First Name: Last Name: Email Address: Address: City: State: Zip Code: Home phone: Cellular Phone: Work phone: Type of Residence (House, Apt, Condo, Townhome, Etc): If renting are pets allowed: Yes No If renting; landlord name/number: Numbe of adults in household: Number of children in household: Ages of children: Are there any pet allergies in household: No Yes If yes, describe allergy: Do all family members agree to foster: Yes No Have you ever adopted from Illinois Animal Rescue: No Yes Do you still have animal: Yes No How did you learn about Illinois Animal Rescue: Have you ever fostered with another organization: No Yes If yes, what organization: Please list name and ages of your dogs: : Does your dog get along with cats: Dog your dog get along with dogs: Where are your dogs kept when no one is home: Please list names and ages of cats : Does your cat get along with dogs: Does your cat get along with cats: Is your cat allowed outside: Name of primary vet: Vet phone number: May we contact your vet: If you are interested in fostering dogs, where/how will the animal receive exercise? : Fostering Interests (Cats):   Bottle-fed kittens Weaned kittens Pregnant cat Mother with kittens Kittens recovering from injury/surgery Kitten requiring socialization Elderly/Ill cat Terminally ill cat Cat recovering from injury/surgery Cat requiring socialization FeLv diagnosed cat FIV diagnosed cat   Foster Interests (Dogs):   Bottle-fed puppies Weaned puppies Pregnant dog Mother dog with puppies Puppy recovering from injury/surgery Puppy requiring socialization Elderly/ill dog Terminally ill dog Dog recovering from injury/surgery Dog requiring socialization   Briefly describe any relevant experience you have had caring for the types of animals you checked : At times, foster animals will need to be isolated from other pets. Briefly explain how you plan to meet this requirement : Briefly describe area(s) in your residence where you expect to house animals: At times, foster animals will need to be isolated from other pets. Briefly explain how you plan to meet this requirement : What circumstances would cause you to return a foster animal prior to the end of the fostering period? : Why are you and your family interested in fostering animals? : Number of hours/day the foster animal(s) will be left alone?: Are you willing and have the ability to travel to a veterinarians who work with Illinois Animal Rescue should your foster(s) need medical care?:   No Yes   Are you willing to show the animal for adoption in your home?: Yes No Are you willing to follow through with the adoption if approved? : No Yes Are you willing to bring the animal to Adoption Events for showing? : No Yes Please include the name and phone number of two references:

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