First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

County*

Email*

Cell Phone*

Please let us know what you are interested in fostering: *
Choose one: Cat Dog

Spouse/Partner’s Full Name (write N/A if none)*

How would you prefer to be contacted? *
Choose one: Email Text

Select the number of adults in your household?*
Choose one: 1 2 3 4 5 6 7 8 9 10

Supply the first and last names of the adults in your household: (write N/A if you are the only person in the house)*

Select the number of children in your household?*
Choose one: N/A 1 2 3 4 5 6 7 8 9 10

What are their ages? If no children, write N/A.*

I am over the age of 18. (If you are under 18, please do not complete this application. A parent or guardian must fill it out)*
Choose one: Yes No

Do you own, rent or live with parents?*
Choose one: Live with parents Own Rent

If you rent, please provide the name and phone number of your apartment complex or landlord, and be sure to include your apartment number. If not applicable, write N/A.*

If you live with your parents, provide their full name and phone number. If not applicable, write N/A.*

Employer/Source of Income:*

How long have you been with your current employer?*

Are you a student?*
Choose one: Yes No

If yes, what school do you attend and what is your year of study? If not applicable, type N/A:*

Do you currently have pets living in your household?*
Choose one: Yes No

Please contact your veterinarian as soon as possible to give them permission to speak with us. Additionally, you can email your current pet's vet records and vaccine history to adopt@colonycats.org to help expedite the application process.

Please list the name, species, and age of all pets in the home.

Please provide the name and phone number of the veterinarian who can provide medical history of current pets. If not applicable, type N/A.*

Approximately how many hours out of 24 per day will the pet be alone?*

Does anyone in your home have any known allergies to animals? If yes, please describe:*

Does anyone in your home smoke? If yes, please describe:*

Where will the foster spend days and nights? Do you have a separate space away from any animals in the home (describe)? *

Does your yard have a fence? *
Choose one: Yes No N/A

What Type of fence? How high? (Answer N/A if no fence is present)*

What is the usual activity level in your home (ie busy, relaxed, loud, quiet)?*

Is your availability flexible for vaccine or vet appointments as well as picking up and dropping off fosters? Please give a brief list of availability. *

TWO  references are required.

At least one reference must be someone outside your family.

Provide the full name, relationship to you, and phone number of your 1st reference. *

Please share any additional comments here:

I confirm that all the information I have provided is accurate and complete to the best of my knowledge. If a cat is placed with me, I agree to provide it with a safe and loving home as a pet.*
Choose one: I Agree I Disagree