Potential Foster Home Information:

Best time to contact you? Select One Weekday Mornings Weekday Afternoons Weekday Evenings Saturday Morning Saturday Afternoon Saturday Evening Sunday Morning Sunday Afternoon Sunday Evening

How did you learn about Guardian Angels For Soldier's Pet? Select One Another Website Brochure/Flyer Friend Military Contact Newspaper Radio Television

Able/willing to foster a military service member's pet or pets for: Select One Deployment (6 - 18 mos) Deployment (18 - 24 mos) Emergency Hardship (up to 3 mos) Emergency Hardship (up to 6 mos)

Emergency Contact Information

Full Name:

Full Street Address:

City: State: Zip (5 or 9 digits):

Day Phone(including area code):

Evening Phone(including area code):

Email:

Current veterinarian:

Full Name:

Business Name:

Full Street Address:

City:State: Zip (5 or 9 digits):

Business Phone(including area code):

Emergency Phone(including area code):

Email:

Website:

2 personal references that we may contact:

Full Name:

Full Street Address:

City:State: Zip (5 or 9 digits):

Phone(including area code):

Email:

Full Name:

Full Street Address:

City:State: Zip (5 or 9 digits):

Phone(including area code):

Email:

Rent or Own

Do you rent or own? Select One Own Rent

Allowed to have pets? Select One Yes No

Type Residence: Select One Own Single Family Home Own Condo Own Manufactured Honme in Park Own Manufactured Home on Land Renting Apartment Renting Condo Renting Manufactured Home in Park Renting Manufactured Home on Land Renting Single Family Home

Yard Fenced? Select One Yes No If Yes, Type of Fence? Select One Chain Link Privacy Wooden Wire Fence Height: Select One 2 feet 3 Feet 4 feet 5 Feet 6 feet 8 feet 10 feet

Restriction on how many pets you can have? Select One Yes No If yes, how many:

Any specific breeds restricted by your Landlord? Select One Not Applicable Yes No

If yes, which breeds?

If pet deposit required by your landlord, are you willing to pay it? Select One Not Applicable Yes No

Please provide(entry only required if you rent or live in Mobile Home Park:

Landlord Full Name:

Landlord Phone(including area code):

Landlord Email:

Do you have any restrictions from homeowners' Association or POA? Select One Not Applicable Yes No

If yes, explain restrictions:
FAMILY MEMBERS:

How many people currently resides at the residence?

Adults (18 and over): Children (under 18): Ages of Resident Children:

Is everyone in the household agreeable to fostering? Select One Yes No

Is anyone in the household allergic to cats/dogs? Select One Yes No

Are you willing to have a military service member's pet(s) meet your pets/children? Select One Yes No

CURRENT PETS IN RESIDENCE:

Do you currently have pets? Select One Yes No

Type: Breed: Gender: Spayed/Neutered:

Type: Breed: Gender: Spayed/Neutered:

Type: Breed: Gender: Spayed/Neutered:

Type: Breed: Gender: Spayed/Neutered:

Are your current pets current on shots? Select One Yes No

Have you had pets in the past? Select One Yes No

Have you ever fostered with a Humane Shelter or Rescue Group? Select One Yes No

Care Giving for Military Service Member's Pet:

Type of Pet You Can Foster: Select One Dog Cat Bird Horse Other Caged Type Any Type Size: Select One Any Size Small (up to 15 lbs) Medium (15+ Up to 40 lbs) Large (50+ lbs)

If other selected, please enter type:

Do you wish to foster a pet that is: Select One Inside Pet Outside Pet Both

Are you willing to foster multiple pets from same military service member? Select One Yes No

Are you willing to foster and care for a 'Special Health Care needs pet'? Select One Yes No

If 'Yes', specify type of Special Needs: Select One Not Applicable Allergy Blindness Chronic Ear Problems Chronic Skin Problems Deafness Diabetes Epilsey

Are you willing to foster and able to care/work with a Special Behavioral needs pet? Select One Yes No

Are you willing to crate pet if necessary or required by pet owner? Select One Yes No

Where will the fostered pet be when you are not home? Select One Crated within Home Within specific area/room of home

Where will fostered pet sleep? Select One Crate Bedroom Another Room

Are you financially able to assist with pet care (food/treats/short term boarding) during foster term? Select One Yes No Depending

Are you willing to care for fostered pet indefinitely, if necessary? Yes No

Other pertinent information or additional comments, so that we may find best match

My full name entered below confirms that I have read and understand the contents of this application and understand that receipt of a completed application will be regarded as an expression of interest, not a commitment or acceptance to serve as a foster home caregiver for a military service member's or veteran's beloved pet(s) needing a caring, loving, and stable home.

Submitter's Full Name:

Date Submitted (mo/day/year):

Response(via phone or email)to your submission should be within 72 Hours

Note: No later than 5 working days from date of submission.