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Foster Parents Application
Name: *
Your answer
Address: *
Your answer
City: *
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State: *
Your answer
Zip Code: *
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Date of Birth: *
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DD
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YYYY
Daytime Phone: *
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Evening Phone: *
Your answer
Email: *
Your answer
Do you....? *
If you rent, landlord's name:
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Landlord's phone number:
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Type of residence: *
Please list any other pets in the home. Please be sure to include type, gender, age, and spay/neuter status. *
Your answer
Veterinarian:
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Veterinarian's phone number
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Please describe the general area where the animals you are fostering will be kept: *
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I am willing to foster the following (please check all that apply): *
Required
Is someone home during the day? *
If no, how long will the animal(s) be alone?
Your answer
Have you ever fostered animals before? *
If yes, for which organization?
Your answer
Are you willing to have someone from the Chemung County SPCA conduct a home visit? *
Are you willing to have someone from the Chemung County SPCA visit the animal(s) during their stay? *
Do you have a readily-available vehicle to use in case of an emergency? *
Do you have a working telephone line where you can be reached? *
Will you abide by all animal control laws with regard to your foster animal(s)? *
Will you be able to bring the animal(s) back to the SPCA for check-ups/medical care? *
Will you be able to administer medications if required/needed? *
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