McKamey Foster Questionnaire
First Name
*
Last Name
*
Address
*
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
*
Home #
*
Work #
Cell #
E-mail
*
Are you at least 18 years old?
*
Yes
No
What type of animal(s) would you like to foster?
dogs
cats
puppies (under 5 months)
kittens (under 5 months
cat-- mother and litter
dog-- mother and litter
pocket pets
Please indicate any foster pet specifications, such as size, breed, etc
Do you own or rent your home?
own
rent
Type of housing
House
Apartment/condo
Other
Please list any owned animals currently living in your home and indicate name, species, and age.
Please provide the name of your veterinary clinic or veterinarian.
Please list any foster animals currently living in your home and indicate species, age, and agency name.
Where do your current pets stay when home alone during the day?
Where do your current pets sleep at night?
Are you able to keep the foster pet separate from your own animals when necessary?
Yes
No
Please list any accommodations your home has for foster pets, such as fenced-in yard, spare bedroom or bathroom, basement, etc.
How many hours will the foster pet be alone on a typical day?
0-2
2-4
4-8
8+
Please indicate how often children are in your home:
young children live in home or visit often
young children are not often in home
other: please explain below
If other, please explain:
Are you willing to regularly participate in adoption events?
yes
no
Submit
Should be Empty: