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Cat Foster Application

Foster: Cat

1Applicant

2Family

3Home

4Care

5Preferences

LinkedIn
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Default Status
First Name*
Last Name*
Date of Birth*
MM slash DD slash YYYY
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Age Range*
eMail Address*
eMail Address Confirm eMail Address
Street Address*
Suite | Apt or Unit Number
City*
State/Province*
ZIP*
Country*
Home Phone Number
Work Phone Number
Cell Phone Number*
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Preferred Method of Contact
Employment & Schooling
- Eleventh Hour Rescue requires applicants to be at least 23 years old to foster a cat. Proof of age will be required prior to any foster being placed. Do you fully understand this policy?*
  - Yes
  - No
- Are You Employed?*
  - Yes
  - No
  - Retired
- Full or Part Time?*
- Name of Employer*
- How Long Employed There?
- Are You In School?*
  - Yes
  - No
- Full or Part Time?*
- How Did You Hear About Us?*
- What Is Your Friend's Name?*
- Which Shelter?*
- Which Rescue?*
- Please Describe*

Below are three areas for information on other members of your family. Please include all other adults, children and pets living in your home by clicking on the designated button.
Adults
- Are There Other Adults In The Home? (18yrs+)*
  - Yes
  - No
- Have all adult household members agreed upon fostering an animal?*
  - Yes
  - No
- How Many?*
Adult 1
First Name*
Last Name*
Date of Birth*
MM slash DD slash YYYY
Gender*
Relationship To Applicant*
Please Describe*
Phone Number*
eMail Address*
Are They Employed?*
- Yes
- No
- Retired
Full or Part Time?*
Name of Employer*
How Long Employed There?*
Are They In School?*
- Yes
- No
Full or Part Time*
Adult 2
First Name*
Last Name*
Date of Birth*
MM slash DD slash YYYY
Gender*
Relationship To Applicant*
Please Describe*
Phone Number*
eMail Address*
Are They Employed?*
- Yes
- No
- Retired
Full or Part Time*
Name of Employer*
How Long Employed There?*
Are They In School?*
- Yes
- No
Full or Part Time?*
Adult 3
First Name*
Last Name*
Date of Birth*
MM slash DD slash YYYY
Gender*
Relationship To Applicant*
Please Describe*
Phone Number*
eMail Address*
Are They Employed?*
- Yes
- No
- Retired
Full or Part Time?*
Name of Employer*
How Long Employed There?*
Are They In School?*
- Yes
- No
Full or Part Time?*
Adult 4
First Name*
Last Name*
Date of Birth*
MM slash DD slash YYYY
Gender*
Relationship To Applicant*
Please Describe*
Phone Number*
eMail Address*
Are They Employed?*
- Yes
- No
- Retired
Full or Part Time?*
Name of Employer*
How Long Employed There?*
Are They In School?*
- Yes
- No
Full or Part Time?*
Children
Are There Children In The Home? (under 18yrs)*
- Yes
- No
How Many?*
Child 1
Name*
Age*
Gender*
Previous Experience with Cats*
Is there anything else we should know in relation to this child's experience and/or comfort level wth cats?*
Child 2
Name*
Age*
Gender*
Previous Experience with Cats*
Is there anything else we should know in relation to this child's experience and/or comfort level wth cats?*
Child 3
Name*
Age*
Gender*
Previous Experience with Cats*
Is there anything else we should know in relation to this child's experience and/or comfort level wth cats?*
Child 4
Name*
Age*
Gender*
Select Previous Experience with Cats*
Is there anything else we should know in relation to this child's experience and/or comfort level wth cats?*
Cats
Do You Now or Have You Ever Had a Cat In The Past 10 Years?*
- Yes
- No
How Many?*
Have you ever taken care of a cat before (ie fostering, cat sitter, etc) or have any other cat experience?*
Please provide details, including the rescue organization’s name & contact info:*
Cat 1
Cat's Name*
Where Did You Get The Cat?*
Please Explain*
Is Cat Still Living With You?*
- Yes
- No
Which Years Owned?*
How Long Did You Own Him/Her?*
Why Not?*
Why Was Cat Euthanized?*
Please explain the circumstances and what the outcome was for the pet.*
Please Describe the Situation*
Please Describe*
Sleeping Quarters*
Where Does Cat Live?*
Breed*
Age*
Gender*
- Female
- Male
Status*
Please Explain Why Not*
Socialibility*
Up To Date On All Vaccines?*
- Yes
- No
Has Cat Been Declawed?*
- Yes
- No
Did Your Vet Do The Declaw?*
- Yes
- No
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Is There Any Additional Information You Would Like to Add?*
Cat 2
Cat's Name*
Where Did You Get The Cat?*
Please Describe*
Is Cat Still Living With You?*
- Yes
- No
Which Years Owned?*
How Long Did You Own Him/Her?*
Why Not?*
Why Was Cat Euthanized?*
Please explain the circumstances and what the outcome was for the pet.*
Please Describe The Situation*
Please Describe*
Sleeping Quarters*
Where Does Cat Live?*
Breed*
Age*
Gender*
Status*
Please Explain Why Not*
Socialibility*
Up To Date On All Vaccines?*
- Yes
- No
Has Cat Been Declawed?*
- Yes
- No
Did Your Vet Do The Declaw?*
- Yes
- No
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Is There Any Additional Information You Would Like To Add?*
Cat 3
Cat's Name*
Where Did You Get The Cat?*
Please Explain*
Is Cat Still Living With You?*
- Yes
- No
Which Years Owned?*
How Long Did You Own Him/Her?*
Why Not?*
Why Was Cat Euthanized?*
Please explain the circumstances and what the outcome was for the pet.*
Please Describe the Situation?*
Please Describe*
Sleeping Quarters*
Where Does Cat Live?*
Breed*
Age*
Gender*
- Yes
- No
Status*
Please Explain Why Not*
Socialibility*
Up To Date On All Vaccines?*
- Yes
- No
Has Cat Been Declawed?*
- Yes
- No
Did Your Vet Do The Declaw?*
- Yes
- No
This field is hidden when viewing the form
Is There Any Additional Information You Would Like to Add?*
Cat 4
Cat's Name*
Where Did You Get The Cat?*
Please Explain*
Is Cat Still Living With You?*
- Yes
- No
Which Years Owned?*
How Long Did You Own Him/Her?*
Why Not?*
Why Was Cat Euthanized?*
Please explain the circumstances and what the outcome was for the pet.*
Please Describe the Situation*
Please Describe*
Sleeping Quarters*
Where Does Cat Live?*
Breed*
Age*
Gender*
- Female
- Male
Status*
Please Explain Why Not*
Sociability*
Up To Date On All Vaccines?*
- Yes
- No
Has Cat Been Declawed?*
- Yes
- No
Did Your Vet Do The Declaw?*
- Yes
- No
This field is hidden when viewing the form
Is There Any Additional Information You Would Like to Add?*
Other Pets
Are There Other Pets In The Home?*
- Yes
- No
How Many?*
Other Animal 1
Animal Type*
Animal's Name*
Sleeping Quarters*
Sociability*
Are your current pets receptive to new pet additions in the home?*
Is there any other additional information you would like to add about your family or current/previous animals?*
Other Animal 2
Animal Type*
Animal's Name*
Sleeping Quarters*
Sociability*
Are your current pets receptive to new pet additions in the home?*
Is there any other additional information you would like to add about your family or current/previous animals?*
Other Animal 3
Animal Type*
Animal's Name*
Sleeping Quarters*
Sociability*
Are your current pets receptive to new pet additions in the home?*
Is there any other additional information you would like to add about your family or current/previous animals?*
Other Animal 4
Animal Type*
Animal's Name*
Sleeping Quarters*
Sociability*
Are your current pets receptive to new pet additions in the home?*
Is there any other additional information you would like to add about your family or current/previous animals?*

