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:*

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

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

Does ASVT 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

If you rent, have you received the approval of your landlord to have an animal?*
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

Is your yard fenced*
Choose one: No Yard Unfenced Yard Yard Partially Fenced Yard Completely Fenced

If no yard, are you able/willing to 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*

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 preventative*
Choose one: Yes No Not Applicable

All your current pets are: On monthly heartworm preventative (Dogs)*
Choose one: Yes No Not Applicable

All your current cats have tested negative for FeLV/FIV*
Choose one: Yes No Not Applicable

How much time will the Foster animal spend alone during the day*

Will the Foster animal be kept inside or outside*
Choose one: Inside Only Outside Only Inside and Outside

Where will the Foster animal be kept when you are not home during the day (crated, free to roam, in a gated area of home, etc)*

Where will the Foster animal be kept when you are home (crated, free to roam, in a gated area of home, etc)*

Where will the Foster animal sleep*

What brand of pet food do you use?

Emergency Contact Name & Phone Number*

Emergency Contact 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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