Signature:
Applicant Information
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:
(5 digits)
State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Co-Applicant Information
First Name:
Last Name:
Contact Information
Daytime Phone:
Evening Phone:
Email:
Animal Information
I can foster:
Adult dogs
Weaned puppies
Mom and puppies
Special needs dogs
Dog behavior cases
Adult cats
Weaned kittens
Mom and kittens
Special needs cats
Cat behavior cases
Any dog or puppy
Any cat or kitten
Any animal in need
Comments:
Personal Information
Housing Type:
Single Family Residence
Duplex
Mobile
Condo
Townhome
Do you own your home?
Yes
No
If no, does your lease allow pets?
Landlord phone number:
Number of adults in the household:
Number of children in the household:
Do you have any pets currently in the household:
If yes, please list pets, sex, breeds, ages, temperments:
Are all of your personal pets spayed/neutered?:
Are all of your personal pets current on all their vaccines?:
Where do your personal pets sleep?:
Please list any medical issues your pets may have:
Please list your veterinarian's name and phone number:
Please list names and phone numbers for at least two personal references:
Please list any/all other foster or rescue groups that you are a part of (including caring for feral cats):
Does your property have a fenced in yard?:
Yes
No
Fence height?:
Where will the foster pet be kept?:
Where will the foster pet sleep?:
How many hours a day will the foster pet be left alone?:
Give a brief description of your experience with very young, ill, injured, and/or unsocialized animals:
Describe the minimum and maximum time frames to which you are committed for one or more foster animals:
Describe why you want to be a foster parent:
Other Information
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 acknowledge that this application remains the property of St. Francis Animal Sanctuary (SFAS). I authorize SFAS to conduct an on-site inspection of the premises where the animal(s) will be kept.