Foster FormPlease enable JavaScript in your browser to complete this form. - Step 1 of 8Information provided here will help us find you the purrfect match!Applicant Name *FirstLastPhone *Email *What type of animals are you able to foster? *CatsDogsSelect all that applyDo you already have a foster animal in mind? *YesNoWhat is the name of the animal? *NextType of residence *HouseApartmentOtherOther (please describe) *Street address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryIs your mailing address the same as your street address? *YesNoMailing address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPreviousNextHow long have you lived at this address? *Number of years and/or monthsDo you? *RentOwnShared Accommodation (with roommates)Landlord Name *FirstLastLandlord Phone *Do you have general insurance? *YesNoHave you discussed having this pet with your landlord or roomates? *YesNoDo you or anyone you live with have allergies? *YesNoHow many adults (including yourself) reside in the home? *How many children reside in the home? *How many hours per day would you be away from home? *How often do you travel away from home? *Who will watch and care for your pet while you travel? *PreviousNextDo you currently have any pets? *YesNoPet information *Please include your animals names, breed, gender, age, whether they are spayed/neautered, and if their vaccines are current.Are there any animals on your property that are not altered? *YesNoWhat animals? *Veterinarian Name *Veterinarian Phone *I hereby authorize my veterinarian to release any medical records requested by Critteraid *YesAre there any animals on your property that are being treated medically? *YesNoWhat animals? *Have you had any pets in the past? *YesNoPet information *Please include your animals names, how long you had them, and the reason you no longer have the animal/s.PreviousNextWhy do you want to foster an animal? *What are some reasons you might have to return a fostered animal? *Where would the foster animal be kept? *IndoorsOutdoorsPaddockPastureStable StallOtherSelect all that apply.Other (please describe) *What facilities do you have on your property? *Birdcage/AviaryAquariamCageRoomKennelPenPondCoopStallPaddockPastureSelect all that apply.Do you have a fenced yard? *YesNoHow high is the fence, and is it secure? *How long are you able to foster an animal? *Emergency (1-3 days)Short-Term (less than 4 weeks)Long-Term (1-12 months)Select all that apply.Are you willing and able to give medication prescribed by a veterinarian to an animal you are fostering? *YesNoIf the animal you are fostering needs emergency medical treatment and you are unable to reach the Critteraid representative, where would you take the animal for treatment? *PreviousNextReference 1 Name *FirstLastReference 1 Phone *Reference 1 Email *Reference 1 Relationship to You *Reference 2 Name *FirstLastReference 2 Phone *Reference 2 Email *Reference 2 Relationship to You *PreviousNextI hereby declare that the information provided in this form is true and correct. I also understand that any willful dishonesty may result in refusal of this application. *YesThis form must be completed by all individuals / animal organizations wishing to foster an animal for Critteraid. The completion of this form does not guarantee that an animal will be placed with you. To foster an animal, the responsible party must be at least 19 years of age. This is not an Adoption Agreement. If an animal is placed with you, it is understood to be a temporary arrangement. Critteraid appreciates your interest in fostering an animal that is brought in to rescue, or be placed in temporary housing while the guardian is in transition, or if the animal is feral and experiencing rehab or fostering until he/she can be adopted. In an effort to further protect the animals we have been involved in rescuing and sheltering, we take great care to ensure that the foster homes these animals go into will provide them with the proper daily care and lots of love. In addition, animals have other specific needs and we want to make sure their foster home can meet these needs. Making the decision to foster an animal is a big responsibility and we want to make sure that everyone in your household realizes this. Therefore, we will do everything possible to make sure this is the right match for you and the animal. *YesPreviousNextUpdating preview…This is a preview of your application. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousSubmit