First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

County*

Email*

Home Phone

Cell Phone*

Is this application for a Courtesy Post?*
Choose one: Yes No Not Applicable

TX Driver's License (or Texas ID) number:*

ASVT requires adopters to be 21 years of age or older. What is your birthdate/age?*

I would like to foster:
Choose all that apply: Cats/Kittens Dogs/Puppies (Small-under 20 lbs) Dogs/Puppies (Medium-21 to 40 lbs) Dogs/Puppies (Large-over 41 lbs)

I am willing to foster a pet with special needs (skin issues, injuries, senior animals)
Choose one: Yes No Maybe

When will you be ready to take your first foster?

Does ASVT have your permission to contact your veterinarian? This is a requirement if you have had pets within the last 5 years.*
Choose one: Yes No

NOTE: Most veterinarian clinics require verbal permission from the client before information is released. Please call your veterinarian clinic now and give them permission to discuss your pets with ASVT. Failure to call will result in delays in processing your adoption application. Veterinarian's Name(s) and Phone Number(s)*

Have you ever been convicted of a crime against a person or an animal?*
Choose one: Yes No

Do you authorize ASVT to do a criminal background check?*
Choose one: Yes No

ASVT uses online maps and public data to confirm your home's location/ownership. If ASVT is not able to fully confirm your property, do we have your permission to do a home visit?*
Choose one: Yes No

Do you own or rent your home or live with a family member*
Choose one: Own Rent Live with Family Member

ASVT requires verbal landlord approval. If you rent, have you received the approval of your landlord to have a pet and paid any deposit required?*
Choose one: Yes No Not Applicable

If you rent or live with a family member, please enter your landlord/family member's name and phone number (if you own your home, enter N/A)*

In what type of home do you live*
Choose one: Single Family Condominium Apartment Mobile Home

ASVT prefers dogs have a safe place to go outside. Is your yard fenced*
Choose one: No Yard Unfenced Yard Yard Partially Fenced Yard Completely Fenced

If no yard, are you able/willing to leash walk a dog at least 3 times per day?*
Choose one: Yes No Not Applicable

What type of fence*
Choose one: Chain Link Invisible Privacy (Wood or Plastic) Wood and Wire Wrought Iron No Fence

What is the height of the fence*

ASVT will not place pets in homes not suited for their behavior or characteristics. How many people reside in your household? Please provide names and ages for all household members*

How many cats and/or dogs CURRENTLY live with you?*

List your pet(s) name, species (dog/cat) and if they are spayed/neutered (If no pets, enter N/A)*

All your current pet(s) are up to date on vaccinations*
Choose one: Yes No Not Applicable

All your current pet(s) are on monthly flea/tick preventive*
Choose one: Yes No Not Applicable

All your current pet(s) are on monthly heartworm preventive (Dogs)*
Choose one: Yes No Not Applicable

All your current cat(s) have tested negative for FeLV/FIV*
Choose one: Yes No Not Applicable

Some pets suffer from anxiety if left alone. On average, during the day, how many hours are you and your household away from your home?*

Will the fostered pet primarily live (eat, sleep, spend the majority of their time) inside the house or outside?*
Choose one: Inside Only Outside Only Inside and Outside

Some pets express anxiety by howling or tearing things up. During the day, when your household is away from home, how will the fostered pet be kept? (ie outside in a safe area or tied up, inside in a safe area or have run of the house, crated, etc)*

Pets need to be part of a family. When your household is home during the day, where will the fostered pet be primarily kept (ie outside in a safe area or tied up, inside in a safe area or have run of the house, crated, etc)*

At night, where do you plan for the fostered pet to sleep (outside or inside, crated or not, in a bedroom or a public part of the home)*

What brand of pet food do you use?

Please provide ASVT with an emergency contact name & phone number*

Your emergency contact's relationship to you:*

By submitting this form, I certify that the information entered on this form is true and correct to the best of my knowledge. I understand that any misrepresentation of fact may result in a refusal of all foster privileges. I authorize Animal Shelter Volunteers of Texas (ASVT) to contact all veterinarians listed on the application. If my request to foster is approved and ASVT discovers the above information is not true or correct, I understand that ASVT reserves the right to require the return of the foster pet. Please enter your name and the date you completed this form.*

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