Foster Care Application Your InformationName First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands PhoneEmail(By providing this information, you may receive communications from Northeast Animal Shelter) Pet Owning ExperienceWhat pets are living in your home now?(List species, age, breed, sex, spayed/neutered, temperament)Are the pets living in your home all tolerant of other pets?My cat(s) are good with other catsMy cat(s) are good with dogsMy dog(s) are good with other dogsMy dog(s) are good with catsPlease explain your answer.Do you have a separate area or room in your house where you can contain a pet(s) while it is in foster care with you?YesNoWhich of the following apply?(These skills are not required.) I can handle births. I know how to administer medications. I can house-train dogs/pups. I can work with challenging behavior pets. I can handle dogs over 50 lbs. (Optional) Please provide more information about your answer.Your FamilyIs everyone in your family comfortable with the idea of providing foster care?YesNoPlease explain your answer.Do you own or rent your home?OwnRentWhat is your landlord's name and phone?Is anyone in your home allergic to animals?YesNoPlease explain your answer.Do children live in your home?YesNoWhat are the ages of the children living in your home?Do the children in your home have experience with animals?YesNoWhat contact will the children in your home have with a foster pet?How many adults live in your home (including yourself)?Please enter a number from 1 to 10.What are the daily work schedules of the adults in your home who will be helping with foster care?Who will be the primary foster caregiver?Do you have a job outside of your home?YesNoWhile you are at work, who will be interacting with a foster pet or how long will it be left alone?List ages & applicable timesGeneral QuestionsAre you willing to take a foster pet back and forth to our shelter for medical care or adopter visits in your own vehicle?YesNoAre you willing to pick pets up at our shelter and drop them off when they are ready for adoption?YesNoFor how long are you comfortable keeping the same foster pet in your home?example: 2 weeks, 1 month, 4 months, 6+ monthsFostering is a temporary arrangement but it's normal to become emotionally attached to a pet. Are you certain that you will be able to part with a foster pet when the time comes?YesNot sureSometimes fostered pets are ill or become ill. If a foster pet becomes ill or dies while in your care, will you be able to deal with this?YesNot sureWhat type of pets would you like to help care for?* Cats Dogs Check all that applyOptional Pregnant cat and its litter (usually for 3 months) Unsocialized Cat or kitten (usually for 2-4 weeks) Orphaned kitten(s) who need bottle-feeding (usually 3-6 weeks) Cat/kitten waiting for surgery (usually 2 weeks) Cat/kitten needing medical care (usually 2 weeks) Litter of orphaned kittens Recently spayed or neutered cat Check all that applyOptional Pregnant dog and its litter (usually for 3 months) Dog/puppy needing medical care (usually for 2 weeks) Shy/Unsocialized dog or puppy (usually for 4-6 weeks) High arousal behavior dog/puppy (usually for 2-4 weeks) Reactive/Resource guarding dog/puppy (usually 2-4 weeks) Litter of orphaned puppies Dog fosters please list size, age or breed restrictions.example: under 25 lbs, under 70 lb, under 4 months or 1-5 years.Dog fosters: What situations would interest you?Check all that apply Weekend Away (teens & adults needing a break from the shelter) Adoption Ambassador (longer term foster for teens & adults) Finishing School (pups & teens needing socializing) Getting To Know You (teens & adults with unknown history) Roving Rovers (field trips with teens & adults) Is there anything else you would like us to know about you?ReferencesPlease provide name and phone number for a friend or neighbor who can confirm your experience with animals.What is your veterinarian's name and practice name?CAPTCHA