* What is your name?

* What is your nationality?

* Your e-mail address.

* Please type that same email address again.

Your mobile phone email address.

* Age. [Exact if 18 ~ 25 or 76+, otherwise to nearest decade is fine.]

* What is your full home address?
If the animal would be kept at a different address, please write that too.

Main mobile phone number

Home phone number

Emergency contact number

Please list any other people in your home by relationship, with their age if under 25 or over 76. Names are not needed. (E.g. partner. Daughter, 9.)

* Does the building you live in allow you to keep pets?

Please specify if there are any limitations to weight/size/number of animals you may keep in your building.

* Are you or any of your family members allergic to dogs and/or cats?

* Why do you wish to become a foster family for animals from CATNIP?

* Please select the animal(s) you are able to foster.

... if other, please specify

* What is the maximum number of your chosen animal/animals that you would be able to foster at one time? Please give details: eg: one cat, or one cat and one dog etc. (If you are not sure at this stage, please enter "please discuss with me" in this field.)

* For how many hours would the animal be alone on your regular working days?

... roughly, from what time? (indicate am/pm)

... to what time? (indicate am/pm)

* What kind of environment would the animal be kept in?

* Where would the animal be living during the day?

* Where would the animal be living in the evening?

* Where would the animal be living while you are not home?

* Do you have any pets of your own?
  (If you answer "No", please move on to the next section.)

If you have dogs, please list their names, breeds, sex (M/F) and ages.

If you have cats, please list their names, breeds ('Japan Cat' if not known), sex (M/F) and ages.

If you have other types of pets, please list their names, types, sex (M/F) and ages.

Have all your dogs/cats been neutered/spayed?

Have all your dogs/cats been vaccinated?

Are all your dogs and cats in good health?

If you answered "No" to any of the last 3 questions, please give full details.

Do any of your dogs have a problem with aggressive behaviour?

If yes, please give details:

If you are able to foster a cat: cats and kittens need to be kept indoors. Are you able to offer this kind of shelter?

If you are able to foster a dog: will it be kept indoors and be provided with regular exercise/walks/affection?

If you have indicated that you would be prepared to foster a puppy, do you feel confident that you would be able to toilet train and socialize the animal?

* In an emergency, are you willing to take your foster pet to the vet and administer medication as necessary?

* If necessary are you able to isolate a foster pet from your own?

... can you isolate orphaned kittens?

* Would you allow a member of the CATNIP staff to visit your home to check on the welfare of your foster animal?

How did you hear about CATNIP? (Select all that apply)

Other means by which you heard about CATNIP, if any...

Please add any additional information or clarifications you would like us to consider.

* Security verification