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WCHS Foster Care Application
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* Indicates required question
Contact Information
Applicant's Name
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Your answer
Phone number
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Your answer
Alternate phone number
Your answer
Address
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Please include street, town, and zip code
Your answer
Email address
*
Your answer
Household Environment
How many people live in your household?
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1
2
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9
10
How many are adults
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1
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How many are children?
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0
1
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Current pets in your household
*
Please list
Your answer
Foster Animal Information
Please indicate which animal(s) you would be most interested in fostering.
*
bottle-fed kittens (require 24 hr/day care)
Mildly sick or injured animals (in need of time for recuperation in a less stressful environment)
Cats in need of behavior modification / special behavior training
Dogs in need of behavior modification / special behavior training
Animals seized in a cruelty investigation
Nursing mother cat and her kittens
Nursing mother dog and her puppies
Orphaned kittens
Orphaned puppies
Birds
Reptiles
Small Animals (rabbits, guinea pigs, hamsters, ferrets, etc)
Required
Would you be interested in fostering an animal on a long-term basis?
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yes
no
maybe
Are you available to make regular trips to WCHS if necessary?
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Yes
No
Do you have access to a car for transportation of the foster animal to and from the shelter, as well as to the vet if necessary?
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Yes
No
Please list any special skills or interests you have that would help you as a foster parent.
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Your answer
Why are you interested in becoming a Foster Home?
*
Your answer
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