| return to main or foster information A.A.S.K. Services c/o Heather - PO Box 180 Milo, Ab. T0L1L0 |
Foster Application
Form for Animals Alone of A.A.S.K. Services |
Date ___/___/___ Name ______________________________________ Co-Applicant _______________________________________ Address ______________________________________________________ City ___________________ Prov ___________ Postal Code ______________ Phone Number (_____) ______-_________ E-Mail _________________________________ Are you 18 years or older? ____ Yes ____ No Do you own or rent? ____ Own ____ Rent If rent, please provide a copy of your lease. Landlord Name ____________________________________________________ Address __________________________________________________________ City __________________ Province ___________Postal Code ________________ Phone Number (___) ____-___________. Do you wish to foster with intent to adopt in our program or simply to adopt? ________ to Foster N'Adopt or ________ to foster only. If to Foster Only: (indicate #) ____ Cats ____ Kittens ____ Dogs ____ Puppies you can foster. Why do you want to be a foster parent? __________________________________________________________________ ____________________________________________________________________________________________________ Have you ever been a foster parent for any other animal care/rescue organization? ____ Yes ____ No If yes, which one(s)? __________________________________________________ Veterinarian's Name __________________________________________________ Address ____________________________________________________________ City __________________ Province ________________ Postal Code ________________ Phone Number (___) ____-_______ I understand that the animal(s) in my Foster care, are the property of A.A.S.K. Society _________ Yes _________ No I understand that if I/we wish to adopt the foster animal(s) in care, that I/we must follow the adoption procedure and pay the designated fees of the animal(s) adoption. ______ Yes ______ No Animals Alone reserves the right to retrieve animals in Foster Care at any given time. _______ I agree Employer Name ______________________________________________________ Address _____________________________________________________________ City __________________ Province ________________ Postal Code ________________ Phone Number (_____) ______-_________ How many hours a day are you at work? _______________ How many hours will your foster pet be left alone during the day? _________ Where will your foster pet be left alone during the day? _______________________ ___________________________________________________________________ Number of persons in household ____ How many children? ____ Ages of Children _________________ Have your children been around pets before? ____Yes ____ No If yes, what kind? ______________________________________________________ Is anyone in your home allergic to animals? ____ Yes ____ No Do you travel? ____ Yes ____ No If yes, how often? _____________ Normal duration of stay? ________ Will you use an outside boarding facility or pet sitting service while you are gone? __________________ Are you aware that you will be responsible for all costs charged by your alternate care-giver while you are away? ________ Yes _______No Please provide the following about your alternate care-giver: Name: ___________________________________________________________ Address: ________________________________________________________ City _____________________ Province ________________ Postal Code ________________ Phone Number (_____) ______-__________ How many pets do you currently own? ________ Types and ages? ______________________________________________________ pg.3 Are they spayed/neutered? ____ Yes ____ No Have current vaccinations? ____Yes ____ No Would you be willing to permit Animals Alone Shelter to access veterinary records regarding your pets? ______Yes ______No Would you be willing to foster animals with health problems? ____Yes ____ No If yes, please explain ___________________________________________________ ____________________________________________________________________ Are you willing to pay for daily essentials (food, litter, toys, etc.)? ____ Yes ____ No Do you do any breeding? ____ Yes ____ No Do you have a preference to _____ Male _____ Female Do you understand that animals may have bathroom accidents in the house? _____ Yes _____ No DOGS How do you feel about crating(caging) a dog? __________________________________________________________ ____________________________________________________________________ Do you have a yard? _______. *If yes, What size is your yard? _____ Is your yard completely fenced? ____ Yes ____ No If "NO: please explain: _________________________________________________________________________________ ____________________________________________________________ What type of fence? Wood, chain, other _________________________________________ Do you have a separate room for the new arrival? ____ Yes ____ No If recommended by Animals Alone Shelter, are you willing to take the dog to an obedience trainer? ____Yes ____ No General Do you understand that Animals Alone Shelter requires a home inspection prior to becoming a foster parent and then may visit somewhat unexpectedly thereafter? ____ Yes ____ No Do you understand that you are required to contact us, Animals Alone Shelter - in the event a foster animal becomes ill or injured while in your care? _____ Yes _____ No Do you understand that you will be required to seek immediate veterinary care in the event your foster pet becomes ill or injured while in your care? _____ Yes _____ No (Note: A.A.S.K. Shelter pays for medical costs unless caused by acts or actions on behalf of being fostered. Please contact A.A.S.K. Shelter first) Do you understand that A.A.S.K. Society assumes no liability for any injury caused to you or others by your foster pet(s)? ____ Yes ____ No Do you understand that A.A.S.K. Shelter assumes no liability for any property damage caused by your foster pet(s)? ____ Yes ____ No Are you willing to provide transportation for your foster pet in order for it to receive regular and emergency veterinary care? ____ Yes ____ No QUESTIONNAIRE ~ DOGS/PUPPIES What would you do if your dog/puppy: Chewed on inappropriate items? _______________________________________________________________ _________________________________________________________________ Had an accident in your home? ________________________________________________________________ _________________________________________________________________ Barked excessively? __________________________________________________________________________ _________________________________________________________________ Ran away/escaped? ____________________________________________________________________________ _________________________________________________________________ Jumped on people or furniture? _______________________________________________________________ _________________________________________________________________ Dug holes in your yard? ______________________________________________________________________ ________________________________________________________________ Exhibited aggressive behavior? _______________________________________________________________ ________________________________________________________________ CATS/KITTENS Are you willing to take cats that are NOT declawed? ____ Yes ____ No Do you understand that all foster cats/kittens must remain indoors unless otherwise specified by Animals Alone Shelter? ____ Yes ____ No What would you do if your cat/kitten: Clawed or scratched your furniture, doors, walls or carpeting? _______________________________ ________________________________________________________________ Had an accident outside the litter box? ___________________________________ _________________________________________________________________ Jumped on your kitchen tables, counters or furniture? ______________________ _________________________________________________________________ Crawled up your drapes? _______________________________________________________________________ _________________________________________________________________ Wanted to go outside? __________________________________________________________________________ ________________________________________________________________ PERSONAL REFERENCES (non family) Name: _____________________________________________________ Address ____________________________________________________ City ____________________Prov. ____________Postal Code ________________ Phone Number (_____) _______-__________ Name ___________________________________________________________ Address ____________________________________________________________ City _____________________ Province ________________ Postal Code _________________ Phone Number (_____) _______-__________ I/we agree to allow a shelter representative to access Our veterinarian records for referances and for any animal that is currently owned or have previously owned. Further, I/we agree to allow A.A.S.K. Shelter to contact my landlord, employer (income will not be questioned) and the above listed references. Further, I/we certify that the answers to all questions in this application are true and realize that any false information may result in non-approval of my/our application to be a foster parent for A.A.S.K. Shelter. ___________________ ______________________________ Signature Date ____________________ _______________________________ Signature Date |
| *************************************************************************************************************************************************** ************************************************************************************************************************************************** A.A.S.K. Shelter use ONLY: Date Application received: _________ By: _____________________________ Date Veterinarian records verified (evidence attached): _________ By: _____________________________ Date Landlord contacted (evidence attached): _________ By: _____________________________ Date Employer contacted (evidence attached): _________ By: _____________________________ Date References contacted (evidence attached): _________ By: _____________________________ Date Application _________ Approved _________ Declined By: _____________________________ Additional Comments/Questions: |
| All Rights
Reserved. A.A.S.K. Services. Ab Canada. Mail to: A.A.S.K. Services C/0 Heather Hazen P.O. Box 180 Milo, Alberta Canada T0L1L0 |