NEW - Nova Scotia SPCA Foster Care Program Application Thank you for your interest in our Foster Care Program. This program is designed for people like you, who wish to offer a temporary home for animals that need extra care before they can be made available for adoption. All applications are reviewed carefully and a response can be expected within a maximum of two weeks from receipt of application. Step 1 of 4 25% PERSONAL DETAILSDate* Name First Last Age of Foster Applicant*19 +Under 19Select Location*AntigonishCape BretonColchesterDartmouth/Provincial Animal ShelterHantsKingsLa BaieLunenburgPictouQueensYarmouthAddress* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Home Phone*Cell PhoneWork PhoneEmail* .Drivers License or Photo ID:Please list both the number and what type of identification you are providing. HOUSEHOLD DETAILSDescribe Your Home:* House Townhouse Apartment Mobile/Mini Home Do you:* Rent* Own Live With Parents *If Renting please provide the name and phone number of your landlordHow long have you lived at your current address?*If less then one year, please provide your previous addressDo you have a fenced in yard? Yes No* Applies to dog fostering only.* If no, how will the foster dog go outside?Applies to dog fostering only.Do you have access to a vehicle?* Yes No You will need reliable access to a vehicle to transport your fosters to the shelter for medical care and to pick up supplies.Number of adults in the house*Please enter a number from 0 to 10.Anyone over the age of 18Number of children in the home*Please enter a number from 0 to 10.Anyone 17 years and youngerIf there are children in the home please list their ages.Do any members of the household have asthma or allergies?Are you:* Working Student Retired Other Describe the noise/activity level of the home* Quiet Moderate Busy Very Busy Are you willing to have a Nova Scotia SPCA representative visit you for a home check?* Yes No if required HOUSEHOLD PET DETAILSWhat animals have you owned in the past five (5) years?*Please include the following: Name, Breed/Type, Sex, Spayed/Neutered, Age, kept Indoors/Outdoors, and if they are still with you or deceasedIs your family pet(s) Spayed/Neutered?*YesNoSome of themList the veterinary clinic(s) that care(d) for your petsPlease include name, address and phone numberFOSTER ANIMALFoster Experience:* I have litter trained a cat. I have house trained a puppy. I have house trained a dog. I have crate-trained a dog. I have obedience-trained a dog. I would be willing to take a foster animal to obedience classes. (provided by the SPCA) I have been involved with the birth of an animal. I have experience in caring for the sick, injured, or abused animals. Please check all that applyPlease list any additional skills or training that may be helpful in fostering an animal in your home.How many hours a day will your foster animal be left alone?*Please enter a number from 0 to 24.Where would you keep a foster animal when you are at home?*Where would you keep a foster animal when you are NOT at home?*Where would the foster animal sleep at night?Category of animals interested in fostering:* Pregnant/nursing cats Orphan Kittens Injured Cats Healthy Cats Pregnant/Nursing Dogs Orphan Puppies Injured Dogs Healthy Dogs Other Types of Animals Please check all that apply REFERENCESReference #1 Contact Name:* First Last Reference #1 Contact Number*What is your relationship to reference #1?*Reference #2 Contact Name:* First Last Reference #2 Contact Number*What is your relationship to reference #2?*Reference #3 Contact Name:* First Last Reference #3 Contact Number*What is your relationship to reference #3?*CONSENT*Yes - I certify that the above information is true and know that false information may result in this application being declined. I also acknowledge that The Nova Scotia SPCA reserves the right to decline any application.CLICK on the sentence below to indicate your acceptance and agreement to this statement.