Crisis Safety Net Application Crisis Safety Net Program Foster Home Application Application to become a CSN FOSTER Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email(Required) Phone(Required)Driver's License or State ID Number(Required)Date of Birth(Required) MM slash DD slash YYYY Are you a current employee of the Cleveland APL?(Required) Yes No Have you ever been an employee of the Cleveland APL?(Required) Yes No Do you live in a house or an apartment?(Required) House Apartment Do you own or rent your home?(Required) Own Rent Please list the names and ages of all of the human members of your household.(Required)Please list your resident pets by species (dog, cat, etc.).(Required)Do you have a fenced in yard? If so, what type?(Required)Do your resident pets live inside or outside?(Required) Inside Outside I feed outside cats Would you allow Project CARE staff to visit your home by appointment?(Required) Yes No We strongly recommend that your resident animals are current on all of their vaccinations (DA2PP and Rabies for dogs, FVRCP and Rabies for cats). Immunity to infectious disease will keep them protected in the rare instance a foster is diagnosed with a communicable disease. Are your pets (cats and dogs) up to date on their vaccinations?(Required) Yes No I don't have any resident pets at this time The Cleveland APL is working toward a future where all companion animals have homes and families that love them, thus we promote the importance of spaying and neutering. Are all of your pets fixed? If not, please state the reason. If you don't have any resident pets please reply Not Applicable.(Required)The Cleveland APL requires resident pets be kept separate from resident pets. Fosters assume all responsibility for the health and safety of their own pets and will not hold the Cleveland APL accountable for any medical needs or other expenses if I choose to allow my foster pets to interact with my own pets. Please sign in the space below acknowledging you understand this policy.(Required)Are you open to attending educational sessions or training workshops if the need or desire arises?(Required) Yes No What animals are you interested in fostering? Small dogs Large dogs Any size dog Cats Other small mammals Are you currently employed?(Required) Yes No If currently employed, please state your work hours.If currently employed, please state your work hours.Please state any previous encounters with the Cleveland Animal Protective League.(Required) Previous volunteer position Adopted an animal Surrendered a pet Made a financial contribution Attended a special event Website Newsletter How did you hear about the Crisis Safety Net Foster program?(Required)If you have fostered animals before please share how many years experience you have and rate your expertise level (beginner, intermediate or expert). Please add the organization(s) you have fostered for and any additional information you'd like us to know.(Required)Your NameBy typing your name in the box below you are stating that you have read and agree to all of the standards listed in this application. I understand that, should I consistently fail to follow these standards, I will be removed from the Crisis Safety Net Foster Program.
