Foster Application Disclaimer: Applying to be a Providence Animal Center foster parent is not a guarantee of approval. All foster placements are granted at the sole discretion of the Providence Animal Center Foster Program administrators.Applicant InformationFull name:* First Last Spouse name, if applicable:DOB:*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Driver’s License/State ID #:*Street address:* Street Address Township/Municipality City State / Province / Region ZIP / Postal Code Daytime phone:*Evening phone:*Cell phone:*Email address:* Occupation:*I am willing to foster (Please select all that apply):* Cats Dogs Other What type of cats (Please select all that apply):* Cats w/kittens Kittens Sick cat or kitten Adult cat Senior cat What type of dogs (Please select all that apply):* Dogs w/puppies Puppies Sick dog or puppy Adult dog Senior dog Are you able to tend to a foster puppy at least every 4 hours?YesNoWhat type of dogs (Please select all that apply):* Birds Reptiles Guinea pigs Rabbits Other Describe any special considerations we should understand (i.e.: cannot quarantine a sick animal from current healthy pets):*Describe your residence (i.e., single family home, duplex, apartment):*Do you own or lease your home?*OwnLeaseIf you rent, please provide your landlord’s name and contact information, including phone number:*Do you have your landlord’s permission to house animals if you rent/lease?*YesNoCan you provide proof?*YesNoIf so, are there any size/weight restrictions?*YesNoDo you have a yard at your residence?*YesNoIf yes, is the yard fenced-in, and if so, how tall?*Please list the ages of the children who live in your home:* Do any of the family members in your home have allergies to certain types of pets?*YesNoIf yes, please explain:*Approximately how many hours will your foster be alone each day?*Are you willing to foster an animal until a permanent home can be found or other arrangements can be made?*YesNoIf no, please give a maximum time frame:*Have you ever owned pets? If so, what kind:*Do you currently have pets residing in your home?*YesNoIf so, please describe here:*Name:Species:Age:Breed: If you are looking to foster a dog, what breeds do you have experience with?*Do your current animals generally get along with other animals?*Describe any behavior problems that you have had introducing new pets with your pets:*What did you do to work through the issues mentioned above?*Are the animals in your home currently spayed or neutered?*YesNoIf not, please explain why:*Please describe the general area in which the foster animal(s) will be kept when you are not home:*Have you ever fostered an animal before with any other organization?*YesNoIf yes, what organizations:*Organization name:Phone number:Contact person:Types of animal(s) fostered with this organization: Please check the box next to the following items you agree to allow if approved to foster for Providence Animal Center:* I agree to allow volunteers to come to my home to take a photos of my foster animal (s) I agree to allow staff of Providence Animal to come to my home to check on the animal’s welfare if deemed necessary by management I agree to having prospective adopters call me regarding my foster animal I agree to allow a prospective adopter to visit my home to see my foster animal I agree to be financially responsible for the animal in my care in regards to providing food, bedding, water, grooming and possibly even training Vet References(References will need to confirm current pets are up-to-date on rabies and distemper vaccines and fixed)Can you provide a vet reference?*YesNoList vet references:*Vet name:Address:Phone: Personal ReferencesPlease list 3 references who can vouch for your ability to care for foster animals.*Name:Address:Phone: Were you referred to Providence Animal Center?*YesNoIf so, by who?Is that person a current Providence Animal Center volunteer or foster home?*YesNoAre you currently a volunteer with Providence Animal Center?*YesNoApplicable DocumentsProvidence Animal Center requires permission from home owners to foster pets and that each pet in the home is spayed/neutered and vaccinated against distemper and rabies. To help expedite the process, if applicable, please provide a lease and/or landlord agreement as well as current veterinary records for your resident pets here. Drop files here or Accepted file types: pdf, doc, png, jpg, jprg, gif. Notes By signing this form, you agree to the above statements and certify that your answers given above are true.Print your name*Date* Please be sure to check your SPAM folder for the foster application email address This iframe contains the logic required to handle Ajax powered Gravity Forms.