Foster Care Application Form First Name* Surname* Phone Number*Email Address* Date of Birth* Day Month Year Address Street Address Suburb State Postcode AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Why would you like to volunteer as a Foster Carer for The Cat Protection Society of Victoria?*Have you ever volunteered as a Foster Carer for animals in the past?* Yes No Please provide details of the organisation you volunteered for and the period of which you provided Foster Care*Do you have any Pets at home?* Yes No Please specify the type of pets you have and whether they live indoors, outdoors or both*Are all of your pets desexed?* Yes - Proof of desexing will be required if you are successful in your application to become a Foster Carer No - If your Pets are not desexed, unfortunately you will not be able to Foster Are all of your Pets up to date with their vaccinations?* Yes - Proof of vaccination records will be required if you are successful in your application to become a Foster Carer No - If your Pets are not up to date with their vaccinations, unfortunately you will not be able to Foster Please select which best describes your home* Suburban House with backyard House on a large property Town House with small yard Apartment / Unit Independent Living Villa / Retirement Home Do you own your home or are you renting?* Home Owner Renting Please select which best describes your household* I live alone I live with 1 or more other adults I have young children at home I have school aged children at home I have older / adult children at home Other- please specify Other- please specify*Work status* Full Time Part Time Casual Do not currently work How long might the foster animal be home alone during a typical day?*Do you have a current drivers licence and have your own vehicle?* Yes - (please provide) No Please provide your drivers licence number Select the type of Cat/s that you would be most interested in Fostering?* Mother & Kitten Kittens Only Adults Number of cats you are comfortable with fostering at any one time? Please note, there is a minimum 2 for kittens*Would you be willing to Foster Cats / Kittens with additional needs* Neo-natal (bottle feeding) Socialising Mild Illness Medical Rehabilitation Behavioural Issues Are you and your family willing to attend an induction and training session if needed?* Yes No Do you agree to keep foster indoors at all times?* Yes No When are you able to commence?*Is there any further information that you would like to share with regards to your application to be a Foster Carer with us?*CAPTCHAEmailThis field is for validation purposes and should be left unchanged.
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