Name
*
First Name
Last Name
Date of Birth
*
Email Address
*
Mailing Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Are you applying to foster a specific pet?
*
Why do you want to foster a pet?
*
Who will be the primary caregiver of the pet?
*
Are you employed?
*
Full time
Part time
Work from home
Homemaker
Other
Occupation
*
Employer Address, City, State, Zip:
Work Phone Number:
(###)
###
####
How long have you worked here?
How long have you lived here?
*
If not a ground entrance, what floor?
Do you rent or own?
*
If you have no fenced yard, how will your pet relieve themselves/exercise?
Please list the names and ages of any adults and children you live with:
Are all members of your household aware of and in agreement with fostering?
*
Yes
No
If no, what are their objections or concerns?
Does anyone in your home suffer from animal allergies?
*
Do all of the adults work full time?
*
How many hours are you gone a day?
*
How many hours a day will the pet be alone?
*
If you have any companion animals currently in your home, please list their names, type of animal, gender, age and if they are spayed/neutered:
*
Has a previous pet ever run away?
*
Where will your new pet be kept when he/she is alone?
*
Where will your new pet be kept during the night?
*
How did you find out about Animal Lighthouse Rescue?
*
Please provide any other information that may be helpful for us to know when reviewing your application: