Volunteer If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Contact Information First Name * Last Name * Address 1 * City * State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code * Home Phone * Work Phone Email * Can you receive calls at work? * YesNo Home Information You live in: * HouseApartment/CondoDuplex How long have you lived there * Do you own or rent * OwnRent If you rent, have you paid a pet deposit? YesNo Landlord's Name and Phone Number Number of Adults in home Number of children in home Children's ages Do you or anyone in your houshold have allergies or asthma? * YesNoDon't know Do you currently have pets? * YesNo If yes, types and ages List other pets you have had in the past 5 years Are your pets Spayed/Neutered? YesNo Treated regularly for fleas? YesNo Declawed? YesNo Current on all Vaccines? YesNo Test for Leukemia? YesNo Indoor OnlyOutdoor OnlyIndoor & Outdoor Your Veterinarian's Name Vet. Hospital Foster Information Do all your houshold members agree to your fostering animals? YesNo Do you have transportation? YesNo Willing to bring animals to adoption events? YesNo Able to work adoptions? YesNo What other animal organizations you have worked with? Why do you want to foster animals? What experience do you have fosterin animals? What type & ages of animals would you like to foster? What special talents, skills & experiences can you contribute? (no modesty please) If you are a human and are seeing this field, please leave it blank.