Foster for Us – Nova Scotia SPCA

Order Number

Date *

First Name *

Age of Foster Applicant *

18+

Under 18

Select Location *

Last Name *

Street Address *

Address Line 2

City *

Postal Code *

Home Phone *

Cell Phone

Work Phone

Email *

Drivers License or Photo ID

Please list both number and what type of identification you are providing.

Province *

Describe 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 landlord

How long have you lived at your current address?

If less then one year, please provide your previous address

Do 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

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 *

Over 18 years of age

Number of children in the house *

Under 18 years of age

If there are children in the home please list their ages.

Do any members of the household have asthma or allergies?

If yes, please list

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

If required

What 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 deceased.

Are your family pet(s) spayed/neutered? *

Yes

Some of them

List the veterinary clinic(s) that care(d) for your pets

Please include name, address and phone number

Foster 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 apply

Please list any additional skills or training that may be helpful in fostering an animal in your home.

Home 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 home? *

Category of animals interested in fostering: *

OWNED pets through the Domestic Violence Assistance Program

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

Where would the foster animal sleep at night?

Reference #1 First Name *

Last Name *

Contact Number *

What is your relationship to reference #1? *

Reference #2 First Name *

Last Name *

What is your relationship to reference #2? *

Contact Number *

Reference #3 First Name *

Last Name *

What is your relationship to reference #3? *

Contact Number *

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.