Foster Care Application

First Name *

Last Name *

Street Address *

Please include apt or suite, if applicable.

City *

State *

Must be within tri-state area.

Zip/Postal *

Phone Number *

Please state if this is your... *

Mobile

Home

Work

Email Address *

What is your preferred method of communication? *

Phone

Email

Text

Date of Birth *

Must be at least 21 years of age to become a Foster Parent.

Employer/Company Name *

Job Title *

Will anyone be co-fostering with you? *

Yes

No

Co-Foster First Name *

Co-Foster Last Name *

Co-Foster Address - If same as Primary Foster, please enter Same As Primary.

Street Address

Please include apt or suite, if applicable.

City

State/Province

Zip/Postal

Co-Foster Phone Number *

Please state if this is the Co-Foster's *

Mobile

Home

Work

Co-Foster Email Address *

What is your co-fosters preferred method of communication? *

Phone

Email

Text

Co-Foster Date of Birth *

Must be at least 21 years of age to become a Foster Parent.

Co-Foster Employer/Company Name *

Co-Foster Job Title *

Housing Information

What type of home do you live in? *

House

Apartment

Condo

Do you rent or own your home? *

Rent

Own

Does your landlord or building management allow pets? *

Yes

No

Not sure

Does your landlord or building management know you are looking to foster an animal? *

Yes

No

Does your landlord or building management have any special restrictions concerning animals? *

Yes

No

If yes, please list the restrictions here. Please include specific restrictions to species, breed, size, quantity, etc. *

Please provide your landlord's/building management's name. *

Please provide your landlord's/building management's phone number. *

Are you planning on moving within the next 6 months? *

Yes

No

Not sure

Does your home have access to outdoor space? *

Yes

No

Please select the type of outdoor space:

Private yard

Shared yard/courtyard

Terrace/Balcony/Roof deck

Does your outdoor space have secured fencing?

Yes

No

Household & Lifestyle Information

Please list all members of the household, including self. *

Name/Age/Relationship to Foster

Is everyone in your household aware and accepting of your desire to bring a foster animal into the home? *

Yes

No

Are there any children living in the home or children who regularly visit your home? *

Yes

No

Does anyone in your household have allergies to animals? *

Yes

No

Not sure

If yes or not sure, please explain.

Are there any animals living in the home? *

Yes

No

Please list species, name, age, size, temperament.

Is your animal spayed/neutered?

Yes

No

Not sure

If no or not sure, please explain.

Is your animal up to date on all required vaccines? *

Yes

No

Not sure

Please note that your animal must be UTD on all required vaccines in order to foster an animal with NSALA.

If no or not sure, please explain.

Is your animal up to date on preventatives? *

Yes

No

Not sure

Preventatives refer to flea/tick medication, such as Nexgard or Frontline, and heartworm preventatives, such as Heartgard.

If no or not sure, please explain.

Are you able to keep the foster animal separate from the other animals in the home? Please explain. *

Provide vet information (vet or practice name and phone number). *

Please list all of the animals you have owned or have been responsible for, along with how long you owned or were responsible for the pet, and where the pet is now. This may include family and childhood pets. *

Has an animal ever been removed from your custody? *

Yes

No

If yes, please explain.

Which type of animal are you interested in fostering? *

Cats only

Dogs only

Both cats and dogs

What age animal are you interested in fostering? Choose all that apply. *

Why are you interested in fostering an animal? Please explain. *

Have you ever fostered an animal before? *

Yes

No

When have you fostered, where and for how long?

On a regular day, how many hours will the foster animal be left alone? *

Where will the animal be kept when left unsupervised? *

Please describe any experience you have with training animals (e.g., housebreaking a dog). If you do not have personal experience with training animals, then what is your training philosophy? *

We often have animals looking for foster homes who have medical or behavioral issues that require extra attention, administering medication, structure, etc. Is this something you are prepared to deal with? *

Yes

No

Not sure

Are you able to feed your foster animal a specific diet without allowing access to other foods? *

Yes

No

Do you have reliable access to a car to transport your foster animal to and from our Port Washington, NY campus? This would be required at the beginning and end of your foster period, and for medical care and supplies? *

Yes

No

If not, how do you plan on transporting your foster animal?

How long would you be willing to foster for? *

We require a minimum 2 week commitment from all new fosters. Please note that the amount of time you will be asked to foster an animal varies based on the animal's specific needs, sometime you will be needed less than 2 weeks, but often times it is more than 2 weeks. The expected timeframe will be discussed with you before you are matched with your foster.

When are you able to begin fostering? *

Have you or your family ever applied to foster with or adopt from NSALA? *

Yes

No

What was the result?

Personal References: List 3

Please note that only 1 reference may be a family or household member.

Reference 1

Name *

Relationship *

Phone Number *

Email Address

Reference 2

Name *

Relationship *

Phone Number *

Email Address

Reference 3

Name *

Relationship *

Phone Number *

Email Address

Foster Requirements

I will abide by the laws pertaining to the humane treatment of animals. *

I will abide by the laws pertaining to the humane treatment of animals.

I understand that the foster animal legally belongs to NSALA. *

I understand that the foster animal legally belongs to NSALA.

I understand that I can be removed from the foster program at any time at the discretion of NSALA. *

I understand that I can be removed from the foster program at any time at the discretion of NSALA.

Captcha

Foster Care Application

Apply to become a Foster Parent and open your heart and home to an animal in need.

Housing Information

Household & Lifestyle Information

Personal References: List 3

Reference 1

Reference 2

Reference 3

Foster Requirements