Today's Date
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Applicant's First Name:
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Applicant's Last Name:
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Date of Birth:
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Street Address:
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City:
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State:
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Apartment/Building Number:
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Zip Code:
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Cell Phone:
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Home Phone:
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Work Phone:
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Email Address:
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How did you hear about us?
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Select One
Homeward Bound Website
Petfinder
Petco
PetSmart
Referral
Internet Search
Social Media
Radio
TV
Walk-in
Other
Including yourself, how many people live in your household?
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Please list all the people who live in the home, their ages & relationship to you.
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How would you describe your household?
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Select One
Active
Quiet
Do you own or rent your home?
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Select one
Own
Rent
Someone else owns the Home
Someone else rents the Home
Please select your current residence type.
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Select one
House
Apartment
Condo
Townhouse
Mobile Home
Other
If you answered "other" above, please explain here.
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How long have you lived at this address?
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Select one
Less than one month
1-2 months
3-6 months
6-9 months
9-12 months
1-2 years
3-5 years
6-10 years
10 + years
If you rent, does your landlord and lease allow pets?
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Select one
Yes
No
Unsure
N/A
Landlord's contact information:
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Are all members of your household comfortable with cats?
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Select one
Yes
No
Does anyone in your household have allergies to cats?
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Select one
Yes
No
Possibly
Do you own other pets at the current time?
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Select one
Yes
No
If yes, please list their names, breeds, and ages.
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Are all of your pets spayed/neutered/fixed?
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Select one
Yes
No
N/A-I have no pets.
Do your pets use a dog door to go in/out?
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Select one
Yes
No
N/A-I have no pets.
Where do your pets stay during the day?
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Where do your pets stay at night?
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Where do your pets stay when you are not home?
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How are your current pets around new animals?
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What kind of pets have you had in the past?
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What happened to them?
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Are your pets current on their vaccinations?
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Select one
Yes
No
N/A-I have no pets.
Have your current cats been tested for Feline Leukemia Virus (FeLV) and Feline Immunodeficiency Virus (FIV)?
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Select one
Yes
No
Unsure
N/A-I have no cats.
If yes, what were the results?
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Veterinarian's Name:
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Veterinarian's Address, City, State, and Zip Code
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Veterinarian's Phone Number:
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Have you ever had a pet euthanized?
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Select one
Yes
No
If yes, please explain.
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Employment Status:
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Select one
Full-Time
Part-Time
Retired
Work from Home
Stay at Home Parent
Student
Unemployed
Other
If you chose "other" above, please explain.
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If you are employed, what is your current occupation?
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Place of Employment:
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What is your work schedule?
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On average, how many hours per day will your fosters be left alone?
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Describe your experience with cats, if any.
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Why do you want to foster cats for Homeward Bound?
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Do you have previous fostering experience? If yes, please describe your experience.
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How long are you willing to foster at a time?
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What types of cats are you interested in fostering?
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Litter of kittens
Nursing mom with kittens
Bottle babies (newborn, 24/7 care)
Adult cats
Special needs (medical)
No preference
Will this be your first kitten/cat?
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No Yes
Do you have a room in your home where the cat/kitten can be isolated from family pets?
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No Yes
If yes, please describe.
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Do you have secure screens on all windows?
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Select one
Yes
No
Would you be able to keep the foster cats as indoor only?
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Select one
Yes
No
Unsure
Where will your fosters sleep?
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The following questions help us assess your experience so that we can place an appropriate foster in your home. You do not need experience in all of these areas to be approved as a foster home.
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Basic training and grooming (litterbox, brushing, trimming claws, etc)
Modifying an undesirable behavior (litterbox, scratching, biting, etc)
Caring for a pregnant female
Raising weaned kittens until ready for spay/neuter
Socialization of semi-feral kittens
Have you ever been convicted of abuse or neglect of a person or animal?
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Select one
Yes
No
If yes, please explain.
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Will you allow us to perform home visits before and during the time you are fostering?
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Select one
Yes
No
Will you be able to bring the cats to adoption events at PetSmart or Petco?
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No Yes
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As a foster parent/family I agree to help supply food, litter, and toys while the cats are in my care. I will make necessary arrangements to get the cats to Homeward Bound's veterinary clinic when vaccines and medical care are needed. I will make necessary arrangements to get the cats to adoptions and events are required. I will keep Homeward Bound updated with photos and information needed for adoption.
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I understand that any cats I foster are Homeward Bound Cat Adoptions cats. They may not be pre-adopted, adopted out, given away, or otherwise transferred from my home. I understand that all adoptions must done by HBCA. I will return the cats to HBCA when requested to do so. I understand that I will not be able to adopt any foster cats in the first three months of fostering.
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I agree to abide by all the rules and regulations set forth by Homeward Bound Cat Adoptons and further outlined in the Foster Care Manual. I will keep all cats in a safe, indoor environment. I will notify HBCA immediately should a foster cat exhibit signs of illness. I acknowledge that foster cats may not be vaccinated or tested for FIV or FeLV or spayed/neutered.
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I release Homeward Bound Cat Adoptions from liability for any injury or damages to any person or property caused by fosters and from any causes of action, claims, suits, or demands that may arise as a result of such injury or damages.
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Signature of Applicant:
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Clear
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By signing this document, you agree that any form of electronic signature, including but not limited to signatures via facsimile, scanning, or electronic mail, may substitute for a handwritten signature and shall have the same legal effect.