Are you willing to transport the animal(s) to an emergency clinic should they become ill and need immediate care yes no
Are you willing to administer medications should the foster animal(s) require them yes no
Are you willing to be listed as an "emergency" foster home in case an animal should come into the system
unexpectedly and need to be placed in a foster home immediately yes no
Are you willing to work with your foster animal(s) in areas such as basic obedience and house training yes no
Are you willing to have a Foster Care Coordinator perform an in-home inspection yes no
How did you hear about our Foster Care program
Please explain why you would like to become a Foster Care Volunteer
PERSONAL REFERENCES
List the names, relationship, and telephone numbers of two persons that are not related to you. Where possible, please list individuals who are knowledgeable about your care of animals, such as a veterinarian, trainer, groomer, or other dog care professional.
Name Relationship Phone
BASIC RULES OF FOSTER CARE PROGRAM (check if you agree)
The foster animal(s) is only temporarily in your care and remains the property of PAWS.
The purpose of this foster relationship is solely to provide care for the foster animal(s) and to make the animal(s) "adoptable."
Any and all adoptions of foster animal(s) will be made through PAWS and are subject to the same guidelines as any other adoption. Foster Care Volunteers are encouraged to assist in the placement process of their foster animal(s).
You will surrender the foster animal(s) to PAWS at the end of the Foster Care period or immediately upon request.
You will not relinquish custody of the foster animal(s) to anyone except PAWS. If you cannot care for the foster animal(s) for any reason (even temporarily) - you must contact your Foster Home Coordinator.
You will not place the foster animal(s) in a dangerous situation (i.e. riding in an open pick-up truck or left unattended in a care).
You will keep the foster animal(s) in the house as a loved family member.
You will keep all foster cats and kittens indoors at ALL times.
You will keep all foster dogs and puppies in a secure area, preferably a crate or a kennel run.
You will not allow the dogs and puppies off-leash except in a secure fenced area of your property.
You will not use chains or other devices to tether the animal as a means of confinement.
You will use a "choke" collar only when training the dog on a leash - it will not be left on the dog while unattended.
You will assure that the foster animal(s) always wears the collar and ID tags supplied by PAWS.
You will feed, water, groom, exercise, and socialize the foster animal(s) as appropriate.
Applicant's electronic signature Date