AnimalWorks
3377 Regal Drive
Alcoa, TN 37701
E-mail: info@animalworkstn.org
Voice: (865) 379-2227
FOSTER APPLICATION
(Instant Electronic Submission Form)

Your Name:
Street Address:
City:
State:
Zip:
Home Phone: (Please include area code in all phone numbers)
Work Phone:
Cell Phone:
E-mail Address: (Group communications is primarily by E-mail)
What type of animal are you interested in fostering? (Check all that apply)
Puppies Kittens Dogs Cats
What type of fostering are you interested in? (Check all that apply)
Emergency (Overnight or Over weekend)
Short Term (Less than a Month)
Long Term (Until adopted)
Special Needs (Senior, blind, deaf, on medication, etc.)
Babys requiring bottle feeding (Formulas supplied)

Your Household:
Do you own or rent? Own Rent
If you rent, do you have your Landlord's permission to foster? Yes No

List your Landlord's name and phone number here:

May AnimalWorks verify with your landlord that pets are allowed on the premises? Yes No
How many adults live in your household?

How many children spend time at your household?

Please list the names and ages of these children:

Does anyone in your household have asthma or allergies? Yes No

Your Pets:
Do you have any pets at home now? Yes No

If so, list species and ages of pets:

Are any of these pets aggressive? Yes No
If yes, please explain:

Are all of these pets altered? Yes No
If no, please explain:

Have you had any pets that are no longer living with you? Yes No
If yes, what happened to the pet(s)?
How many hours per day will your foster animals be left alone?
Where will your foster animals live? Indoors Outdoors Both
Where will your foster animal sleep?

Do you know how to housetrain an animal? Yes No

Your Veterinarian:
Please provide the name and phone number of your primary Veterinarian.

Agreement:
Do you understand that AnimalWorks can visit your home to ensure that your foster animal is being properly cared for and that AnimalWorks has the right to remove the foster animal from your care if care standards are not met? Yes No
Do you understand that your foster animal is owned by AnimalWorks and that this animal can be re-homed at any time? Yes No
Do you understand that should you become attached to your foster animal and do not wish to part with it, you may fill out an adoption application and pending approval, adopt the animal by paying an adoption fee to AnimalWorks? Yes No

AnimalWorks greatly appreciates your willingness to help homeless animals by becoming a foster parent. As a foster parent, you are responsible for providing water, food, clean living quarters, attention, safety/protection from other animals or predators, medicines when necessary and humane treatment at all times. Thank you for helping.

By typing (or writing) your name into this box, you are declaring that you understand and agree to the above.

BEFORE YOU SUBMIT this form, please go back up and review your answers one last time. Once you submit the form, you will have to submit a new form to change any of your answers. When you are happy with your answers, print this form for your records and submit the form. After submitting this form, an AnimalWorks representative will review your information and contact you within three days.

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Revised: 13-Aug-2006