Australian Animal Protection Society,
10 Homeleigh Road,
KEYSBOROUGH, 3173.
A.B.N. 51 004 948 716

Phone: 9798 8415
Phone: 9798 8044
Fax:     9769 0317
Internet: www.aaps.org.au

FOSTER - CARER APPLICATION FORM

Mrs/Ms/Miss/Mr/Dr................................................................................

Telephone:.................................................

Address:...............................................................................................

Mobile: .....................................................

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 ...................................................................... Postcode    ..................  

Please answer the following questions, thank you.

How many children do you have and how old are they? ............................................................................................

Do any other adults live at your home?....................................................................................................................
Do you work?  yes / no       (please circle)            If so, is it  full time  /     part time    (please circle)
Do you work from home? yes / no (please circle)   If not, how many hours per day are you away from the house?.............................
Do you have any other pets?  Please detail the animals type / breed / sex / age / desexed /vaccinated /indoor / outdoor
(please use the spaces below)
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Would you like to foster a      dog   cat   puppy   kitten  (please circle)
Would you consider fostering an animal undergoing medical treatment prior to being passed for adoption ? Yes / No
Are you prepared for your home / animal facilities to be visited by shelter personal for inspection
and accreditation? Yes / No
Do you accept that your fostered animal may not be rehomed but may be euthanised? Yes / No
Please write down your prior experience in fostering / raising animals in the space below:
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Please indicate the reasons why you want to foster shelter animals in the space below:
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Please return the completed form to :

   Animal Welfare Coordinator
   AAPS
   10 Homeleigh Road
   KEYSBOROUGH      3173

Please phone 9798 8044 if you have any enquires.

Please indicate an appropriate date and time for the home visit ....................................................................................................

 

Thank you