The Northern Ontario Animal Welfare Society
Date: Completed by:
Name of Primary Caregiver:
Address:
Telephone Number(s):
(home) (business)
Do you presently have pets in your home?
|
Dog or Cat, Breed |
Age |
Sex |
Spayed/ Neutered |
Up-to-date Vaccinations |
1. |
Y or N |
Y or N |
||
2. |
Y or N |
Y or N |
||
3. |
Y or N |
Y or N |
||
4. |
Y or N |
Y or N |
||
5. |
Y or N |
Y or N |
||
6. |
Y or N |
Y or N |
||
7. |
Y or N |
Y or N |
Do you have children in your home? What are their ages?
How many hours/day are you away from home?
Have you ever "fostered" a homeless pet before? With what organization?
Have you had experience training animals? (ie. house training, basic commands for dogs, etc…)
Are you willing to provide basic training to foster animals?
Are you willing to work with / foster animals with special needs (behavioural or physical)?
What type of pet would you be willing to foster?
Dog(s):
Puppy(<5 months) q "Adolescent" (5 - 10 months) q Adult (> 10 months) q
Large q Medium q Small q
Orphan (<6 weeks) q
Are you willing to foster an "intact" dog? (unspayed/unneutered) Yes q No q
Maximum Number (at one time):
Other Comments:
Cat(s):
Kitten(<5 months) q "Adolescent" (5 - 10 months) q Adult (> 10 months) q
Orphan (<6 weeks) q
Are you willing to foster an "intact" cat? (unspayed/unneutered) Yes q No q
Maximum Number (at one time):
Other Comments:
Do you have any constraints on the amount of time an animal can remain in your home? (ie. are you willing to foster an animal for an extended period of time, if a permanent home cannot be found immediately?)
10. Do you have the proper supplies/facilities to help support a foster dog or cat? (ie. dog house, litter box, tie out chains, etc…) What would you like NOAWS to supply?
HOME VISIT: (Required prior to approval)
Conducted on:
Conducted by:
Notes:
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