RESIDENCE
- Type of Residence*
- How long have you been living at your current address?*
- Please comment on your ability / level of dedication to finding pet friendly housing for the duration of the cat's life.*
- Please Provide Landlord's Name*
- Are they the documented owner of the property?*
  - Yes
  - No
- Provide contact info for HOA or Property Management Company*
- Provide contact info for HOA or Property Management Company*
- Provide contact info for HOA or Property Management Company*
- Provide contact info for HOA or Property Management Company*
- Please Describe Type of Residence*
- Do You Own or Rent?*
- Is your name, as it appears on this application, the name on your lease ?*
  - Yes
  - No
- Please provide name and contact information.*
- Is your name, as it appears on this application, the name on your deed?*
  - Yes
  - No
- Please provide name and contact information.*
- Does Landlord Allow Cats?*
  - Yes
  - No
- Please Provide Landlord's Phone Number*
- Please provide their name(s) and contact information (email & phone number)*
- Please provide their email address*
- Please provide their phone number*
- Please explain the living situation*
- Do you have any plans to relocate from your current residence within the next 6 months?*
  - Yes
  - No
- When?*
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Yard Information
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Do You Have A Yard?*
- Yes
- No
Is The Yard Fenced?*
- Yes
- No
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How High Is The Fence?*
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What Is The Lowest Point of The Fence?*
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What Material Is The Fence Made From?*
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Please Describe Fence Material*
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Is The Lawn Treated?*
- Yes
- No
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Do You Have A Pool?*
- Yes
- No
This field is hidden when viewing the form
Is The Pool Completely Fenced?*
- Yes
- No

Family & History
What Type Of Household Do You Have?*
Please Describe:*
Do All Family Members Want to Foster A Cat?*
- Yes
- No
Please Explain Who Doesn't and Why They Don't*
Is Any Member Of Your Household Allergic To Cats?*
- Yes
- No
How is this managed?*
Feeding & Exercise
Who Will Be Responsible For Feeding The Cat?*
Sleep & Alone Time
Where Will The Cat Sleep?*
Where Will The Cat Be When Alone?*
Please Describe Where The Cat Will Be*
Do You Have A Doggie Door?*
- Yes
- No
Is It Locked When You Are Away From Home?*
- Yes
- No
What is The Longest Time The Cat Will Be Alone (without humans)?*
Who Will Care For The Cat While You Are On Vacation?*
Please Explain Who Will Care For The Cat*
Behavior & Training
Cats Can Take A Month Or Longer To Adjust To A New Home, Particularly If Other Pets Are Involved. Are You WIlling To Devote This Much Time To Make The Cat Comfortable In Your Home?*
- Yes
- No
What Behaviors Can You Tolerate (AND WORK ON)?
Needs Social Skills*
Accidents In The House*
Inappropriate Chewing*
Excessive Scratching*
Separation Anxiety*
- Other
  - Yes
  - No
- Please Explain Other Behaviors You Cannot Tolerate*
Personal References
Please provide three (3) personal references who can speak on your ability to be an adequate foster. One (1) reference may be a family member not living in the same home. Each other reference must be of non-family relation, such as a co-worker, neighbor or friend.
Reference #1
Please Provide Reference's First Name*
Please Provide Reference's Last Name*
Please Provide Reference's Phone Number*
Please Provide Reference's eMail Address*
Relationship To Applicant*
Years Acquainted*
Reference #2
Please Provide Reference's First Name*
Please Provide Reference's Last Name*
Please Provide Reference's Phone Number*
Please Provide Reference's eMail Address*
Relationship To Applicant*
Years Acquainted*
Reference #3
Please Provide Reference's First Name*
Please Provide Reference's Last Name*
Please Provide Reference's Phone Number*
Please Provide Reference's eMail Address*
Relationship To Applicant*
Years Acquainted*
Veterinarian Information
Have You Used A Veterinarian Before? (Please contact them and give permission to release information to Eleventh Hour Animal Rescue )*
- Yes
- No
Please Provide Veterinarian's Name*
Please Provide Name of Animal That Was Seen BY This Vet*
Please Provide Veterinarian's Phone Number*
Please Provide Veterinarian's Full Address*
If you have taken your animals to more than one veterinarian in the last 5 years, please list each additionanal veterinarian (name, city, state and phone number)
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Groomer Information
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Have You Used A Groomer Before?
- Yes
- No
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Please Provide Groomer's Name
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Please Provide Groomer's Phone Number
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Boarding Facility Information
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Have You Used A Boarding Facility Before?
- Yes
- No
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Please Provide Boarding Facility's Name
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Please Provide Boarding Facility's Phone Number
Foster Care
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Please describe any experience or special training you have that may help you evaluate personality and temperament:*
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Please describe any experience or special training you have had that may help you to understand and deal with potential problems a rescue cat may have:*
Do you understand that the Rescue requires that all fosters read our “Foster Manual”, which will be provided to new fosters once approved, in its entirety and follow the policies and protocols outlined in the manual?*
- Yes
- No
Do you understand that while the Rescue makes every effort to provide only accurate information about a cat, rescue cannot guarantee the breed, age, full-grown size, medical status, history, behavior, or temperament of any animal?*
- Yes
- No
Do you understand that the foster cat is the property of the Rescue and can be removed from the foster family by the Rescue or their representatives at any time and without prior notice?*
- Yes
- No
Do you understand the importance of letting a cat decompress for the first 30 days in a new home and that you should have minimal visitors during this time?*
- Yes
- No
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Do you understand that any foster cat entrusted to your care must be provided adequate food, water, affection, socialization, training, exercise and medical care?*
- Yes
- No
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Do you understand that a foster family must not allow the cat outdoors for any reason?*
- Yes
- No
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Do you understand that under no circumstances shall the foster cat be sold, abandoned, relinquished to a pound, shelter or other rescue group, transferred or given to any other individual or to any establishment for the purpose of resale, nor to any research institution?*
- Yes
- No
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Do you understand that the Rescue and its representatives have limited information about the temperament and habits of the rescued cat?*
- Yes
- No
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Do you agree to provide the Rescue with an assessment of the cat’s interaction with the potential adoptive family and give an impression of the likely success of such adoption?*
- Yes
- No
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Are you willing and able to evaluate the personality and temperament of a foster cat to determine the best type of adoptive home? i.e. a home with children; adult home only; home with other animals; needs to be an only cat, etc*
- Yes
- No
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Are you willing to foster a cat who has been abused and/or neglected who may require special attention and lots of love and reassurance?*
- Yes
- No
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Are you willing to provide written progress reports to the Rescue's representative?*
- Yes
- No
Do you understand that no decisions may be made regarding veterinary care (including euthanasia,) or placement without the prior approval of the Rescue?*
- Yes
- No
Do you undertand that the Rescue requires that fosters bring their foster animal to be showcased at one of our adoption centers or adoption events at least twice per month (if the temperament of the animal allows).*
- Yes
- No
Do you understand that if the foster family finds it can no longer keep the cat in their care, they shall notify the Rescue immediately to arrange returning the cat?*
- Yes
- No
Do you understand that in the event the foster family wishes to permanently adopt the rescue in their care, an Adoption Application must be filed and, if approved, an Adoption Placement Contract must be signed?*
- Yes
- No
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Do you agree to cooperate in accommodating those who wish to see the rescued cat?*
- Yes
- No
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Is there anything else you would like to tell us about the care you would give a needy foster cat?

Would You Consider:
Select all that apply.
Two Cats that are considered a bonded pair?*
A Pregnant Cat*
Are you willing and able to foster a pregnant mama cat through her pregnancy and keep her and her kittens until they are ready for adoption at around 2 months of age?*
Fostering Bottle Babies*
An Entire Litter Of Kittens?*
A Cat That Can Be An Only Pet?*
A Cat That Is Not Good With Younger Children (under 10)?*
A Cat who is a hospice situation, meaning one that is terminally ill?*
- A Cat That Needs Medications?*
- A Cat That Has a Serious Health Condition?*
- Please Select All Health Condition(s) You Would Accept:*
- A Cat That Has Special Needs?*
- Please Select All Special Needs(s) You Would Accept:*
  Select All That Apply
- A Cat That is Not Litterbox Trained?*
Select Gender*
Select Age Range*
Select All That Apply
Select Personality*
Select All That Apply
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Select Color*
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Do You Have A Preferred Cat?
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List Other Cats You Are Interested In
When Will You Be Ready To Foster?*
Tell us any other information you think we should know about you or your experience, or list any limitations or concerns you may have about fostering an animal.
I am interested in receiving pet related services and products
- Yes
- No
Authorization
Authorization:*
All cats placed through the Eleventh Hour Rescue will have health checks, personality and temperament evaluations, and will be spayed or neutered prior to placement unless a medical condition exists, diagnosed by a veterinarian, that would prevent this surgery. I understand that this is a preliminary application and that there may be no cat available in rescue at this time that will fit my situation & preferences. I understand that if a cat should become available, that I will be required to provide further information including, but not limited to, documentation of homeowners or renters insurance. I further understand that all information on my Preliminary Rescue Foster Application will be kept confidential; and that my application will be kept on file until I notify the Eleventh Hour Rescue that I am no longer interested in a rescue. I understand that the Rescue reserves the right to deny any foster application in our sole and absolute discretion. The reason for any such denial determination shall remain confidential. I understand and agree *
- I agree

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