Foster ApplicationPaul Klein2019-03-21T14:04:20-07:00Foster ApplicationStep 1 of 5 - Foster Information0%EntryIDName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Enter Email Confirm Email Mobile Phone*Secondary PhoneAge*Please enter a number greater than or equal to 18. Household MembersAre there people currently residing in your home?*YesNoPlease list all people who live in your home*NameGenderAgeHours of Day at Home Are all members of your household in agreement to foster for the rescue?*YesNoIf No, please explain*Household PetsAre there animals currently residing in your home?*YesNoPlease list all the animals currently residing in your home*NameSpeciesGenderAgeLast Vaccinated Please answer the following questions for you or any members of your household. If you answer Yes to any questions, please describe in detail.Any tickets or at-fault accidents in the last 3 years?*YesNoIf Yes, please explain.*A driving infraction does not preclude you from being approved as a foster applicant. If needed, we will provide transportation for the animal(s) in your care.Had your license been suspended / revoked in the last five years?*YesNoIf Yes, please explain.*Have you been charged with of animal neglect or abuse?*YesNoIf Yes, please explain.*Have you been convicted of any crime?*YesNoIf Yes, please explain.*Do you have health conditions /restrictions that might change your ability to foster?*YesNoIf Yes, please explain.*Have you served as a foster for an animal rescue prior?*YesNoIf Yes, please detail when and which rescue*Tell us a little about yourself including your experiences with animals*Do you have a dedicated space to quarantine and care for the animal?*YesNoHousehold InformationHome Type*HouseCondo / TownhomeMobile HomeApartmentOtherIf Other, please explain.*Home Status*OwnRentLive with FamilyOtherAre you listed on the lease-agreement for this property?*YesNoWhen does your lease expire?* Pet Deposit*Additional Rent*Landlord*Landlord Phone*Please select all that apply to your current home Doggie Door Pool Fenced Yard Acreage Livestock / Farm AnimalsDo You Plan to Move in the Future?*YesNo We may require a copy of your insurance card. Do you have a preference for the type of animal you foster?*YesNoIf Yes, please detail here including (gender, age, personality, etc.). We will try to accommodate if we are able*Any Additional Information you would like to provide* Submit Application Thank you so much for considering fostering for Saving One Life. Without fosters, saving lives would be impossible. We do not have a facility and run solely with the support of loving foster parents. Captcha This iframe contains the logic required to handle Ajax powered Gravity Forms.