Hurricane Pets Rescue Inc.
Page 1

Foster Parent Screening Application

We are Paw Obligated to Check You Out!

Today's Date

Name of pet you will be fostering (if known leave blanc)

Will you allow a Hurricane Pets representative to do a home visit?

select one

Can you commit to fostering a pet for at least one year?

select one

If the above answer is no, for how long can you commit to foster the pet?

something more

Your Name

full name

Date of birth

(Over 18)

Address

City

State

Zip Code

Email

a valid email

Home Phone #

ex: (555) 555-5555

Mobile Phone #

ex. (555) 555-5555

Employed

select one

Employer Address

Type of Residence

Select if you rent or if you own and type of residence.

How long have you lived at your present address?

Are you planning to move soon?

If planning to move soon, when?

Do you live in a high rise building?

If checked "Yes" above. What Floor?

Do you have a balcony?

select one

If yes, is your balcony screened?

Do you have a backyard?

select one

If yes Is your backyard fenced?

select one

Landlord Name

ONLY IF YOU RENT

Landlord Tel. #

(555) 555-5555

Landlord E-Mail

Landlord permission to have a pet

select one

Landlord’s Initials for Consent to have a pet

Landlord Signature

Type and Number of pets allowed

1 / 3
powered by formcrafts