Foster Carer Application

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Mb: 0414 566 275

Yorke Peninsula, SA

Foster Carer Application


Applicant Details
Given Name *
Surname *
Phone No Day
	Daytime contact telephone no
Phone No Night
	Evening / Night contact telephone no
Email address *
Mobile No
Address
	Address where the pet will be living
Assistance
	In some cases the responsibility of caring for pets is shared with another person within one household. If so, please include the name and contact details of this person.
Living Arrangements
Type of Dwelling	ApartmentHouseAcreageOther
	What type of dwelling with the foster dog be living in? Please Tick
Children *	YesNo
	Do you have children
Ages of Children
	If so what are their ages
Employment Details
Employed *	YesNo
	Are you presently employed ?
Type of Empl.	Full TimePart TimeCasual
	Type of Employment
Hours / Day's
	Hours worked per Day and which Days
Employer
	Employers Name & Contact Details
The following information will help us match a specific foster pet to your household and your lifestyle.
Why Interested
	Why are you interested in joining our foster program?
Animal Experience
	Describe any previous experience working with animals
Volunteer Experience
	Describe any present and previous volunteer jobs.
Training Experience
	Do you have any special training or skills? (eg vet nurse, behavioural trainer)
Type of Dog	Adult DogPuppyMum and PupsLitter of PupsSenior
	Type of Dog you are interested in fostering.
Specific Type of Dog
	Are there specific types of dogs that you're interested in fostering? (eg large, small, breed preference)
Are you interested in fostering	Recuperating from illness or injuryPregnantUnweaned pups
	Tick one or more boxes as appropiate
Current Dogs *	YesNo
	Do you presently have Dogs?
Type of Dogs
	If yes, how many, Sex and what breeds?
Desexed *	YesNo
	Are they desexed?
Vaccinated *	YesNo
	Are your animal's vaccinations current? A copy of their current vaccination certificate may be required.
Size of Yard
	If you have a yard, what is its approximate size?
Fencing
	What type of fencing do you have and how high is your fencing?
Shelter
	Where would a foster dog stay when you are at home?
By Themself
	On a typical day how many hours (on average) would the foster dog be home on their own?
Visits from Prospective Adoptors *	YesNo
	Would you be willing to allow pre-screened potential adopters visit the foster dog at your home if a prior appointment is made with you?
Visits from YP Puppy Rescue *	YesNo
	Would you be willing to allow a rescue group representative to visit your home at a mutually agreed upon time?
Transportation *	YesNo
	Are you able to transport your foster dog to and from our veterinary clinic for assessments and veterinary checks?
Additional Comments
	Do you have any comments you wish to make?
Declaration

By submitting this questionnaire, you agree that ALL the information you have provided is correct. You understand that providing untruthful answers or failure to comply with the requirements of this application can result in the refusal of this application. By submitting this application, you understand that in some instances a property check will be required. We reserve the right to refuse any applicant.
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	Please type in the letters in Bold.

Foster Carer Application

Applicant Details

Living Arrangements

Employment Details

The following information will help us match a specific foster pet to your household and your lifestyle.

Declaration